内窥镜鼻窦手术相关解剖结构测量及临床意义  

Relative anatomy study and its functional significance for endoscopic sinus surgery

作　　者：倪炳华[1,2] 金国华[1,2] 

机构地区：[1]南通医学院附属医院耳鼻咽喉科 [2]南通医学院解剖学教研室

出　　处：《中国临床解剖学杂志》1999年第2期121-122,共2页Chinese Journal of Clinical Anatomy

摘　　要：目的：为功能性鼻内窥镜术中确定手术部位，减少并发症提供解剖学基础。方法：２０具（４０例）头部标本，以鼻小柱基部为基点，分别测量各解剖结构与基点间的距离的该连线与鼻底的夹角。结果：鼻小柱基点及基线与各解剖结构的平均距离和夹角分别为：泪囊３．９±０．４ｃｍ，５２°±７．０°；中甲前缘３．９±０．３ｃｍ，４５．０°±５．０°；额窦开口５．１±０．４ｃｍ，５８．０°±４．０°；额隐窝４．９±０．５ｃｍ，５６．０°±５．０°；钩突前缘４．４±０．４ｃｍ，４９．０°±６．０°；上颌窦开口４．３±０．２ｃｍ，４５．０°±４．０°；筛前动脉５．６±０．４ｃｍ，５０．０°±５．０°；视神经６．９±０．５ｃｍ，４１．０°±６．０°；蝶窦开口６．６±０．４ｃｍ，４５．０°±４．０°。结论：①鼻小柱是一直观的参照标志，以其为基点测出各解剖数据，对ＦＥＳＳ具有实用意义；Objective:Providing the anatomic bases to determine the location of the functional endoscopic sinus surgery(FESS) and to reduce its complication. Methods:The distance from the base of columella to each anatomical stucture and the angles between the floor of nasal cavity and reference line were measured in 20 adult cadavers (40 sides).The corresponding data from 2 normal people was taken as control.Results:The measured distance and angles were 3.9± 0.4 cm and 52°±7.0° for lacrimal sac,3.9±0.3 cm and 40°±5.0° for the anterior edge of the meddle turbinate, 5.1 ± 0.4 cm and 58°±4.0°,4.3±0.2 cm and 45°±4.0°,6.6±0.4 cm and 45°±4.0°,4.9±0.5 cm and 56°±5.0° for the ostia of frontal,maxillary and sphenoid sinus respectively, 4.4±0.4 cm and 49°±6.0° for the uncinate process, 5.6 ± 0.4 cm and 50°±5.0° for the anterior ethmoid artery, 6.9±0.5 cm and 41°±6.0° for the optic nrve. Conclusions:These data suggested that columella was a reference sign in FESS.Meanwhile no significant difference was found between the data from normal people and cadavers.

关 键 词：内窥镜 应用解剖 鼻窦外科手术 

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