| 扩大经鼻入路颈内动脉海绵窦段的显微解剖 |
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| 引用本文： | 薛亮,荆俊杰,魏梁锋,王守森,王如密,郑和平,张发惠.扩大经鼻入路颈内动脉海绵窦段的显微解剖[J].第四军医大学学报,2009,30(3):229-232. |
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| 作者姓名： | 薛亮 荆俊杰 魏梁锋 王守森 王如密 郑和平 张发惠 |
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| 作者单位： | 薛亮,XUE liang(福建医科大学福总临床医学院神经外科,南京军区福州总医院,福建,福州,350025);荆俊杰,魏梁锋,王如密,riNG Jun-Jie,WEI Liang-Feng,WANG Ru-Mi(福建医科大学福总临床医学院神经外科,南京军区福州总医院,神经外科,福建,福州,350025);王守森,WANG Shou-Sen(福建医科大学福总临床医学院神经外科,南京军区福州总医院,福建,福州,350025;福建医科大学福总临床医学院神经外科,南京军区福州总医院,神经外科,福建,福州,350025);郑和平,张发惠,ZHENG He-Ping,ZHANG Fa-Hui(福建医科大学福总临床医学院神经外科,南京军区福州总医院,临床解剖研究中心,福建,福州,350025)
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| 基金项目： | 南京军区医学科学技术研究计划重点项目 |
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| 摘 要： | 目的：研究扩大经鼻入路颈内动脉海绵窦段的显微解剖特征，为相关手术提供形态学依据．方法：采用10例防腐尸颅，按经鼻路径在显微镜下进行解剖，观测颈内动脉与蝶窦外侧壁和垂体的关系，颈内动脉海绵窦段及其分支的走行、分布情况，测量颈内动脉海绵窦段各分段与中线的距离．结果：前鼻棘到颈内动脉隆起最凸点的连线长度为（74．5±3．1）mm，颈内动脉海绵窦段可分为鞍旁部和斜坡旁部，主要有2个分支；前垂直段、前曲段、水平段、后曲段、后垂直段内侧壁与中线的距离分别为（7．4±1．0），（9．0±1．3），8．3±2．5），（7．6±1．4）和（8．9±1．5）mm．结论：采用扩大经鼻入路可处理侵袭海绵窦内侧腔的病变，颈内动脉海绵窦段及其分支是扩大经鼻入路处理海绵窦病变所遇到的主要解剖结构，熟悉相关动脉的解剖学特点，对于减少术中出血、安全处理海绵窦病变有重要意义．
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| 关 键 词： | 扩大经鼻入路 颈内动脉 解剖学 海绵窦 |
Microscopic anatomy of cavernous segment of internal carotid artery via extended transnasal approach |
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| XUE Liang,JING Jun-Jie,WEI Liang-Feng,WANG Shou-Sen,WANG Ru-Mi,ZHENG He-Ping,ZHANG Fa-Hui.Microscopic anatomy of cavernous segment of internal carotid artery via extended transnasal approach[J].Journal of the Fourth Military Medical University,2009,30(3):229-232. |
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| Authors: | XUE Liang JING Jun-Jie WEI Liang-Feng WANG Shou-Sen WANG Ru-Mi ZHENG He-Ping ZHANG Fa-Hui |
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| Institution: | XUE Liang1,JING Jun-Jie2,WEI Liang-Feng2,WANG Shou-Sen2,WANG Ru-Mi2,ZHENG He-Ping3,ZHANG Fa-Hui31Department of Neurosurgery,Fuzong Clinical College,Fujian Medical University,2Department of Neurosurgery,3Reseach Center of Clinical Anatomy,PLA Fuzhou General Hospital,Nanjing Military Area Command,Fuzhou 350025,China |
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| Abstract: | AIM: To explore microanatomical features of the cavernous segment of the internal carotid artery(CSICA) for extended transnasal approach and to provide morphological bases for related operations.METHODS: Extended transnasal approach was performed on 10 fixed adult cadaver heads.The microscopic anatomical features of the branches of CSICA and its relationship with pituitary gland and the lateral wall of sphenoid sinus were observed under microscope.The distances from various segments of CSICA to median line ... |
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| Keywords: | extended transnasal approach internal carotid artery anatomy cavernous sinus |
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