本文選題：枕下乙狀竇后入路 + 枕下外側(cè)入路　； 參考：《山西醫(yī)科大學(xué)》2005年碩士論文

【摘要】：目的:為微血管減壓術(shù)治療三叉神經(jīng)痛、面肌痙攣和舌咽神經(jīng)痛選擇適當?shù)氖中g(shù)入路提供解剖依據(jù),以達到微創(chuàng)、安全的目的。 方法:十例成人頭顱濕性標本在手術(shù)顯微鏡下進行解剖和觀察。分別選擇枕下乙狀竇后入路經(jīng)小腦幕面?zhèn)确降竭_位于橋小腦角上部的三叉神經(jīng);枕下外側(cè)入路經(jīng)小腦巖面下部到達位于絨球下的面神經(jīng)根;枕下經(jīng)髁上入路經(jīng)小腦枕面到達位于橋小腦角下部的舌咽神經(jīng)。 結(jié)論:選擇不同的手術(shù)如路可精確地到達橋小腦角的不同部位,同時最大程度地減少術(shù)后顱神經(jīng)癱瘓。
[Abstract]:Objective: to provide anatomic basis for microvascular decompression in the treatment of trigeminal neuralgia, hemifacial spasm and glossopharyngeal neuralgia. Methods: ten adult head wet specimens were dissected and observed under surgical microscope. The posterior sigmoid sinus approach was selected to reach the trigeminal nerve located in the upper part of the cerebellopontine angle through the lateral side of the tentorial surface of the cerebellum, and the lateral approach of the suboccipital approach to the root of the facial nerve in the subtrochanteric region through the lower part of the cerebellar lithoid. The supracondylar approach leads to the glossopharyngeal nerve at the lower part of the cerebellopontine angle through the occipital surface of the cerebellum. Conclusion: different surgical approaches can accurately reach different parts of the cerebellopontine angle and minimize postoperative cranial nerve paralysis.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2005
【分類號】：R651;R322

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相關(guān)碩士學(xué)位論文 前3條

1 趙冬青;顱神經(jīng)微血管減壓解剖入路探討[D];山西醫(yī)科大學(xué);2005年

2 吳建國;枕下乙狀竇后鎖孔入路切除顯微大型聽神經(jīng)瘤[D];天津醫(yī)科大學(xué);2007年

3 李懋松;經(jīng)枕下乙狀竇后入路橋小腦角區(qū)面神經(jīng)與周圍血管神經(jīng)的顯微解剖研究[D];山西醫(yī)科大學(xué);2007年

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