眶颧入得路的应用解剖.pdfVIP

( ) ( ) 　山西医科大学学报 J Shanxi Med Univ 2008 年 3 月 , 39 3 　 ·253 · ( ) 文章编号 : 　1007 - 66 11 2008 03 - 0253 - 03 　 眶颧入路的应用解剖 ( 山西医科大学第一临床医学院神经外科 , 　太原 　03000 1) 黄忻涛 , 　郝解贺 　 摘要 : 　目的　对眶颧入路进行解剖学研究 ,为临床手术提供理论依据 。　方法 　6 例福尔马林固定的湿性成人尸头标本和 4 例干性头颅标本 ,模仿眶颧入路并进行观察和分析 。　结果 　眶颧入路是在翼点入路基础上游离部分眶顶 、眶外侧壁 、颧骨 ( ) ( ) ( ) 和颧弓。颧弓前部和后部的宽度为 2 1. 06 ±1. 65 mm 和 7 . 47 ±1. 72 mm 。眶上孔距中线的距离为 23 . 78 ±3 . 02 mm 。 　结论 　眶颧入路减少了脑组织的牵拉 ,增加了手术的角度和操作空间。对颅底解剖知识的熟悉 ,关键孔的位置是该入路的 关键 。 关键词 : 　神经解剖学 ; 　眶颧入路 ; 　应用解剖 中图分类号 : 　R322 . 8 - 33 　　　文献标识码 : 　A Study on applied anatomy of the orbitozygomatic approach HUAN G Xintao , HAO J iehe ( Dep t of N eu ros u rgery , Fi rs t Clinical M edical College , S hanx i M edical University , Taiy uan ) 030001 , China Abstract : 　Obj ective 　To study anatomy of orbitozygomatic (OZ) approach and provide a t heory for clinical op eration . 　M et hods 　The OZ approach was simulated , observed and analyzed in six cases of adult cadaveric sp ecimens fixed by formalin and four cases of dry skull sp ecimens. 　R es ults 　Based on pterional approach , a series of bone including t he roof and lateral wall of t he orbit , t he lat eral surface of zygoma and zygomatic arch were removed wit h OZ approach . The widt hs of anterior p art and posterior p art of zygo matic arch were (2 1. 06 ±1. 65) mm aod (7 . 47 ±1. 72) mm . The distance between t he supraorbital foramen and t he median line was (23 . 78 ±3 . 02) mm . 　Concl usion 　OZ craniotomy minimizes brain retraction and improves op erative angles and working sp ace . A t horough knowledge of cranial base anatomy and placem