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| 枕下远外侧入路的显微解剖及其临床应用 | |
| 引用本文： | 王业忠,刘祺,赵冬,姬云翔,雷霆.枕下远外侧入路的显微解剖及其临床应用[J].华中科技大学学报(医学版),2008,37(3). |
| 作者姓名： | 王业忠 刘祺 赵冬 姬云翔 雷霆 |
| 作者单位： | 1. 华中科技大学同济医学院附属同济医院神经外科,武汉,430030;新疆石河子大学医学院第一附属医院神经外科,石河子,832008 2. 新疆石河子大学医学院第一附属医院神经外科,石河子,832008 3. 华中科技大学同济医学院附属同济医院神经外科,武汉,430030 |
| 摘 要： | 目的 通过掌握枕下远外侧入路的显微解剖学特点,将其应用于临床,以改善枕骨大孔区显微外科手术疗效.方法 采用枕下远外侧入路解剖成人头颅标本15具30侧,在显微镜下对该入路涉及的血管、神经、骨性结构、肌肉进行解剖学观察和测量.另对收治的10例枕骨大孔前方肿瘤患者采用枕下远外侧入路显微手术.结果 枕下三角和颈2神经的腹侧支是识别椎动脉的重要标志,头外侧直肌是识别颈静脉孔的重要标记.后颅窝开颅常用的解剖标志为星点、前星点、乳突尖、颧弓根.星点到前星点的距离:左侧(22.64±1.88)mm,右侧(21.96±2.64)mm;前星点至乳突尖的距离:左侧(38.54±3.42) mm,右侧(39.04±2.28)mm;星点至颧弓根的距离:左侧(55.82±3.84)mm,右侧(56.26±2.86)mm.10例患者中,8例显微镜下全切除,2例大部分切除,无死亡病例,除1例需呼吸机辅助呼吸外,余患者无明显术后并发症.结论 熟悉并掌握枕下远外侧入路的显微解剖知识,能提高枕骨大孔区手术疗效,减少术后并发症. |
| 关 键 词： | 枕下远外侧入路 显微解剖 临床应用 枕下远外侧入路 显微解剖 临床应用 Clinical Application Approach Lateral 解剖知识 术后并发症 辅助呼吸 呼吸机 死亡病例 部分切除 全切除 患者 距离 颧弓 乳突尖 星点 解剖标志 开颅 |
The Microsurgical Anatomy of the Far Lateral Suboccipital Approach and Clinical Application |
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| Wang Yezhong,Liu Qi,Zhao Dong et al.The Microsurgical Anatomy of the Far Lateral Suboccipital Approach and Clinical Application[J].Journal of Huazhong University of Science and Technology(Health Sciences),2008,37(3). | |
| Authors: | Wang Yezhong Liu Qi Zhao Dong |
| Institution: | Wang Yezhong1,2,Liu Qi2,Zhao Dong2 et al 1Department of Neurosurgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science , Technology,Wuhan 4300301Department of Neurosurgery,First Affiliated Hospital,Medical College of Shihezi University,Shihezi 832008 |
| Abstract: | Objective To study the microsurgical anatomy features of far lateral suboccipital approach and its clinical application in order to improve the therapeutic effectiveness of microsurgical operation at the region of great foramen. Methods Through the far lateral suboccipital approach, 15 adult cadveric heads (30 sides) were anatomized. Under the microscopy, the involving vessels, nerves, bony structures and muscles were observed and measured anatomically. The admitted 10 cases of anterior great foramen tumors... |
| Keywords: | far lateral suboccipital approach microsurgical anatomy clinical application |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |