筛蝶区域与视神经管和颈内动脉的毗邻关系  

Anatomical Relationship of the Ethlnoid-Sphenoid Areas to the Optic Canal and the Internal Carotid Artery

作　　者：李源[1] 许庚[1] 杨月如[1] 王爱莲[1] 

机构地区：[1]中山医科大学第三临床学院耳鼻咽喉科教研室,广州暨南大学医学院附属医院耳鼻咽喉科,昆明医学院人体解剖教研室

出　　处：《中华耳鼻咽喉科杂志》1995年第2期87-90,共4页Chinese Journal of Otorhinolaryngology

基　　金：国家卫生部国家教委霍英东青年科学基金;国务院侨办重点学科基金;广东省科委重点科学基金

摘　　要：观察１００侧正中矢状切开颅骨的视神经管、颈内动脉与最后筛房、蝶窦的毗邻关系和形态特征。结果是：①视神经管全管与最后筛房毗邻３９侧，与蝶窦毗邻４３侧，与两者共同毗邻１８侧；②视神经管在最后筛房、蝶窦外侧壁形成隆起者分别为４８侧和４７侧；③各段颈内动脉在蝶窦外侧壁形成隆起者为５３％～７７％。测量视神经管隆起和颈内动脉隆起的高度和骨壁厚度，提出蝶窦和后筛窦发育状态组合关系的变异以及视神经管、颈内动脉在最后筛房和蝶窦外侧壁的隆起和压迹是内窥镜筛蝶区域手术可能发生严重并发症的解剖学因素。The anatomical relationships andmorphologic features of the optic canal and the internal carotid arterv to the lateral wall of the most posterior ethmoidal cell and the sphenoid sinus in 100 half-skulls swan middle-saggitally were investigated.The results showed:(1) The whole optic canals neigh-boured with the most ethmoidal cell in 39 cases,with the sphenoid sinus in 43 cases and with both of them in 18 cases;(2)The bulgings of the optic canal formed on the lateral wall of the most posterior ethmoidal cells and the sphenoid sinus were demonstrated in 48 and 47 cases respectively;(3)The marks of the internal carotid arteryformed on the lateral wall of the sphenoid sinus were demonstrated in 53%～77%of all cases. The height and the thickness of the bony wall of the bulgings and marks of the optic canal and the internal carotid artery were measured.From our observation it was suggested that the variations of development and composition of the sphenoid-ethmoid sinuses, the bulging or mark of the optic canal and the internal carotid artery on the lateral wall of the most posterior ethmoidal cell and the sphenoid sinus might be the anatomical factors of severe complications in endoscopic ethmoid-sphenoid surgery.

关 键 词：解剖学 局部 副鼻窦 内窥镜术 

分 类 号：R322.31[医药卫生—人体解剖和组织胚胎学]