三叉神经根与周围血管关系及其临床意义.pdfVIP

· · CHINESEJOURNALOFCLINICALANATOMYVOL.24NO.62006 600 ·应用解剖· 三叉神经根与周围血管关系及其临床意义 朱亚文, 乔 威 (南京大学医学院解剖教研室 南京 ) , 210093 【摘要】目的:研究三叉神经与小脑动脉、岩静脉等之间的关系,为临床三叉神经痛诊治提供解剖学资 基础。方法:解剖 例( 侧)湿整颅标本,打开颅盖,去除硬脑膜后,小心切除大脑组织保留小脑及脑干, 20 40 打开小脑幕,观察三叉神经根和小脑动脉、岩静脉间的关系,并拍照,最后测量它们之间的距离。结果:有 ( 支)岩静脉主干或属支与三叉神经根接触, ( 支)主干或属支压迫神经根, ( 支)小 17.4% 8 6.5% 3 42.5% 17 脑上动脉与三叉神经根接触, 支 压迫神经根, ( 支)小脑下前动脉与三叉神经接触或压 12.5%(5 ) 27.5% 11 迫。结论:小脑上动脉、小脑下前动脉为造成三叉神经痛的主要责任动脉,而岩静脉不仅是造成三叉神经 痛原因之一而且与临床手术关系密切。 【关键词】三叉神经痛; 三叉神经; 岩静脉; 小脑上动脉; 小脑下前动脉 【中图分类号】 【文献标识码】 【文章编号】 R323.1 A 1001-165X(2006)06-0600-05 Therelationshipbetweenrootoftrigeminalnerveandadjacentvesselsanditsclinicalsignificance ZHUYa-wen,QIAOWei DepartmentofAnatomy,MedicalCollegeofNanjingUniversity,Nanjing210093,China 【 】 , AbstractObjective:Tostudytherelationshipbetweentrigeminalnervecerebellararteriesandpetrosal veins,andprovideanatomicbasesforclinicaldiagnosisandtreatmentoftrigeminalneuralgia.Methods:20 headspecimens(40sides)weredissected.Calvariaandduramaterwasopenedandremoved.Aftercleaningthe cerebrumandexploringthetentoriumofcerebellumcarefully,therelationshipbetweentrigeminalnerve, cerebellararteriesandpetrosalveinswasanalyzedandtakenphotos.Thedistancesamongabovestructures weremeasuredlately.Results:Themaintrunkortributariesofpetrosalveinof8specimens(17.4%)contacted , withtrigeminalnerveof3specimens(6.5%)compressedit.Superiorcerebellararteryof17specimens(42.5%) , contactedwithtrigeminalnerveof5specimens(12.5%)compressedit.Anteriorinferiorcerebellararteryof11 specimens (27.5%)contactedorcompressedtrigeminalnerve.Conclusions:Superiorcerbellararteryan