经硬膜外入路对海绵窦三角显微解剖及其临床意义  

Microsurgical Anatomy and Significance of Cavernous Sinus Region

作　　者：郑长民[1] 李俊德[2] 王桂堂[1] 

机构地区：[1]山东万杰医学院解剖教研室,山东淄博255213 [2]淄博万杰肿瘤医院神经外和伽玛刀科,山东淄博255213

出　　处：《中国医药指南》2011年第15期177-178,212,共3页Guide of China Medicine

基　　金：山东省教育厅科研基金资助项目(J08LG65)

摘　　要：目的了解海绵窦(Cavemous sinus,CS)三角的显微解剖结构,为CS区病变手术提供解剖学参数。方法 15例成人头部标本,在显微镜下对CS区有关三角进行解剖观察和测量。结果 CS上壁内有前内侧三角、内侧三角、颈动脉三角和动眼三角;外壁内及其附近有旁内侧三角、Parkinson三角、Mullan三角、外侧三角、Glasscock三角和Kawase三角;后壁上有下外侧三角和下内侧三角。结论 CS三角为其病变直接手术提供既不损伤重要神经血管又能进入CS内的安全手术入路,CS各三角可相互配合处理其内病变最常用的是内侧三角和Parkinson三角。Objective To explore the detailed features of microsurgical anatomic structures in carvernous sinus region and emphasize the clinical relevance of these observations.Methods The CS regions were dissected and observed using microscope with micro-operative techniques in 30 specimens from 15 formalin-fixed cadaveric heads.Results Lateral and superior walls of CS were entered with combination of intradural and extradural approaches.Wall of the CS： The lateromedial trigone,Parkinson trigone,Mullan trigone,Lateral trigone,Glasscock trigone and kawase trigone were in the lateral wall and surrounding.The inferolateral trigone and in feromedial trigone were in the posterior wall.Conclusion The trigones of the CS could provide safe approaches for direct expose the CS with some important nerves and arteries protected.The medial and Parkinson trigones were more often used clinically.

关 键 词：显微解剖 海绵窦三角 

分 类 号：R651.1[医药卫生—外科学]