前颅底肿瘤、类肿瘤病变手术入路的应用解剖研究  

Applied anatomy for surgical approaches to the tumor or tumor-like disease of anterior skull base

作　　者：田军[1] 王天铎[2] 刘清明[1] 秦咏梅[3] 李学忠[2] 王金平[4] 

机构地区：[1]潍坊市人民医院耳鼻咽喉科,潍坊261042 [2]山东大学齐鲁医院耳鼻咽喉科 [3]山东省医药卫生科技信息研究所 [4]潍坊医学院解剖学教研室

出　　处：《山东大学基础医学院学报》2003年第1期40-42,共3页Journal of Preclinical Medicine College of Shandong Medical University

摘　　要：目的 :为前颅底肿瘤、类肿瘤病变的手术入路提供应用解剖学依据。方法 :测量 3 0例干燥国人颅骨的鼻棘点、Dacryon点和颞额颧点至前颅底各结构的的连线长度 ;颞额颧点至颅中窝内各结构的连线长度 ,以及部分连线与正中矢状面所成的角度。结果 :1 .鼻棘点至筛板前缘、筛板后缘、视神经交叉沟、鞍结节、前床突、视神经管眶口、视神经管颅内口、翼管口、蝶腭孔的距离分别为 :(4 9.6± 3 .8)mm、(5 4.8± 3 .5 )mm、(66.3± 3 .9)mm、(67.9± 3 .3 )mm、(71 .8±3 .5 )mm、(61 .0± 3 .3 )mm、(66.4± 3 .6)mm、(64.3± 3 .6)mm、(4 7.5± 2 .8)mm。鼻棘点与筛板前缘、筛板后缘、鞍结节的连线与鼻底平面所成的夹角分别为 ;(77 4± 4 0 )°、(5 5 5±5 4)°、(4 0 5± 3 5 )°。2 .Dacryon点至筛前、后孔、视神经管眶口、颅内口、前床突、筛板前、后缘、视神经沟、鞍结节、眶上裂外侧缘的距离分别为 :(1 6.2± 2 .2 )mm、(2 8.6± 2 .3 )mm、(3 4.7± 2 .5 )mm、(4 2 .6± 3 .4)mm、(4 9.8±3 .1 )mm、(1 2 .7± 1 .7)mm、(2 8.5± 2 .8)mm、(4 3 .7± 3 .7)mm、(4 7.9± 3 .2 )mm、(3 7.4± 2 .8)mm。3 .颞额颧点至眶下裂外端、翼上颌连接外侧下缘、翼上颌裂下端、翼突外侧板根部、圆孔、卵圆孔、棘孔、?Objective:To study the related anatomy of surgical approaches to anterior skull base,and provide the anatomical basis for the operation of skull base tumor or tumor-like disease. Methods:The length of lines linking nasospinale,Dacryon point to the structures at the anterior skull base; and some angles between these lines and median vector were measured on the 30 dry adult cranium specimens. Results:The distances from nasopinale to anterior terminal of cribriform plate, posterior terminal of cribriform plate,sulcus prechiasmaticus,tuberculum sellae,anterior clinoid process,lateral optic canal aperture,medial optic canal aperture,pterygoid canal,sphenopalatine foramen were 49.6±3.8mm, 54.8 ±3.5mm,66.3±3.9mm,67.9±3.3mm,71.8±3.5mm ,61.0±3.3mm,66.4±3.6mm,64.3±3.6mm,47.5±2.8mm respectively. Distance from Dacryon point to anterior ethmoidal foramen,posterior ethmoidal foramen,lateral optic canal aperture,medial optic canal aperture,anterior clinoid process,anterior terminal of cribriform plate,posterior terminal of cribriform,sulcus prechiasmaticus,tuberculum sellae,lateral terminal of superior orbital fissure were 16.2± 2.2mm ,28.6±2.3mm,34.7±2.5mm,42.6±3.4mm,49.8±3.1mm,12.7±1.7mm,28.5±2.8mm,43.7± 3.7mm ,47.9±3.2mm,37.4±2.8mm respectively. Distance from frontomalare temporale to lateral terminal of inferior orbital fissure,lateral inferior terminal of pterygomaxillary joint,inferior terminal of pterygomaxillary fissure,round foramen,oval foramen,spinose foramen,internal canalis carotid aperture,anterior clinoid process,tuberculum sellae,were 67.6 ±4.3mm,58.5±3.6mm,61.0±3.9mm,50.0±3.8mm,58.6±4.3mm,61.7±4.7mm,64.0±3.9mm,57.5± 3.5mm ,64.0±3.6mm respectively.Conclusion:These measurements will benefit the option of surgical approach and provide references for defining the position of important structures in skull base operations.

关 键 词：局部解剖学 颅骨测量法 颅骨肿瘤 

分 类 号：R738.1[医药卫生—肿瘤]