本文選題：頸靜脈孔 + 顱神經(jīng)�。� 參考：《鄭州大學(xué)》2005年碩士論文

【摘要】：目的 詳盡了解頸靜脈孔及周圍的相關(guān)顯微解剖結(jié)構(gòu),同時(shí)對(duì)頸靜脈孔區(qū)病變手術(shù)入路進(jìn)行比較,為臨床手術(shù)提供詳盡的解剖學(xué)參數(shù)。 方法 1.觀測(cè)20例(40側(cè))成人頭顱骨性標(biāo)本骨性頸靜脈孔的構(gòu)成、形態(tài)、大小及與周圍骨性結(jié)構(gòu)的顯微解剖關(guān)系,尋找相關(guān)的骨性定位標(biāo)志。 2.選取10%福爾馬林固定的成人帶頸標(biāo)本10例(20側(cè))。應(yīng)用側(cè)方入路及改良入路,在手術(shù)顯微鏡下模擬手術(shù)入路逐層解剖,仔細(xì)觀測(cè)頸靜脈孔區(qū)及與周圍毗鄰結(jié)構(gòu)的解剖關(guān)系。 結(jié)果 1.頸靜脈孔由顳骨巖部和枕骨側(cè)部圍成,頸靜脈內(nèi)突將頸靜脈孔分為前內(nèi)側(cè)部和后外側(cè)部。多數(shù)標(biāo)本顯示右側(cè)頸靜脈孔大于左側(cè)。 2.鼓乳切跡內(nèi)側(cè)12.26±2.14mm處為莖乳孔,它位于莖乳孔的正外側(cè)。二者內(nèi)外關(guān)系恒定。 3.面神經(jīng)出莖乳孔處位于耳屏軟骨尖后下方,最短距離為9.60±1.64mm。 4.在頸靜脈孔的顱內(nèi)開(kāi)口,舌咽神經(jīng)和迷副神經(jīng)之間為硬腦膜間隔;在頸靜脈孔的顱外開(kāi)口,神經(jīng)位于前內(nèi)側(cè),舌咽神經(jīng)最靠前,絕大多數(shù)與迷副神經(jīng)之間有巖下竇通過(guò)。 5.在寰椎橫突下方10mm左右,舌下神經(jīng)在外側(cè),迷走神經(jīng)在內(nèi)側(cè),二者貼在一起上行。在接近頸靜脈孔下方時(shí),舌下神經(jīng)才離開(kāi)它單獨(dú)入舌下神經(jīng)管。在頸靜脈孔和寰椎橫突之間有一段,副神經(jīng)亦加入舌迷干,三神經(jīng)緊密相貼走
[Abstract]:Purpose The microanatomical structure of jugular foramen and its surroundings were studied in detail, and the operative approach of jugular foramen was compared to provide detailed anatomical parameters for clinical operation. Method 1. The composition, morphology, size and microanatomical relationship with the surrounding bone structure of bone jugular foramen were observed in 20 adult cranial bone specimens. 2. Ten adult cervical specimens fixed with 10% formalin were selected. The lateral approach and modified approach were used to simulate the anatomy of the surgical approach layer by layer under the microscope. The anatomical relationship between the jugular foramen and its adjacent structures was observed carefully. Result 1. Jugular foramen is surrounded by petrosal part of temporal bone and lateral part of occipital bone. Jugular foramen is divided into anterior medial part and posterolateral part. Most specimens showed that the right jugular foramen was larger than the left. 2. The medial part of the tympanic notch is the stem mammary foramen at 12.26 鹵2.14mm, and it is located on the lateral side of the stem mammary foramen. The relationship between them is constant. 3. The facial nerve came out of the stem and mammary foramen, and the shortest distance was 9.60 鹵1.64mm. 4. In the cranial orifice of the jugular foramen, there is a dural septum between the glossopharyngeal nerve and the vagal accessory nerve, and in the extracranial orifice of the jugular foramen, the nerve is located on the anterior medial side, the glossopharyngeal nerve is the most anterior, and there is the inferior petrosal sinus between most of the nerves and the accessory vagal nerve. 5. The hypoglossal nerve is lateral and the vagus nerve is medial under the transverse process of atlas. The hypoglossal nerve leaves the jugular foramen and enters the hypoglossal canal alone. There is a section between the jugular foramen and the transverse process of atlas. The accessory nerve is also added to the lingual vagal trunk, and the three nerves are closely attached to each other
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2005
【分類號(hào)】：R322

【共引文獻(xiàn)】

相關(guān)期刊論文 前10條

1 閆志強(qiáng),魏正茂;自擬活血聰耳湯配合西藥治療特發(fā)性突聾療效觀察[J];中醫(yī)藥臨床雜志;2004年06期

2 姜愛(ài)華;王穎;何小英;;特發(fā)性面神經(jīng)麻痹靜止期和恢復(fù)期應(yīng)用電針對(duì)療效的影響[J];中醫(yī)藥臨床雜志;2008年04期

3 陳雪松;顧松杰;;龍膽瀉肝湯聯(lián)合阿昔洛韋治療不并發(fā)面癱的耳帶狀皰疹33例[J];中醫(yī)藥臨床雜志;2009年03期

4 劉紀(jì)紅;;系統(tǒng)護(hù)理干預(yù)在中西醫(yī)結(jié)合高壓氧治療突發(fā)性耳聾中的作用[J];中醫(yī)藥臨床雜志;2010年08期

5 董海彥;曹奕;;針灸治療耳鳴述評(píng)[J];中醫(yī)藥臨床雜志;2011年04期

6 職麗娟;;獼猴活體形態(tài)指標(biāo)相關(guān)性分析[J];安徽農(nóng)業(yè)科學(xué);2008年12期

7 雷夢(mèng)云;劉宇;梁芝棟;;太行山獼猴掌骨和跖骨重量與顱長(zhǎng)的異速生長(zhǎng)分析[J];安徽農(nóng)業(yè)科學(xué);2009年25期

8 朱純敏;氣管切開(kāi)術(shù)后咳嗽原因的觀察分析與護(hù)理[J];安徽衛(wèi)生職業(yè)技術(shù)學(xué)院學(xué)報(bào);2005年05期

9 王姣s，

本文編號(hào)：1815046