本文關(guān)鍵詞：大腦中淺靜脈的顯微解剖學(xué)研究及臨床意義　出處：《青島大學(xué)》2007年碩士論文　論文類型：學(xué)位論文

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【摘要】： 【目的】：經(jīng)翼點(diǎn)手術(shù)入路的應(yīng)用越來越廣泛，迫切需要對大腦中淺靜脈的類型、匯入點(diǎn)及其吻合靜脈進(jìn)行顯微解剖研究。 【方法】：本實(shí)驗(yàn)采用15例經(jīng)福爾馬林固定的成人尸體標(biāo)本頭顱，用紅色乳膠灌注顱內(nèi)動脈，藍(lán)色乳膠灌注顱內(nèi)靜脈。將頭皮沿正中矢狀線切開并將其翻向兩側(cè)，沿一側(cè)眶上緣、關(guān)鍵點(diǎn)、顴弓上緣和枕外隆突的連線及矢狀縫取下一側(cè)顱蓋。打開硬腦膜，依次分離各區(qū)的橋靜脈，并對其進(jìn)行體表定位。觀察并測量各區(qū)外側(cè)面靜脈的多項指標(biāo)如管徑、條數(shù)等。按同樣的方法處理對側(cè)半球，在手術(shù)顯微鏡下觀察測量30側(cè)大腦淺靜脈及其吻合靜脈形態(tài)。 【結(jié)果】：大腦中淺靜脈表現(xiàn)為單干型(10側(cè))、雙干型(11例)、三干型(6例)和未發(fā)育型(3例)。上吻合靜脈(Trolard靜脈)和下吻合靜脈(Labbe靜脈)是大腦淺靜脈主要吻合靜脈，它們都與大腦中淺靜脈相聯(lián)系。并不是所有的大腦半球吻合靜脈都發(fā)達(dá)。Trolard靜脈左側(cè)半球缺如4例，右側(cè)半球缺如9例。Labbe靜脈左側(cè)半球缺如4例，右側(cè)半球缺如3例。 【結(jié)論】：在神經(jīng)外科手術(shù)中，，熟練掌握吻合靜脈的顯微解剖對判斷術(shù)中靜脈損傷能否引起的術(shù)后并發(fā)癥非常重要，靜脈能保留的盡可能保留。經(jīng)翼點(diǎn)入路分離外側(cè)裂時，應(yīng)熟練掌握大腦中淺靜脈的顯微解剖。在吻合靜脈不發(fā)達(dá)的病例中損傷大腦中淺靜脈會引起手術(shù)并發(fā)癥。
[Abstract]:[Objective]: The pterion approach is applied more and more widely, the urgent need of the superficial middle cerebral vein, and into the vein anastomosis on the microsurgical anatomy.
[method]: this experiment used 15 formalin fixed adult cadaveric head specimens perfused with red latex and intracranial arteries, blue latex perfusion of intracranial venous. The scalp incision along the sagittal line and turn it to two sides, one side along supraorbital margin, key points, zygomatic arch and sagittal margin and on line the external occipital protuberance suture to remove the calvarium. Open the dura, followed by separation of the bridging veins of the District, and on its positioning. Observe and measure the lateral vein district a number of indicators such as diameter, number and so on. The contralateral hemisphere by the same method, observed and measured on 30 sides of the superficial middle cerebral vein and its anastomosis veins under the operating microscope.
[results]: superficial middle cerebral vein were single type (10 sides), double trunk type (11 cases), three dry type (6 cases) and immature type (3 cases). Anastomotic vein (Trolard vein) and inferior anastomotic vein (Labbe vein) is the main vein anastomosis of superficial cerebral veins. They are contacted with superficial middle cerebral vein. Not all cerebral hemisphere anastomotic veins were developed.Trolard vein in the left hemisphere were absent in 4 cases, 4 cases of right hemisphere of 9 cases of.Labbe vein of left hemisphere absence, 3 cases of right hemisphere.
[Conclusion] in the Department of Neurosurgery surgery, mastering the microsurgical anatomy of the vein is very important to determine the intraoperative venous injury can cause postoperative complications, vein can be preserved to retain as much as possible. Pterional approach for the separation of lateral fissure, should master the micro anatomy of the superficial middle cerebral vein anastomosis in vein. In the case of injury developed superficial middle cerebral vein will cause complications.

【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2007
【分類號】：R651;R322

【參考文獻(xiàn)】

相關(guān)期刊論文 前2條

1 李振強(qiáng);萬玉碧;黃家鼎;徐明;;大腦中淺靜脈末段的解剖及其臨床意義——附兩種異常硬腦膜靜脈竇[J];解剖學(xué)報;1989年01期

2 張力偉,王忠誠,于春江,楊國瑞,呂永利;Labbe’s靜脈的顯微解剖學(xué)研究[J];中華神經(jīng)外科雜志;2003年06期

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