本文關(guān)鍵詞： 經(jīng)口咽入路 顱頸交界區(qū) 解剖　出處：《吉林大學(xué)》2008年碩士論文　論文類(lèi)型：學(xué)位論文

【摘要】： 經(jīng)口咽入路(transoraltranspharyn-geal approach,TOA)手術(shù)是處理顱脊交界區(qū)(craniovertebral junction,CVJ)腹側(cè)病變的傳統(tǒng)術(shù)式之一,手術(shù)入路層次簡(jiǎn)單,無(wú)須牽拉重要血管和神經(jīng),可直接解除脊髓腹側(cè)受壓等優(yōu)點(diǎn)。但該區(qū)域的解剖數(shù)據(jù)還不全面。為了給該手術(shù)入路提供準(zhǔn)確的解剖學(xué)依據(jù),我們較全面地測(cè)量相關(guān)解剖數(shù)據(jù)。本研究通過(guò)對(duì)顱的水平切面10個(gè)標(biāo)本、頭頸部尸體標(biāo)本20個(gè),其中10個(gè)行正中矢狀切面進(jìn)行測(cè)量,得出了切牙孔下緣至后鼻棘、切牙孔下緣至咽結(jié)節(jié)、切牙孔下緣至枕骨大孔前端以及顱底內(nèi)面斜坡高、寰椎前弓高、樞椎全高(含齒突) ,雙側(cè)椎動(dòng)脈外徑。結(jié)論:對(duì)于顱頸交界區(qū)腹側(cè)中線病變的切除,距離短,解剖層次簡(jiǎn)單,可在直視下進(jìn)行手術(shù)。即使是處理硬腦膜內(nèi)的病變,也可避免對(duì)延髓、頸脊髓、后幾對(duì)腦神經(jīng)和椎動(dòng)脈等結(jié)構(gòu)的牽拉,因此只要適應(yīng)癥選擇恰當(dāng),此入路對(duì)顱頸交界區(qū)的病變切除是較好的選擇。
[Abstract]:Transoraltranspharyn-geal approach via oropharyngeal approach. Toa is one of the traditional procedures for the treatment of cranial craniocerebral junction (Craniocranium junctional junction CVJ), and the surgical approach is simple. It can relieve ventral compression of spinal cord directly without pulling important vessels and nerves. But the anatomical data in this area are not comprehensive. In order to provide accurate anatomical basis for the surgical approach. We measured the related anatomical data comprehensively. In this study, we measured 10 specimens of cranial horizontal section and 20 cadavers of head and neck, of which 10 were measured on the median sagittal plane. From the lower margin of incisor to the posterior nasal spine, from the lower margin of incisor to the pharyngeal nodule, from the lower margin of incisor to the anterior part of foramen magnum occipital, and from the inner slope of skull base, the anterior arch of atlas and the total height of axis (including odontoid process) were obtained. Conclusion: the distance is short, the anatomical level is simple, and the operation can be carried out under the direct vision for the lesion of the ventral midline of the craniocervical junction. Even the treatment of the lesions in the dura mater can avoid the oblongation of medulla oblongata. The cervical spinal cord, the posterior few pairs of cranial nerve and vertebral artery, etc., so long as the indication is appropriate, this approach is a good choice for the craniocervical junction lesion resection.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2008
【分類(lèi)號(hào)】：R322

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本文編號(hào)：1451944