内窥镜经鼻一蝶手术人路及显微解剖研究

目的回顾内窥镜经鼻蝶手术入路发展，研究经蝶手术入路显微解剖，为内窥镜经蝶手术提供解剖学参考依据。方法采用20具成人尸体头颅，按经蝶手术人路方式解剖邻近血管神经，并进行显微解剖学观测，为临床内窥镜经蝶入路提供解剖学资料。结果对鞍底、蝶窦口、视神经、颈内动脉、垂体窝、海绵窦的结构构成及其邻近血管神经进行描述测量。结论熟悉蝶鞍区显微解剖结构有助于内窥镜经鼻蝶入路手术准确定位及术中安全操作。

Anatomy and clinical research in endoscopic-transsphenoidal approach

Objective To review the endoscopic transsphenoidal surgery development and study the transsphenoidal surgical approach of microanatomy and offer anatomical data on transsphenoidal surgical approach for the resection of Sellar region diseases.Methods The related structures was observed and measured in 20 formalin-fixed adult cadaveric heads.Results The Sellar,Sphenoid mouth,Optic nerve,Carotid artery,Pituitary fossa,Cavernous sinus and the structural composition surrounding blood vessels and nerves were measured and recorded.Conclusions The microsurgical anatomy of Sellar region will be helpful in transsphenoidal approach in surgical technique and safe operation in endoscopic - transsphenoidal approach.