蝶鞍区肿瘤的显微解剖学研究-肿瘤学专业论文.docxVIP

英 文 摘 要  PAGE 57 Study on microanatomy of the Sellar tumour ABSTRACT Sellar region is located in the central of the skull base. It contains the pituitary, the internal carotid artery, optic nerve, optic chiasm, cavernous sinus, Wills artery ring, Ⅱ - Ⅵ cranial nerves and so on. Simultaneously, sellar tumor is offen discovered in this region. My study is intended to provide the basis for further clinical surgery and surgical approach by the anatomy of the sellar region. Object： Using adult cadaveric head as the object of the study, exploring sellar tumors and its adjacent structure of the local anatomy,in order to provide some anatomic data and surgical considerations for surgery and the surgical approach of sellar tumors, such as pituitary microadenoma, craniopharyngioma, meningiomamicrosurgical treatment and so on , help us acquaintance with the structure of the sellar region and its adjacent anatomic relationship; reduce and avoid the occurrence of postoperative complications. Methods： Using adult wet cadaver 15 cases (30 sides) which have fixed in 10% formalin and perfusioned with color silicone to observe sellar anterior clinoid posterior clinoid, pituitary, optic chiasm, ophthalmic artery structure and its adjacent;To observe cavernous sinus and its contents oculomotor, such as trochlear nerve, trigeminal nerve, abducens nerve and the internal carotid artery in the cavernous sinus walk the line and its anatomical relationship. To observe the sphenoid important structure and its adjacent structure relationship. To observe the  HYPERLINK /s?wd=structure structures and characteristics exposured in the common approach of the Sellar tumour.. The important structural was measured and recorded during the study. At the same time, imaging data were held in the course of the study. The data were statistically analyzed using SPSS17.0 . Results： Sella region contents the sellar and its surrounding structure, which is  located in the middle cranial fossa.The sella is