摘要
目的 :为临床开展鼻窦内窥镜手术提供外科手术解剖学依据。方法 :在 2 0具 40侧经防腐处理的完整成人尸头标本上观测筛泡气化发育的情况 ,观察额窦及前中筛气房窦口引流情况。结果 :额窦向中鼻道引流占 87.5 % (3 5侧 ) ;向筛漏斗引流占 10 .0 % (4侧 ) ;鼻丘向中鼻道引流占 90 .0 % (3 6侧 ) ;向筛漏斗引流占 10 .0 % (4侧 ) ;额隐窝向中鼻道引流占 15 .0 % (6侧 ) ;向筛漏斗引流占 10 .0 % (4侧 ) ;向侧窦引流占75 % (3 0侧 ) ;筛泡向筛漏斗引流占 2 5 .0 % (10侧 ) ;向侧窦引流占 75 .0 % (3 0侧 )。结论 :钩突和筛泡的解剖异常直接影响前组鼻窦的通气引流 ,从而导致前组鼻窦的炎症发生和加重。
Objective:To provide anatomy basis for endoscopic sinus surgery.Methods:The lateral nasal wall was observed on 20 adult cadaveric specimens,and the ostium of frontal sinus and front mid ethmoid sinus was observed too.Result:The frontal sinus drained into middle meatus(87.5%,35 sides) and ethmoid infundibulum(10.0%,4 sides).Agger nasi drained into middle meatus (90.0%,36 sides) and ethmoid infundibulum(10.0%,4 sides).Frontal recess drained into middle meatus(15.0%,6 sides),ethmoid infundibulum(10.0%,4 sides) and lateral sinus (75.0%,30 sides).Ethmoid bulla drained into ethmoid infundibulum(25.0%,10 sides)and lateral sinus(75.0%,30 sides).Conclusion:The abnormal pneumatization in uncinate process and ethmoid infundibulum can directly affect the drainage and ventilation of the ostium of frontal sinus and front mid ethmoid sinus.
出处
《中国临床解剖学杂志》
CSCD
北大核心
2002年第1期41-42,共2页
Chinese Journal of Clinical Anatomy
关键词
临床应用解剖
额窦
鼻丘
筛泡
额隐窝
内窥镜鼻窦手术
frontal sinus
agger nasi
ethmoid bulla
frontal recess
endoscopic sinus surgery
