| 内镜下扩大经鼻蝶入路至斜坡区的解剖学研究 |
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| 引用本文： | 汪宇扬,万经海,王卫红,冯春国,徐培坤,程宏伟,郭致飞,吴德俊,张圣邦.内镜下扩大经鼻蝶入路至斜坡区的解剖学研究[J].国际神经病学神经外科学杂志,2008,35(5). |
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| 作者姓名： | 汪宇扬 万经海 王卫红 冯春国 徐培坤 程宏伟 郭致飞 吴德俊 张圣邦 |
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| 作者单位： | 1. 安徽医科大学第一附属医院神经外科,合肥,230022
2. 中国医学科学院中国协和医科大学肿瘤医院,北京,100021 |
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| 基金项目： | 安徽省自然科学基金，安徽省科技攻关项目 |
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| 摘 要： | 目的探索内镜下经扩大鼻蝶入路显露斜坡区的可行性,为切除斜坡区病变提供解剖学参考。方法在10例成人头部固定标本上,内镜下模拟扩大经鼻蝶手术入路显露斜坡区,观察有关显微解剖标志。结果扩大经鼻蝶内镜入路可磨除从鞍后到斜坡、枕骨大孔前缘的骨性结构;可显露斜坡区腹侧硬膜下的椎基底动脉及其分支、后交通动脉及其与大脑后动脉汇合处、动眼神经、脑干腹侧等结构。此入路的手术标志主要包括:蝶筛隐窝、蝶窦开口、视神经隆突、颈内动脉隆突与颈内动脉视神经隐窝、咽结节、枕骨大孔前缘。结论内镜下扩大经鼻蝶手术入路可充分显露鞍后-斜坡区的腹侧硬膜下结构,适用于此区病变的手术治疗。
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| 关 键 词： | 扩大经鼻蝶 内镜解剖 斜坡 |
Extended transsphenoidal approach to clival region:an endoscopic anatomic study |
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| Wang YY,Wan JH,Wang WH,Feng CG,Xu PK,Chen HW,Guo ZF,Wu DJ,Zhang SB.Extended transsphenoidal approach to clival region:an endoscopic anatomic study[J].Journal of International Neurology and Neurosurgery,2008,35(5). |
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| Authors: | Wang YY Wan JH Wang WH Feng CG Xu PK Chen HW Guo ZF Wu DJ Zhang SB |
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| Institution: | Wang YY,Wan JH,Wang WH,Feng CG,Xu PK,Chen HW,Guo ZF,Wu DJ,Zhang SB,Department of Neurosurgery,the First Affiliated Hospital of Anhui Medical University |
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| Abstract: | Objective The goal of this study was to explore feasibility of exposure clival region through endoscopic extended transsphenoidal approach,and to provide the anatomic reference on the clival region.Methods Ten formalin-fixed,silicone-injected adult cadaveric heads were studied.A direct endonasal extended transsphenoidal approach was performed via the double nostrils.The direct endoscopic views(infrasellar and clival)were taken photograph step by step.Results The extradural structures nearby the median line ... |
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| Keywords: | Extended transsphenoidal approach Endoscopy Anatomy Clival region |
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