额颞眶颧弓入路应用显微解剖学研究  

The Study on the Microsurgical Anatomy of the Frontotemporal-zygomatic Arch Approach

作　　者：刘春晖[1] 罗俊生[1] 孙炜[2] 杨家应[3] 寸恩浩[2] 张明山[2] 

机构地区：[1]辽宁医学院第一附属医院神经外科,辽宁锦州121001 [2]北京三博复兴脑科医院神经外科,北京100038 [3]山东省苍山县人民医院神经外科,山东苍山277700

出　　处：《中国现代医生》2007年第05X期7-8,10,F0003,共4页China Modern Doctor

摘　　要：目的对额颞眶颧弓手术入路进行显微外科解剖学研究,为手术入路提供解剖学基础。方法利用10例经福尔马林固定的国人成人头颅湿标本共20侧,15例头颅干标本共30侧,对额颞眶颧弓手术入路相关的解剖标志进行详细地显微解剖、观察、拍照、测量和统计。结果面神经额颞支与颧支存在变异的可能。与保留颧弓相比,离断颧弓后的骨窗下缘至中颅底可缩短15mm左右的距离,与干标本测量颧弓宽度的数据相当。结论额颞眶颧弓手术入路适合处理鞍旁区域病变,其手术空间和视角宽阔。Objective To study the microsurgical anatomy of frontotemporal-zygomatic arch approach and provide anatomical basis for operative approach. Methods Ten cases（20 sides） of Chinese adult cadaver heads fixed by 10% formalin and fifteen cases（30 sides） of dry skull samples were studied. The relative anatomical landmarks of the frontotemporal-zygomatic arch approach were dissected under microscope,observed, photographed, measured and analyzed. Results The frontal and zygomatic branches of the facial nerve had variations. The distance from the inferior border of the bone window to the temporal base was shortened about 15mm with the zygomafic bone broken, which was correspondent with the width of the zygomatic archmearesured from the dry samples. Conclusion The frontotemporal-zygomatic arch approach is applicable to the lesions in the parasellar region. The operative space and visual angle of this approach are satisfying.

关 键 词：额颞眶颧弓 手术入路 颅底 显微解剖 

分 类 号：R324[医药卫生—人体解剖和组织胚胎学]