中国临床解剖学杂志 ›› 2013, Vol. 31 ›› Issue (6): 627-630.

• 翼腭窝及毗邻解剖 • 上一篇    下一篇

翼腭窝区域的影像学解剖研究及其临床意义

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   

  1. 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
  • 收稿日期:2013-08-15 出版日期:2013-11-25 发布日期:2013-12-16
  • 通讯作者: 廖建春,教授,主任医师,E-mail:abliaojc@163.com E-mail:calue006@gmail.com
  • 作者简介:刘海斌(1980-),男,硕士,主治医师,主要从事耳鼻咽喉头颈临床应用解剖与颅底外科手术研究


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

LIU Hai-bin1, DENG Bin-hua2, PENG Hu1, PENG yu1, LIU Huan-hai1, WANG An-yun2, JI Zhen-hua1, WANG Feng2, ZHU Qiu-bei1, LIU Xin1, ZHOU Xian-wei2, LIAO Jian-chun1   

  1. 1.Department of Otolaryngology-Head and Neck Surgery, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China; 2.Department of Otolaryngology-Head and Neck Surgery, Armed Police Jiangxi Corps Hospital, Nanchang 330001, China
  • Received:2013-08-15 Online:2013-11-25 Published:2013-12-16

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。

关键词: 影像解剖, 内镜解剖, 翼腭窝

Abstract:

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.

Key words: Radiological anatomy, Endoscopic anatomy, Pterygopalatine fossa

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