頸靜脈孔區(qū)啞鈴型腫瘤手術(shù)入路及相關(guān)解剖
發(fā)布時(shí)間：2019-05-13 22:52
【摘要】：頸靜脈孔區(qū)(jugular foramen area)是由枕骨和顳骨巖部圍成的骨性孔道,位于顳下頜關(guān)節(jié)、下頜支和頸椎椎體中心,且孔道內(nèi)神經(jīng)、動(dòng)靜脈結(jié)構(gòu)及其外側(cè)顱頸交界區(qū)的肌肉復(fù)雜、顯露困難,造成這一區(qū)域手術(shù)難度及風(fēng)險(xiǎn)很大,一直以來(lái)都是神經(jīng)外科及其他相關(guān)科室共同關(guān)注的焦點(diǎn)之一。此區(qū)域啞鈴型腫瘤波及范圍較大,常為騎跨于頸靜脈孔的顱內(nèi)外溝通瘤。本綜述的目的是在前人對(duì)頸靜脈孔解剖及手術(shù)入路認(rèn)識(shí)的基礎(chǔ)上,找到一種適合顱內(nèi)外溝通啞鈴型腫瘤的手術(shù)入路,即耳后頭頸部“C”形切口,并在尸頭上進(jìn)行解剖,詳細(xì)闡述頸靜脈孔區(qū)的重要結(jié)構(gòu)及其之間的相互關(guān)系,為臨床工作提供依據(jù)及獲得經(jīng)驗(yàn),并了解其優(yōu)缺點(diǎn)。1充分顯露手術(shù)視野是保證手術(shù)順利進(jìn)行的先決條件,耳后頭頸部大“C”形切口不僅能對(duì)顱內(nèi)腫瘤進(jìn)行暴露,對(duì)顱外及上頸部術(shù)野暴露也令人滿意,可較為容易的對(duì)啞鈴型腫瘤進(jìn)行一期全切。2頸靜脈孔區(qū)及顱頸交界區(qū)結(jié)構(gòu)復(fù)雜,包含眾多肌肉組織及神經(jīng)結(jié)構(gòu),熟悉并掌握頸這些解剖結(jié)構(gòu)有助于手術(shù)順利完成,提高手術(shù)全切率,保護(hù)顱神經(jīng)及周圍正常組織,減少術(shù)后并發(fā)癥的發(fā)生。
[Abstract]:Jugular foramen (jugular foramen area) is a osseous foramen surrounded by occipital and temporal bone. It is located in the center of TMJ, mandibular branch and cervical vertebrae, and the muscles of internal foramen nerve, arteriovenous structure and lateral cranio-cervical junction are complex. The difficulty of exposure makes the operation difficult and risky in this area, which has always been one of the focuses of neurosurgery and other related departments. Dumbbell tumors in this area have a large coverage and are often intracranial and extracranial communication tumors that span the jugular foramen. The purpose of this review is to find a suitable surgical approach for dumbbell tumors, that is, the "C" incision of the posterior head and neck of the ear, on the basis of the previous understanding of the anatomy of jugular foramen and the surgical approach, and to dissect it on the head of the corpse. This paper expounds in detail the important structure of jugular foramen and the relationship between them, provides the basis for clinical work and obtains experience, and understands its advantages and disadvantages. 1 fully revealing the surgical field of vision is a prerequisite to ensure the smooth progress of the operation. The large "C" incision in the posterior head and neck of the ear can not only expose the intracranial tumors, but also expose the extracranial and upper neck surgical fields. It is easier to perform one-stage complete resection of dumbbell tumors. 2 the structure of jugular foramen and cranio-cervical junction is complex, including many muscle tissues and nerve structures, and familiarity with and mastery of these anatomical structures of neck is helpful to the smooth completion of the operation. Improve the total resection rate, protect the skull nerve and surrounding normal tissue, reduce the occurrence of postoperative complications.
【學(xué)位授予單位】：河北醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R739.4
本文編號(hào)：2476242
[Abstract]:Jugular foramen (jugular foramen area) is a osseous foramen surrounded by occipital and temporal bone. It is located in the center of TMJ, mandibular branch and cervical vertebrae, and the muscles of internal foramen nerve, arteriovenous structure and lateral cranio-cervical junction are complex. The difficulty of exposure makes the operation difficult and risky in this area, which has always been one of the focuses of neurosurgery and other related departments. Dumbbell tumors in this area have a large coverage and are often intracranial and extracranial communication tumors that span the jugular foramen. The purpose of this review is to find a suitable surgical approach for dumbbell tumors, that is, the "C" incision of the posterior head and neck of the ear, on the basis of the previous understanding of the anatomy of jugular foramen and the surgical approach, and to dissect it on the head of the corpse. This paper expounds in detail the important structure of jugular foramen and the relationship between them, provides the basis for clinical work and obtains experience, and understands its advantages and disadvantages. 1 fully revealing the surgical field of vision is a prerequisite to ensure the smooth progress of the operation. The large "C" incision in the posterior head and neck of the ear can not only expose the intracranial tumors, but also expose the extracranial and upper neck surgical fields. It is easier to perform one-stage complete resection of dumbbell tumors. 2 the structure of jugular foramen and cranio-cervical junction is complex, including many muscle tissues and nerve structures, and familiarity with and mastery of these anatomical structures of neck is helpful to the smooth completion of the operation. Improve the total resection rate, protect the skull nerve and surrounding normal tissue, reduce the occurrence of postoperative complications.
【學(xué)位授予單位】：河北醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R739.4
【參考文獻(xiàn)】
相關(guān)期刊論文 前4條
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，本文編號(hào)：2476242
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