扩大经蝶入路显微解剖和临床应用研究.pdfVIP

目录 目 录 中文 摘 要 ·················································································…… 1 英 文 摘 要 ·················································································… …4 前 言 ·······················································································……8 第 一 部 分 扩 大 经 蝶 入 路 显 微 镜 下 解 剖 学 研 究 及 不 同方 式 间暴 露 范 围 的 比 较 ··························································································… … 12 第 二部分 扩 大经蝶入路 临床 应用研 究 ·······································…… 32 结论 ·······················································································… …60 参 考 文 献 ·················································································… …62 致 谢 ·······················································································… …69 附录一1 ····················································································… …70 附录 一2 ····················································································… …72 综 述 ·················································································… … 73 中文 摘 要 扩 大经 蝶入 路解 剖及 临床 应 用研 究 博 士研 究 生 高超 导 师 黄 峰平 中文摘 要 第 一 部 分 解 剖 学研 究 目的 评 估 不 同方 式扩 大 经 蝶 入 路 与 Le fort l 型 上领 骨 截 骨 术 (Le for t 1 OSteo tom y ，LF O) 对 于颅 底 中线 结构解 剖 学暴 露 范 围 。 方 法 成 人 头 颅 标 本 9 例 ，在 神 经 导 航 的指 引下 分 别 经 鼻 一鼻 中 隔入 路 (Tran snasa l Sep tum appr 。aCh ，TN SA ) 、经唇 下一鼻 中隔入 路 (Sub lab ia l Septum approaeh ，SLSA ) 、改 良经 唇 下 入 路 (M od if ied Sub lab ia l approaeh ，M SLA ) 扩 大 经 蝶 入 路 和 LFO ，显微 镜 下 观 察 每 种 术 式所 能暴 露 的颅 底 重 要 结构 ，并借 助 神 经 导航 仪 测 量 上 述 各 种 方 式 向前 颅 底 、双 侧 海