眶上外侧-纵裂入路处理前交通动脉瘤的临床应用解剖

doi:10.13418/j.issn.1001-165x.2019.03.001

中国临床解剖学杂志 ›› 2019, Vol. 37 ›› Issue (3): 241-244.doi: 10.13418/j.issn.1001-165x.2019.03.001

• 应用解剖 • 下一篇

眶上外侧-纵裂入路处理前交通动脉瘤的临床应用解剖

张广辉¹，　韩瑞璋²，　靳华²，　王玉海³

1.安徽医科大学无锡临床学院，江苏无锡 214044； 2.中国人民解放军第98医院，浙江湖州 313000
3.中国人民解放军联勤保障部队第904医院神经外科，全军颅脑损伤救治中心，江苏无锡 214044

收稿日期:2019-03-14 出版日期:2019-05-25 发布日期:2019-06-12
通讯作者: 王玉海，教授，博士生导师，E-mail：wangyuhai67@126.com
作者简介:张广辉（1990-），男，在读硕士，研究方向：颅底肿瘤，E-mail：17336260510@163.com

Clinical applied anatomy of anterior communicating artery aneurysm treated by supraorbital lateral-longitudinal fissure approach

ZHANG Guang-hui¹, HAN Rui-zhang², JIN Hua², WANG Yu-hai³

1.Wuxi Clinical Medical School, Anhui Medical University, Wuxi 214044, Jiangsu Province,China; 2. Department of Neurosurgery, 98th Hospital of PLA, Huzhou 313000, Zhejiang Province, China; 3.Craniocerebral Injury Cure Center of PLA, Department of Neurosurgery, 904th Hospital of Joint Logistics Support Force, Wuxi 214044, Jiangsu Province, China

Received:2019-03-14 Online:2019-05-25 Published:2019-06-12

摘要/Abstract

摘要： 目的　研究经眶上外侧-纵裂入路至前交通动脉复合体区的显微解剖，为临床应用该入路夹闭前交通动脉瘤提供解剖学依据。方法　选取20具（40侧）成人尸头模拟经眶上外侧-纵裂入路，显微镜下观察前交通动脉复合体区的暴露情况，测量并记录相关数据。结果　经眶上外侧-纵裂入路可较好地暴露前交通动脉复合体，尤其是前交通动脉的上区和后上区，且在暴露时对同侧额叶及直回的牵拉明显减轻。前交通动脉长度为（2.80±1.12）mm，中间外径为（1.79±0.82）mm，其距视交叉前缘中点距离为（4.59±2.22）mm。结论　眶上外侧-纵裂入路具有手术视野好、脑组织损伤小等特点，对于上突型和后上突型前交通动脉瘤的暴露十分有益。

关键词: 眶上外侧-纵裂入路, 　前交通动脉复合体, 　前交通动脉瘤, 　应用解剖

Abstract: Objective　To study the anatomy of anterior communicating artery complex (ACoAC) by supraorbital lateral-longitudinal fissure approach under microscope, and to provide anatomic reference for clinical clipping of the anterior communicating artery aneurysm (ACoAA).　Methods　ACoAC exposed through the supraorbital lateral-longitudinal fissure approach was observed under microscope in a total of 20 adult cadavers (40 sides) , and relevant data were measured and recorded.　Results　The supraorbital lateral-longitudinal fissure approach could better expose ACoAC. In particular, the superior and posterior superior areas of the anterior communicating artery could obtain a good surgical field of vision. The length of the anterior communicating artery (AComA) was (2.80±1.12) mm. The middle outer diameter was (1.79±0.82) mm. The distance from the anterior edge of optic chiasma was (4.59±2.22) mm. 　Conclusion　The supraorbital lateral-longitudinal fissure approach has the characteristics of good visual field and small brain tissue injury, which should consider favorably in treatment of the anterior communicating artery aneurysms (ACoAA) categorized as the superior and posterior superior type.

Key words: Supraorbital lateral-longitudinal fissure, 　ACoAC, 　ACoAA, 　 Applied anatomy

中图分类号:

张广辉, 韩瑞璋, 靳华, 王玉海. 眶上外侧-纵裂入路处理前交通动脉瘤的临床应用解剖[J]. 中国临床解剖学杂志, 2019, 37(3): 241-244.

ZHANG Guang-hui, HAN Rui-zhang, JIN Hua, WANG Yu-hai. Clinical applied anatomy of anterior communicating artery aneurysm treated by supraorbital lateral-longitudinal fissure approach[J]. Chinese Journal of Clinical Anatomy, 2019, 37(3): 241-244.

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眶上外侧-纵裂入路处理前交通动脉瘤的临床应用解剖

Clinical applied anatomy of anterior communicating artery aneurysm treated by supraorbital lateral-longitudinal fissure approach

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