鼻旁窦毗邻与临床的研究  

Studies on syntopy of paranasal sinuse and its clinical significance

作　　者：姜平[1,2,3,4] 徐其昌[1,2,3,4] 王生福[1,2,3,4] 景成定 卢前琦[1,2,3,4] 王鹤鸣 童鑫康 

机构地区：[1]镇江医学院解剖学教研室 [2]南京医科大学第一附属医院耳鼻咽喉科 [3]镇江医学院附属人民医院MRI室 [4]南京医科大学解剖学教研室

出　　处：《中国临床解剖学杂志》1999年第1期48-49,共2页Chinese Journal of Clinical Anatomy

摘　　要：目的：整体观察鼻旁窦形态的相互关系，为鼻旁窦手术入路提供形态学基础。方法：选用４５具成人矢状切面和横切面的头部标本及头部磁共振片，观察与测量额窦、筛窦和蝶窦的形态。结果：额、筛、蝶窦位置是相互延续的，其间以薄板分界，额窦与筛窦隔板厚度为０．３４±０．１４ｍｍ，上下径为７．２６±１．５６ｍｍ；筛窦与蝶窦隔板厚度为０．１６±０．０５ｍｍ，上下径为１６．３０±２．５１ｍｍ。结论：从形态、毗邻关系来看，额窦、筛窦、蝶窦几乎是一个相互延续的复合体。Objective:To provide morphological basis for surgical approach of paranasal sinuses by observation of the morphologically mutual relations among them.Methods:The morphologies of frontal, ethmoid and sphenoid sinuses were observed and measured on sagittal and horizontal sections of 45 adult specimens and MRI images.Results:The locations of frontal, ethmoid and sphenoid sinuses were continual.The plate between frontal and ethomoid sinuses was 0.34±0.14 mm thick and 7.26±1.56 mm long from top to bottom,and the corresponding numerical values of the plate between ethmoid and sphenoid sinuses were 0.16±0.05 mm and 16.30±2.5 mm. Conclusions:According to the morphology and relation, the frontal, ethmoid and sphenoid sinuses form a continual complex. Thus, it is feasible to perform ethmoid or sphenoid sinuse surgery via frontal sinus with endoscopy.

关 键 词：鼻旁窦 毗邻关系 手术入路 

分 类 号：R765.9[医药卫生—耳鼻咽喉科] R322.31[医药卫生—临床医学]