经胼胝体穹窿间入路显露丘脑内侧区域的显微解剖学研究.pdfVIP

DOC格式论文，方便您的复制修改删减 经胼胝体穹窿间入路显露丘脑内侧区域 的显微解剖学研究 （作者:___________单位: ___________邮编: ___________） 作者：董家军，伍益，谭林琼，冯正健，黄戈，李智斌， 丁晓，古机泳 【摘要】目的 研究经胼胝体穹窿间入路显露丘脑内侧区域的显微 解剖,为临床应用提供依据。方法 采用10 4% 甲醛液固定、颅内动 静脉乳胶灌注的成人尸头标本，模拟该入路。取自右额部发际内马蹄 形切口，直径约5 cm 的骨窗，逐步显露至丘脑内侧区域，显微镜下 观察所显露的解剖结构。结果 纵行切开胼胝体15 mm ，在室间孔后 上方分离透明隔间隙、穹窿体中间缝，沿两侧大脑内静脉之间可以显 露丘脑内侧区。结论 经胼胝体穹窿间入路经透明隔间隙进入，对周 围结构损伤小，入路直接、安全，是显露丘脑内侧区域的较好入路。 【关键词】经胼胝体穹窿间入路；丘脑；显微解剖 Abstract:Objective To investigate the microanatomy of the transcallosal interforniceal approach to the medial thalamicr DOC格式论文，方便您的复制修改删减 region.Methods The intracranial vessels were perfused with colored silicone to trace the approach in ten adult cadaveric heads fixed in 10% formalin. A horseshoe incision was done inside the right frontal hairline.A 50mm×50mm bone opening was created. The medial thalamic region was exposed step by step. The anatomic structures were observed under microscope through the opening.Results After a 15mm longitudinal dissection of the corpus callosum and a split of the septum pellucidum interspace and the corpus callosum interspace above the foramen of monro were done, the medial thalamicr region was exposed between the internal cerebral veins.Conclusion The transcallosal interforniceal approach through the septum pellucidum interspace may need a limited corpus callosum and interforniceal splitting, and gain adequate visualization of the medial thalamicr region. The approach is safe and direct. Key words ： transcallosal interforniceal approach; thalamus; microanatomy 手术风险大、术后并发症多、病死率较高。丘脑肿瘤治疗 是显微神经外科手术的边缘性领域，被认为是神经外科界富有挑战性 的课题之一［1 3 ］。近年来，经胼胝体穹窿间入路用于切除丘脑内侧 DOC格式论文，方便您的复制修改删减 区域的