摘要
目的:探讨经眶颧-海绵窦入路增加基底动脉上段显露的方法。方法:在10例成人头颅标本上模拟了经眶颧-海绵窦入路,观察该入路对基底动脉上段的显露情况。结果:磨除前床突后形成的间隙为床突间隙,在前床突下表面,存在于颈内动脉与动眼神经间的膜为颈内动脉-动眼神经膜,沿此膜即可进入海绵窦,磨除后床突后,暴露鞍背、上斜坡,即可显露基底动脉上段。结论:经眶颧-海绵窦入路中磨除前床突和后床突,可增加对基底动脉上段的显露。
Objective： To explore the surgical techniques of exposure of the superior segment of the basilar artery by using orbitozygomatic-cavemous sinus approach. Method： The superior segment of basilar artery was exposed through the orbitozygomatic-cavemous sinus approach in 10 cadaveric heads. Results： The clinoidal space（CS） was formed by stripping the anterior clinoid process. The fascia existed between the internal carotid artery （ICA）- internal carotid artery （OMN） under the inferior aspect of the anterior clinoid process, through which the cavernous sinus was exposed. After stripping the posterior clinoid process, exposing the dorsum sellae and the upper clivus, the superior segment of basilar artery was separated successfully. Condusion： By stripping the anterior and posterior clinoid process through the orbitozygomatic-cavemous sinus approach, the superior segment of basilar artery can be exposed more.
出处
《山东大学学报（医学版）》
CAS
北大核心
2006年第4期422-425,共4页
Journal of Shandong University:Health Sciences
关键词
眼眶
颧弓
海绵窦
基底动脉
解剖学
局部
Orbit
Zygomatic arch
Cavernous sinus
Basilar artery
Anatomy, regional
