动眼、面、听神经显微血管供应与术后神经功能保留关系的研究  

The Study on the Relationship between the Microvascular Supply for the Oculomotor,Auditory and Facial Nerves and the Reserve of the Nerve Function Post Operation

作　　者：刘熙鹏[1] 杨晓洪[1] 刘春江[1] 刘明[1] 孙磊[1] 

机构地区：[1]河北北方学院附属第一医院神经外科,河北张家口075000

出　　处：《河北北方学院学报（医学版）》2007年第5期1-3,共3页Journal of Hebei North University:Medical Edition

基　　金：河北省科学技术研究与发展指导计划项目(编号:052761316)

摘　　要：目的:研究动眼神经海面窦段及面听神经桥脑小脑角段显微血管供应。方法:采用大体解剖法显露并观测了40侧动眼、面听神经动脉来源。结果:80%的脑膜垂体干及海面窦下动脉发出滋养动脉至动眼神经;面神经桥小脑角段主要由小脑下前动脉发出的迷路动脉、回返穿通动脉供应。结论:动眼、面听神经毗邻结构复杂,滋养血管细小,手术时应特别注意辨认和保护动眼和面听神经的显微血管。Objective： To study microvascular supply for the facial nerve in cerebellopontine angle （CPA） and oculomotor nerve in cavernous sinus. Methods： Facial nerve and oculmotor nerve of forty cases were dissected, and artery supplying facial nerve and oculmotor nerve were observed. Results： It was found that 80 percent of meningohypophyseal trunk and inferior cavernous artery had nourishing Artery enter oculmotor nerve; The facial nerves in cerebellopontine angle（CPA）were supplied by cerebellar inferior anterior artery （labyrinthine artery and recurrent perforating artery）. Conclusion： The facial nerve and oculomotor nerve Microvascular should be discerned and protected especially when operated in cerebellopontine angle（CPA）and in cavernous sinus because its neurovascular relationships are complicated and the nourishing vessels are tiny.

关 键 词：动眼神经 面听神经 脑动脉 神经功能 

分 类 号：Q429.8[生物学—神经生物学]