计算机辅助内听道三的维重建.docVIP

计算机辅助内听道三维重建 石丽亚1 戴朴2 韩东一2 杨伟炎2 姜泗长2 Computer Assisted Three Dimensional Reconstruction Of Internal Acoustical Meatus Shi-Liya1 Dai-Pu2 Han-Dongyi2 Yang-Weiyan2 Jiang-Sichang2 1 Otolaryngology Department Of China PLA Ulumuqi General Hospital（I used to work in this hospital）[Otolaryngology Department of China PLA 466th Hospital（I work in this hospital now.）] 2 Otolaryngology Department of China PLA General Hospital Abstract: Purpose：It is for understanding minute anatomic and adjacent relationship of human internal acoustical meatus(IAM). Method：The technique of computer assisted three dimensional reconstruction from serial sections was used to reconstruct the structures of human temporal bone in 5 cases. Result： The reconstructed images in different angle showed the clear spatial relationship of structures in and around IAM. The 3-D measurement showed that the average length of IAM, the distance between the basal turn of cochlea and labyrinth segment of facial nerve was 0.09～0.26mm. The distances from ampulla of the superior semicicular canal to the geniculate ganglion, labyrinth segment of facial and Bill’s bar were respectively 2.25±0.28mm, 1.21±0.09mm, 1.94±0.42mm. Conclusion: These images and data can’t be obtained easily by traditional dissecting methods are very useful to the surgery of middle cranial fossa. Key words: internal acoustical meatus(IAM); Bill’s bar; labyrinth segment of facial nerve; three dimensional reconstruction; middle cranial fossa; 摘要：目的:了解人类内听道的微细解剖，6.47+0.83～12.01+1.79mm；面神经迷路段到耳蜗基底转的之间的距离是0.09～0.26mm；膝状神经节到上半规管壶腹的距离;面神经迷路段到上半规管壶腹;上半规管壶腹到Bill’s bar的最短距离分别为2.25+0.28mm；1.21+0.09mm；1.96+0.42mm。结论：这些常规解剖方法难以获得的图象和数据非常有助于颅中窝进路手术的训练和设计。 关键词：内听道；Bill’s bar；面神经迷路段；耳蜗；半规管；颅中窝；三维重建。 中颅窝进路即经岩骨上面达岩骨病变部位。此手术方法须涉及或避开在此处密集分布的某些重要结构。这些结构包括内听道及其内的神经、血管；面神经迷路段；半规管及耳蜗。因此，当手术达到内耳道底部时，易损伤耳蜗和上半规管。本研究利用连续切片的计算机三维重建技术重建并获得了内听道内、外各结构的立体图象，测量了Bill’s bar与膝状神经节和上半规管的距离，面神经迷路段到耳蜗基底转及到上半规管壶腹的距离，上半规管壶腹到膝状神经节的距离等，这些图象和数据对中颅窝进路手术方法有很重要的指导意义。 材料与方法