山东医药2016,Vol.56Issue(28):9-11,3.DOI:10.3969/j.issn.1002-266X.2016.28.003
内镜下扩大经鼻入路至颅底斜坡区的解剖学特点
Anatomical characteristics of endoscopic extended transnasal approach to clivus region
摘要
Abstract
Objective To observe the anatomic landmarks of the endoscopic extended transnasal approach to the cliv-us region, which provides anatomic basis for the approach.Methods Five formalin-fixed adult cadaveric head specimens were used, a rigid endoscope ( Karl Storz) was inserted into the bilateral nasal cavity for simulating the endoscopic extend-ed transnasal approach to the clivus region.Results The clivus regions were divided into three parts:the upper, the mid-dle and the lower clivus.Bony landmarks of the clivus regions were presented, such as parasellar internal carotid arterial canal bulge, internal carotid arterial canal bulge and optic canal bulge etc.Intradural anatomic landmarks were the posteri-or cerebral artery, superior cerebellar artery, basilar artery, cranial nerveⅥ, pons, vertebral artery, cranial nerveⅨ-Ⅻand medulla oblongata.Conclusion The anatomic landmarks of the endoscopic extended transnasal approach to the clivus region are clearly defined, and the approach can be performed according to the anatomic landmarks.关键词
神经内镜/扩大经鼻入路/颅底斜坡区/解剖学Key words
neuroendoscopy/extended transnasal approach/clivus region/anatomy分类
医药卫生引用本文复制引用
许德栋,王文波,李勇,段震映,姚翰勋,戚圣金,夏学巍..内镜下扩大经鼻入路至颅底斜坡区的解剖学特点[J].山东医药,2016,56(28):9-11,3.基金项目
广西壮族自治区卫生厅自筹项目(Z2014305/Z2014304);广西壮族自治区教育厅高校立项自筹项目(LX2014273)。 ()