经鼻蝶入路治疗颈内动脉床突旁动脉瘤的显微解剖研究  

Microsurgical anatomy in the treatment of paraclinoid aneuryms through an endonasal transsphenoidal approach

作　　者：范翔[1] 王海军[2] 初国良[3] 樊韵平[4] 蔡赣桥[1] 孔凡根[1] 

机构地区：[1]中山大学附属第五医院神经外科,广东珠海519000 [2]中山大学附属第一医院神经外科,广州510080 [3]中山大学中山医学院解剖教研室,广州510080 [4]中山大学附属第五医院耳鼻喉科,珠海519000

出　　处：《解剖学研究》2007年第5期358-360,363,共4页Anatomy Research

摘　　要：目的探讨经鼻蝶入路治疗颈内动脉床突旁动脉瘤的可行性。方法3例尸头正中矢状面切开共6侧,熟悉相关解剖结构,寻找可应用的解剖标记。另取10例完整尸头,进行显微镜下模拟手术,探索手术路径。结果①本入路可以较好地显示眼动脉和垂体上动脉走行。②视神经-颈内动脉陷窝可作为蝶窦外侧壁的解剖标志。Objective To explore the feasibility of treating paraclinoid aneurysms by endonasal transsphenoidal approach. Methods Anatomical study was carried out with 6 samples obtained by splitting 3 cadaver heads along the sagittal midline. Simulating surgeries were performed under microscope with another l0 intact cadaver heads. Results （1） The approach could clearly expose the running of ophthalmic artery and superior hypophysical artery. （2） the optic nerve-internal carotid artery recess was a constant bony landmark at the lateral wall of sphenoidal sinus. Conclusion Endonasal Transsphenoidal Approach used in treating medial paraclinoid aneurysms with direct visualization is credible

关 键 词：经鼻蝶入路 颈内动脉 床突旁动脉瘤 视神经-颈内动脉陷窝 显微外科解剖 

分 类 号：R651.1[医药卫生—外科学] R322[医药卫生—临床医学]