下牙槽神经阻滞麻醉的有关骨学测量研究  

Osteologic measurement associated with block anesthesia of inferior alveolar nerve

作　　者：涂玲[1,2] 彭润桃[1,2] 刘良奎[1,2] 罗远才 

机构地区：[1]湖南医科大学口腔解剖生理教研室 [2]湖南医科大学数学教研室

出　　处：《中国临床解剖学杂志》1997年第3期177-179,共3页Chinese Journal of Clinical Anatomy

摘　　要：目的：为了给临床医师进行下牙槽神经阻滞麻醉提供可靠的参考数据和简便的计算公式。方法：用卡尺和测下颌骨器测量了３８个成人下颌骨的１６个项目。结果：①由下颌第一磨牙颊沟的颊缘水平伸至对侧下颌小舌后缘间距离为８．２９±０．４１ｃｍ；由下颌角至下颌小舌上缘最后点间距离为３．１０±０．４４ｃｍ。②预测进针深度的回归方程口外麻醉的进针深度：Ｘ６＝０．５５９±０．２８８Ｘ３＋０．４６４Ｘ４口内麻醉的进针深度：Ｘ８＝２．４１９＋０．４０６Ｘ１＋０．６７０Ｘ４。还对下颌孔在下颌支内面的位置进行了指数计算和数据定位。结论：文章提供的参考数据和方法，可使下牙槽神经阻滞麻醉的定点更为确切；Objective:To provide the reliable data and simple formula for clinic to perform block anesthesia of inferior alveolar nerve.Methods: 16 anatomic items were measured on 38 Chinese adult mandibles specimens by a caliper and a mandibuiometer.Results:The distance between buccal border of buccal grooves of mandibular the first molar and the posterior border of lingula of the opposite mandible was 8.29±0.41 cm .The distance between gonion and the final point of superior border of lingula of mandible was 3.10±0.44 cm.Two regression equations of puncture depth from extraolral(X 6) and intraoral(X 8) were follows:X 6=0.559±0.228X 4,X 8=2.419+0.406X 1+0.67X 4.The position of foramina mandibulae was decided.Conclusions:The data in this paper made it exact to locate the position during the block anesthesia of inferior alveolar nerve.The regression equation can be used to calculate the puncture depth.

关 键 词：下颌骨 下牙槽神经 阻滞麻醉 

分 类 号：R614.4[医药卫生—麻醉学] R782.054[医药卫生—外科学]