本文選題：顯微解剖 + 神經(jīng)內(nèi)鏡�。� 參考：《中國(guó)臨床解剖學(xué)雜志》2017年05期

【摘要】：目的研究在導(dǎo)航引導(dǎo)下經(jīng)縱裂-胼胝體-透明隔-穹窿間-第三腦室的解剖入路,探討神經(jīng)導(dǎo)航在優(yōu)化此入路的操作方法及其具體應(yīng)用價(jià)值。方法選用5例成人尸頭標(biāo)本,模擬經(jīng)縱裂-胼胝體-透明隔-穹窿間-第三腦室的入路,并在神經(jīng)導(dǎo)航下通過(guò)神經(jīng)內(nèi)鏡及顯微鏡對(duì)入路途徑中的相關(guān)結(jié)構(gòu)進(jìn)行解剖學(xué)觀察以及相應(yīng)數(shù)據(jù)的測(cè)量,并進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果通過(guò)將5例標(biāo)本的標(biāo)本解剖測(cè)量數(shù)據(jù)與導(dǎo)航上測(cè)量數(shù)據(jù)進(jìn)行統(tǒng)計(jì)學(xué)分析,發(fā)現(xiàn)其所得P值均大于0.05,這說(shuō)明標(biāo)本解剖測(cè)量數(shù)據(jù)與導(dǎo)航上測(cè)量數(shù)據(jù)并無(wú)統(tǒng)計(jì)學(xué)差異,也說(shuō)明神經(jīng)導(dǎo)航可以精確指導(dǎo)該入路。結(jié)論導(dǎo)航引導(dǎo)下可以實(shí)現(xiàn)對(duì)胼胝體的精準(zhǔn)切開(kāi)、對(duì)透明隔及穹窿等重要解剖結(jié)構(gòu)的可靠識(shí)別和精細(xì)操作,優(yōu)化先前的手術(shù)入路,以減輕腦組織損傷,提高手術(shù)的可靠性。
[Abstract]:Objective to study the anatomical approach of mediastinal fissure, corpus callosum, septum pellucidum, interfornion and third ventricle under navigational guidance, and to explore the operative method and practical value of neuronavigation in optimizing this approach.Methods five adult cadaveric heads were used to simulate the translongitudinal fissure, corpus callosum, septum pellucidum, interfornical approach and third ventricle approach.Anatomic observation and measurement of the corresponding data were carried out through neuroendoscopy and microscope under neuronavigation, and statistical analysis was carried out.Results through the statistical analysis of the anatomical and navigation data of 5 specimens, the P values were all greater than 0.05, which indicated that there was no statistical difference between the anatomical data and the navigation data.It also shows that neuronavigation can accurately guide the approach.Conclusion under the guidance of navigation, accurate incision of corpus callosum, reliable identification and fine operation of important anatomical structures such as septum hyaline septum and fornix can be realized, and the previous operative approach can be optimized to reduce the injury of brain tissue and improve the reliability of operation.
【作者單位】： 揚(yáng)州大學(xué)附屬醫(yī)院神經(jīng)外科;
【基金】：揚(yáng)州市社會(huì)發(fā)展基金(YZ2014221)
【分類號(hào)】：R322.8;R651

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