腭鞘管及蝶腭动脉在翼管神经切断术中定位翼管的作用  

The role of palatovaginal canal and sphenopalatine artery in the localization of vidian canal during vidian neurotomy

作　　者：刘婷[1] 李鹏[2] 孟庆翔[1] 黄宾 谢景华[1] LIU Ting;LI Peng;MENG Qingxiang;HUANG Bin;XIE Jinghua(Department of Otorhinolaryngology Head and Neck Surgery,Guangzhou First People’s Hospital,Guangzhou,510180,China;Department of Otorhinolaryngology,the Fifth Affiliated Hospital of Guangzhou Medical University)

机构地区：[1]广州市第一人民医院耳鼻咽喉头颈外科,广州510180 [2]广州医科大学附属第五医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2020年第7期606-609,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨腭鞘管及蝶腭动脉在翼管神经切断术中定位翼管的作用。方法:中重度持续性变应性鼻炎伴或不伴鼻息肉患者55例,根据手术径路不同分为A组(蝶窦前壁入路)29例和B组(中鼻道入路)26例,均于鼻内镜下行单侧翼管神经切断术。A组于蝶窦前壁,以腭鞘管定位翼管;B组于中鼻道,以蝶腭动脉定位翼管。结果:所有患者均顺利找到翼管,创伤小,术后愈合快,无不可逆的并发症。结论:腭鞘管及蝶腭动脉与翼管外口位置关系恒定,可作为翼管神经切断术的解剖标志。Objective:To explore the role of palatovaginal canal and sphenopalatine artery in the localization of pterygoid canal during pterygoid neurotomy.Method:55 patients with or without nasal polyps were divided into two groups:group A(twenty-nine cases,anterior wall approach of sphenoid sinus)and group B(twenty-six cases,middle nasal meatus approach).All patients underwent unilateral vidian neurectomy under nasal endoscope.The vidian canal was located by palatal canal and sphenopalatine artery in group A and B,respectively.Result:The vidian canal was located successfully in all patients,with small wound,fast postoperative recovering.There was no irreversible complication.Conclusion:The relationship between the palatovaginal canal,sphenopalatine artery and the external orifice of vidian canal is constant,which can be used as an anatomical marker of vidian neurotomy.

关 键 词：鼻炎 变应性 翼管神经 腭鞘管 蝶腭动脉 内镜外科手术 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]