安徽医科大学学报2011，Vol.46Issue(4)：345-348,4.
Poppen入路手术的显微解剖学研究
The study of Poppen approach operation with microscopic anatomy
王毅 1程宏伟 1王舜尧 1冯春国 1仰鹏志1
作者信息
- 1. 安徽医科大学第一附属医院神经外科,合肥,230022
- 折叠
摘要
Abstract
Objective To investigate the microanatomy of Poppen approach and provide anatomical guidance for removal of a variety of tumors in the pineal region. Methods With the aid of surgical microscope, fifteen cadaver heads were researched the microsurgical anatomy of the Poppen approach and relative data were measured. Results The exposed range was from the angle of superior sagittal sinus to the transverse sinus and the angle of tentorium,falx. The exposed structure included the occipital lobe , cerebellum, cerebral vein, great cerebral vein , basal vein,superior cerebellar artery and the trochllear nerve. The length of cerebral vein was( 34. 26 ±5. 43 )mm and the diameter was( 1. 56 ±0. 37 )mm. The length of basal vein was( 35. 41 ± 6. 62 )mm and the diameter was( 1. 42 ± 0. 38 ) mm. The length of great cerebral vein was( 9. 64 ±4. 11 )mm and the diameter was( 3. 78 ± 1. 62 )mm. Bilateral cerebral vein spacing as the first gap , the ipsilateral cerebral vein and the basal vein as the second gap , basal vein and the great cerebral vein as the third gap , the fourth gap under the great cerebral vein clearance and the fifth gap under the cerebellum for the straight sinus. Conclusion The five gaps for surgical procedure formulated by the deep venous system in the pineal region has been used by Poppen approach, superior cerebellar artery and the trochlear nerve were well exposed , the blind operation could avoid. The total resection of the pineal region tumors could , complete under the combination of anatomic parameters intraoperative and improve the cure rate, reduce complicationsand mortalitv.关键词
松果腺/解剖学和组织学/松果体瘤/脑静脉/神经解剖学分类
医药卫生引用本文复制引用
王毅,程宏伟,王舜尧,冯春国,仰鹏志..Poppen入路手术的显微解剖学研究[J].安徽医科大学学报,2011,46(4):345-348,4.
