| 小脑延髓裂入路显微外科解剖学研究 |
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| 引用本文： | 胡福广,张皓峰,邢淑芳.小脑延髓裂入路显微外科解剖学研究[J].中国神经精神疾病杂志,2010,36(2). |
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| 作者姓名： | 胡福广 张皓峰 邢淑芳 |
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| 作者单位： | 1. 河北医科大学附属第二医院神经外二科,石家庄,050000
2. 河北省武安市人民医院 |
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| 基金项目： | 河北省卫生厅科研基金资助 |
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| 摘 要： | 目的观察小脑延髓裂入路沿途组织结构间的毗邻关系,为临床提供解剖学基础。方法将经甲醛固定、血管内灌注彩色乳胶的5例成人尸头标本,按手术入路逐层解剖。观察小脑延髓裂的组成,以及脉络膜、下髓帆、小脑下后动脉的走形及分布。结果小脑延髓裂是位于扁桃体、二腹叶下方与延髓之间行向外侧的一条自然解剖裂隙。脉络膜、下髓帆不含神经组织,分离该组织,可暴露整个第四脑室。小脑下后动脉的扁桃体延髓段和膜髓帆扁桃体段是此入路的关键血管。结论小脑延髓裂入路可以不切开下蚓部,通过正常的解剖间隙到达第四脑室和脑干的侧方,可减少手术的损伤及术后并发症。
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| 关 键 词： | 小脑延髓裂 显微外科解剖 手术入路 |
The Microsurgical Anatomical Study of transcerebellomedullary fissure approach |
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| HU Fuguang,ZHANG Haofeng,XING Shufang.The Microsurgical Anatomical Study of transcerebellomedullary fissure approach[J].Chinese Journal of Nervous and Mental Diseases,2010,36(2). |
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| Authors: | HU Fuguang ZHANG Haofeng XING Shufang |
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| Institution: | HU Fuguang,ZHANG Haofeng,XING Shufang.Department of Neurosurgery,the Second Hospital of Hebei Medical University,215 Hepingxi road,Shijiazhuang,Hebei 050000,China |
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| Abstract: | Objective To study transcerebellomedullary fissure approach to the fourth ventricle and the lateral brainstem without splitting vermis and depict its adjacent structure,and provide clinicians with anatomical information.Methods Five cadaveric heads fixed with formaldehyde and perfused with color latex in their arteries and veins were dissected with microsurgical anatomical skills.The composition of cerebellomedullary fissure and the distribution of the tela choroida,the inferior medullary velum and the post... |
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| Keywords: | Cerebellomedullary fissure Microsurgical anatomy Approach |
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