翼腭窝区域的影像学解剖研究及其临床意义  

Clinical significance of three-dimensional computed tomography anatomy study compared to endoscopic counterpart in pterygopalatine fossa

作　　者：刘海斌[1] 邓彬华[2] 彭浒[1] 彭渝[2] 刘环海[1] 万安云[2] 纪振华[1] 万锋[2] 朱秋蓓[1] 刘新[2] 周先伟[2] 廖建春[1] 

机构地区：[1]第二军医大学附属长征医院耳鼻咽喉-头颈外科,上海200003 [2]武警江西总队医院耳鼻咽喉-头颈外科,南昌330030

出　　处：《中国临床解剖学杂志》2013年第6期627-630,共4页Chinese Journal of Clinical Anatomy

摘　　要：目的研究多层螺旋CT测量翼腭窝解剖相关标志与实体解剖的关系,为临床手术治疗翼腭窝区病变提供解剖学依据。方法成人头部标本5例(10侧),采用MSCT及三维重建技术,观察翼腭窝结构,分别测量一些内镜下重要解剖结构的影像数据,然后对头颅标本行翼腭窝区内镜解剖,并测量得到相应解剖学数据,比较两者解剖测量数据。结果影像学方法与解剖学方法测量的解剖数据都可反映实体情况,两者无明显统计学差异。结论翼腭窝影像解剖数据可靠,具有鼻内镜手术临床指导价值。Objective To study the multi-slice CT measurements about related anatomical marks of the pterygopalatine fossa and the endoscopic anatomical relationship, providing anatomical basis for clinical surgeryin the pterygopalatine fossa. Methods After dissection of the adult cadaveric specimens of five cases （10 sides）, MSCT data were adopted for three-dimensional reconstruction for observation of the pterygopalatine fossa and measurement of a number of important anatomic structures related to endoscopic surgery Finally, the head specimens were dissected in endoscopy, the outcome of whichwas compared to both anatomical measurements. Results Anatomical imaging methods and data measured are available, which conformed to the real anatomical situation. There was no significant difference between the two. Conclusions Radiological anatomical data about the pterygopalatine fossa are reliable and feasible, and can be used as guidelines for endoscopic surgery.

关 键 词：影像解剖 内镜解剖 翼腭窝 

分 类 号：R734.5[医药卫生—肿瘤]