本文關鍵詞：翼腭窩上頜竇進路的解剖學研究　出處：《昆明醫(yī)學院》2006年碩士論文　論文類型：學位論文

  更多相關文章： 翼腭窩 上頜竇進路 解剖學

【摘要】：[目的]：通過對翼腭窩骨性標志和血管神經的測量為翼腭窩的手術提供形態(tài)學標志。 [方法]：在20個(40側)干顱骨上對翼腭窩的重要結構(翼腭裂，蝶腭孔，翼管等)的形狀，大小及毗鄰結構進行測量。在10個(20側)10％的福爾馬林固定的成人尸體頭顱標本進行模擬上頜竇入路進行解剖，測量相關的參數，然后對這些濕顱骨進行正中矢狀切開，在手術顯微鏡下自正中向外側打開上頜竇的內壁，翼腭窩的內壁，觀察翼腭窩內三叉神經上頜支，上頜動脈的走行，進行上頜支的屬支的測量。 [結果]：翼腭窩呈一狹長的漏斗型間隙，經八個自然管道與鼻腔，口腔，咽，眶，顳下窩，顱中窩相交通其主要內容物包括上頜動脈翼腭段及其分支，上頜神經及蝶腭神經節(jié)等。翼腭窩內組織分為的神經層，，血管層。 [結論]： 1 翼腭窩的解剖結構復雜，血管神經豐富，毗鄰結構重要，熟知此區(qū)的顯微解剖對手術治療翼腭窩區(qū)的病變具有重要意義。 2 對于翼腭窩的病變可以采取上頜竇進路在打開上頜竇的后壁時可以以上頜竇的內壁頂壁和后壁三者的交點為解剖標志。用磨鉆打開骨壁暴露翼腭窩。 3 手術時可以以圓孔和翼管為安全標志，建立起手術的安全界限。有助于保護重要結構，防止手術誤入顱內。翼腭窩內的上頜動脈具有較多的變異，并且因人種不同有差異需要加以保護。 4 上頜竇進路具有暴露直觀，副損傷小且避免顳側進路損傷面神經的優(yōu)點。
[Abstract]:[Objective: to provide morphological markers for the operation of pterygopalatine fossa by measuring the bone and blood vessels of pterygopalatine fossa. [Methods: the shape of the pterygopalatine fossa (pterygopalatine fissure, sphenopalatine foramen, pterygopalatine canal, etc. The size and adjacent structure were measured. 10% formalin fixed adult cadaveric head specimens were dissected by simulated maxillary sinus approach and related parameters were measured. Then the middle sagittal incision of these wet skulls was performed, and the inner wall of maxillary sinus and pterygopalatine fossa were opened from the middle to the lateral under the operating microscope, and the maxillary branches of the trigeminal nerve and the maxillary artery were observed in the pterygopalatine fossa. The branches of maxillary branches were measured. [Results: the pterygopalatine fossa presented a long narrow funnel space. Its main contents included the pterygopalatine segment of the maxillary artery and its branches through eight natural conduits, oral cavity, pharynx, orbit, infratemporal fossa and middle cranial fossa. Maxillary nerve and sphenopalatine ganglion, etc. The pterygopalatine fossa is divided into nerve layer and vascular layer. [Conclusion]: 1 the anatomical structure of pterygopalatine fossa is complex, the vascularity and nerve are abundant, and the adjacent structure is important. It is important to know the microanatomy of pterygopalatine fossa for surgical treatment. 2. For the lesion of pterygopalatine fossa, maxillary sinus approach can be used to open the posterior wall of maxillary sinus, which can be marked by the intersection of the top wall and posterior wall of the maxillary sinus, and to open the pterygopalatine fossa with grinding drill to expose the pterygopalatine fossa. 3The safe limit of operation can be established by using foramen and pterygoid canal as safety markers. It is helpful to protect the important structure and prevent the operation from entering the skull by mistake. The maxillary artery in pterygopalatine fossa has more variation. And different people have different species need to be protected. 4 maxillary sinus approach has the advantages of direct exposure, small collateral injury and avoiding injury of facial nerve via temporal approach.
【學位授予單位】：昆明醫(yī)學院
【學位級別】：碩士
【學位授予年份】：2006
【分類號】：R322

【參考文獻】

相關期刊論文 前6條

1 解光,潘新良,許風雷,張立強,劉大昱,任翔;侵及翼腭窩鼻咽血管纖維瘤的面中部掀翻摘除術[J];山東醫(yī)大基礎醫(yī)學院學報;2001年01期

2 柳新華,盧鳳山,周瑞芳,梁宏;翼腭窩神經阻滯麻醉的臨床應用[J];現代口腔醫(yī)學雜志;1997年03期

3 黃安煬,劉運生,陳兵;頜內動脈翼腭段和翼腭窩的顯微解剖研究[J];中國臨床神經外科雜志;2002年06期

4 李華斌,張紹祥,許庚,李源,謝民強,張革化;經鼻內窺鏡翼腭窩手術的應用解剖學基礎[J];中國臨床解剖學雜志;2001年02期

5 高文彬，于蘇國，吉全國，蒲章杰;經口腔翼管神經切斷術的解剖學基礎及臨床應用[J];中國臨床解剖學雜志;1996年02期

6 郭家松,尹保國,唐增福,張榮漢,門小光,王增星;經鼻腔穿刺行翼管神經封閉的應用解剖[J];中國臨床解剖學雜志;1997年01期

本文編號：1395717