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内镜下扩大经鼻入路至颅底斜坡区的解剖学特点

许德栋 王文波 李勇 段震映 姚翰勋 戚圣金 夏学巍

山东医药2016,Vol.56Issue(28):9-11,3.
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

许德栋 1王文波 1李勇 2段震映 1姚翰勋 1戚圣金 1夏学巍1

作者信息

  • 1. 桂林医学院附属医院,广西桂林541004
  • 2. 桂林医学院
  • 折叠

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)。 ()

山东医药

OA北大核心CSTPCD

1002-266X

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