不同解剖入路显露颈静脉孔区的定量研究  

Quantitative analysis of the exposure of suboccipital far-lateral approach and postauricular transtemporal approach to the human jugular foramen region

作　　者：陈灿中,王灿明,张睿,缪铮 陈灿中[1] 王灿明[1] 张睿[1] 缪铮 

机构地区：[1]大理学院附属医院神经外科,云南大理671000

出　　处：《中国民康医学》2013年第21期3-4,共2页Medical Journal of Chinese People’s Health

摘　　要：目的:定量研究不同解剖入路对颈静脉孔区的显露程度的影响,为最佳的临床手术入路提供依据。方法:按照所模拟手术入路的不同,将30具成人标本随机分为2组,分别经枕下远方外侧入路和耳后经颞入路开展解剖研究。结果:耳后经颞入路的研究结果表明,迷路后入路和部分磨除的迷路可以显著的增加颈静脉孔区的显露程度;远方外侧入路的研究表明,磨除颈静脉突和部分磨除枕髁后可以显著的增加颈静脉孔区的显露程度。结论:对于枕下远方外侧入路来说,磨除颈静脉突是显露颈静脉孔的关键。Objective： To study the exposure of different anatomic approach to the human jugular foramen region based on quantitative measurements, and provide reliable anatomic data for the clinical operation approach. Methods ：30 （60 sides） head-neck specimens of adults were randomly divided into 2 groups, the complete approach of the suboccipital far-lateral approach and postanric- ular transtemporal approach were reproduced. Results ： In the suboccipital far-lateral approach, removal of the jugular process and par- tial resection of occipital condyle can significantly increase the exposure degree of jugular foramen region. In the postauricular transtem-poral approach, the exposure increased significantly after complete retrolabyrinthine approach, partial labyrinthectomy and transcochle- ar approach. Conclusions ： Resection of jugular process is the key to expose the jugular foramen through the far-lateral approach.

关 键 词：耳后经颞入路 枕下远方外侧入路 颈静脉孔区 显露程度 

分 类 号：R323.1[医药卫生—人体解剖和组织胚胎学]