本文選題：遠外側(cè)入路 + 枕骨大孔��； 參考：《河北醫(yī)科大學(xué)》2006年碩士論文

【摘要】： 目的:通過對成人尸體頭顱干性、濕性標(biāo)本的解剖和測量,為遠外側(cè)手術(shù)入路提供詳細(xì)的解剖學(xué)數(shù)據(jù),以利于臨床工作中改進手術(shù)方式,在術(shù)中保護重要組織結(jié)構(gòu),增加手術(shù)的安全性,擴大手術(shù)的適應(yīng)征范圍,減少手術(shù)并發(fā)癥。 方法:對8例成人頭顱干性標(biāo)本,20例寰樞椎干性標(biāo)本進行解剖學(xué)測量。對8例(16側(cè))經(jīng)福爾馬林溶液固定的不同性別成人頭顱濕性標(biāo)本進行血管灌注染色后模擬遠外側(cè)手術(shù)入路進行解剖并測量。干性頭顱及寰樞椎標(biāo)本均為經(jīng)過沸煮、深埋等方法處理,可直接使用。利用游標(biāo)卡尺等工具分別測量枕骨大孔相關(guān)徑線,包括枕骨大孔縱徑、枕骨大孔橫徑、乳突尖至枕髁外側(cè)緣距離、枕髁縱徑、枕髁后緣至舌下神經(jīng)內(nèi)口的距離等。寰樞椎的相關(guān)數(shù)據(jù)包括寰椎后結(jié)節(jié)高度、寬度、后弓半距、橫突孔前后徑、左右徑、側(cè)塊左右徑、側(cè)塊內(nèi)、外側(cè)高度、樞椎齒突高度等。 經(jīng)福爾馬林溶液固定的尸頭標(biāo)本,自椎動脈和頸內(nèi)動脈灌注尿激酶溶液,結(jié)扎灌注血管,沖洗后配制血管染色灌注液,自椎動脈和頸內(nèi)動脈加壓灌注血管染色灌注液,結(jié)扎灌注血管。放置48小時后使動脈血管充分染色并盡量還原原有組織形態(tài)。 利用頭顱濕性標(biāo)本,分別在左側(cè)和右側(cè)雙側(cè)進行模擬手術(shù)。將尸頭置于簡易頭架上,將頭向?qū)?cè)旋轉(zhuǎn)30o,皮膚沿皮下筋膜層剝開,辨認(rèn)胸鎖乳突肌和副神經(jīng)。在胸鎖乳突肌
[Abstract]:Objective: to provide detailed anatomical data of cadaveric dry and wet cadaveric cadavers in order to improve the operation mode and protect important tissue structure during operation. Increase the safety of surgery, expand the scope of surgical adaptation, and reduce complications. Methods: 20 atlantoaxial dry specimens of 8 adult cadaveric cadavers were anatomically measured. Vascular perfusion staining was performed on 8 adult cadaveric wet specimens fixed with formalin solution, and anatomic results were measured through a simulated far lateral approach. Dry head and atlantoaxial specimens are treated by boiling, deep embedding and can be used directly. The relative diameter of foramen magnum was measured by Vernier caliper, including longitudinal diameter of foramen magnum, transverse diameter of foramen magnum of occipital bone, distance between mastoid tip and lateral margin of occipital condyle, longitudinal diameter of occipital condyle and distance between posterior edge of occipital condyle and internal orifice of hypoglossal nerve. The atlantoaxial data include the height, width, posterior arch distance, anteroposterior diameter of transverse foramen, left and right diameter, medial and lateral height of lateral mass, height of odontoid process of axis, etc. The cadaveric head was fixed with formalin solution. Urokinase solution was perfused from vertebral artery and internal carotid artery, then ligated and perfused with blood vessel. After washing, blood vessel staining perfusion fluid was prepared, and blood vessel staining perfusion fluid was perfused from vertebral artery and internal carotid artery under pressure. Ligation and perfusion of blood vessels. After 48 hours, the arterial vessels were stained and the original tissue morphology was reduced as much as possible. The simulated operation was performed on both left and right sides of head wet specimen. The cadaveric head was placed on a simple head frame. The head was rotated to the opposite side for 30 o.The skin was peeled off along the subcutaneous fascia to identify the sternocleidomastoid muscle and accessory nerve. In the sternocleidomastoid muscle
【學(xué)位授予單位】：河北醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2006
【分類號】：R651;R322

【共引文獻】

相關(guān)期刊論文 前2條

1 趙博熙;倪振賢;劉淑聲;王業(yè)忠;;枕下遠外側(cè)經(jīng)髁入路的顯微外科解剖及臨床應(yīng)用[J];中華神經(jīng)外科疾病研究雜志;2008年01期

2 ;Microsurgical resection of ventral foramen magnum meningiomas via a far-lateral suboccipital approach[J];Neural Regeneration Research;2006年08期

相關(guān)碩士學(xué)位論文 前10條

1 郜彩斌;枕下遠外側(cè)入路中顱外軟組織結(jié)構(gòu)的手術(shù)解剖研究[D];山西醫(yī)科大學(xué);2011年

2 陳鐳;椎動脈復(fù)合體的顯微解剖學(xué)研究[D];天津醫(yī)科大學(xué);2002年

3 王永剛;顱底遠外側(cè)入路的應(yīng)用解剖研究[D];昆明醫(yī)學(xué)院;2003年

4 劉亮;后顱窩遠外側(cè)手術(shù)入路的顯微外科解剖研究[D];昆明醫(yī)學(xué)院;2004年

5 吳鵬飛;顱后窩遠外側(cè)經(jīng)髁手術(shù)入路的顯微外科立體應(yīng)用解剖學(xué)研究[D];中國醫(yī)科大學(xué);2005年

6 趙博熙;枕下遠外側(cè)經(jīng)髁入路的顯微解剖及臨床應(yīng)用[D];石河子大學(xué);2004年

7 韓楓;枕下遠外側(cè)經(jīng)髁手術(shù)入路的顯微解剖學(xué)研究[D];河北醫(yī)科大學(xué);2008年

8 吳進松;枕下遠外側(cè)經(jīng)髁入路的顯微解剖學(xué)定量研究[D];河南科技大學(xué);2008年

9 裴斐;5例斜坡脊索瘤經(jīng)遠外側(cè)入路切除臨床體會[D];大連醫(yī)科大學(xué);2009年

10 唐協(xié)林;舌下神經(jīng)管區(qū)的臨床應(yīng)用解剖學(xué)研究[D];瀘州醫(yī)學(xué)院;2009年

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本文編號：1943133