CT血管成像乳突导静脉影像解剖学研究

中国临床解剖学杂志 ›› 2011, Vol. 29 ›› Issue (1): 63-66.

CT血管成像乳突导静脉影像解剖学研究

盛　波，　吕富荣，　吕发金，　肖智博，　尤云峰，　刘　楠

重庆医科大学附属第一医院放射科，重庆 400016

收稿日期:2010-07-20 发布日期:2011-01-24
通讯作者: 吕富荣，主任医师，硕士生导师，Tel:13908365685， E-mail：lfr918@sina.com E-mail:shengboo@hotmail.com
作者简介:盛　波（1984-），男，重庆大足人，在读硕士，主要从事CT和MRI影像诊断研究，Tel:13637978265
基金资助:
重庆市卫生局医学科学技术研究项目（2008-2-108）

Multi-slice CT angiography of the mastoid emissary vein and imaging anatomy

SHENG Bo, Lü Fu-rong, Lü Fa-jin, XIAO Zhi-bo，YOU Yun-feng， LIU Nan

Department of Radiology, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China

Received:2010-07-20 Published:2011-01-24

摘要/Abstract

摘要：

目的　对乳突孔及乳突导静脉管进行形态观察及定位，为临床手术操作提供解剖依据。　方法　回顾性重建67例采用头部或头颈部CTA检查患者的乳突孔影像，测量乳突孔位置及观察乳突导静脉管走行。结果乳突孔数量及位置变异较大，乳突导静脉管走行多样，其外口明显多于内口，乳突导静脉管外口主要位于星点与乳突尖连线的后方1.5 cm范围内，且位于星点侧靠近中点1.5 cm范围内，内口大部分位于星点到乳突尖连线前上方1 cm范围内，并且主要集中在星点与乳突尖中线两侧1 cm范围内，上述区域即为乳突导静脉管走行区域。结论　乳突孔、乳突导静脉管及走行其中的导静脉正常解剖变异复杂，CT三维成像能够对其很好评价。

关键词: 乳突孔, 乳突导静脉, 解剖, CT

Abstract:

Objective　To explore and delineate the mastoid foramen and the mastoid emissary vein for clinical operation.　Methods　A total of 67 images of mastoid emissary vein canaliculus(MEVC) were obtained by three-dimensional reconstruction after CT angiography of head and neck, to determine the position of the mastoid foramen and to observe mastoid emissary vein canaliculus.　Results　The number and location of the mastoid foramen and the MEVC are variable; the external aperture outnumbers the internal aperture of MEVC in larger amounts. The external aperture of MEVC is mainly located at the range of 1.5 cm backward connecting line between asterion to mastoidale, exactly located at neighboring middle point of right side of asterion around 1.5 cm. The internal aperture of MEVC is mainly located at the range of 1 cm forward connecting line between asterion to mastoidale; Most of them are located at the range around 1 cm of vertical line of crossed midpoint of connecting line between asterion to mastoidale as well . The abovementioned range is the trajectory of the mastoid emissary vein.　Conclusions　There are complicated anatomical variations in the mastoid foramen and the mastoid emissary vein，which can be finely evaluated by CT angiography．

Key words: Mastoid foramen, Mastoid emissary vein, Anatomy, CT

中图分类号:

R322
R814.42

盛　波, 吕富荣, 吕发金, 肖智博, 尤云峰, 刘　楠. CT血管成像乳突导静脉影像解剖学研究[J]. 中国临床解剖学杂志, 2011, 29(1): 63-66.

SHENG Bo, LV Fu-Rong, LV Fa-Jin, XIAO Zhi-Bo, YOU Yun-Feng, LIU Nan. Multi-slice CT angiography of the mastoid emissary vein and imaging anatomy[J]. Chinese Journal Of Clinical Anatomy, 2011, 29(1): 63-66.

参考文献

[1] Falk D. Evolution of cranial blood drainage in hominids: enlarged occipital/marginal sinuses and emissary foramina
[J]. Am J Phys Anthropol,1986,70(3)：311-324.

[2] Hadeishi H, Yasui N, Suzuki A. Mastoid canal and migrated bone wax in the sigmoid sinus: technical report
[J].Neurosurgery,1995,36(6)：1220-1223.

[3] Tedeschi H, Jr Rhoton A L. Lateral approaches to the petroclival region
[J]. Surg Neurol,1994,41(3):180-216.

[4] Rivet D J, Goddard J R, Rich K M,et al. Percutaneous transvenous embolization of a dural arteriovenous fistula through a mastoid emissary vein. Technical note
[J]. J Neurosurg,2006,105(4):636-639.

[5] Li Q, Lv F, Li Y, et al. Subtraction CT angiography for evaluation of intracranial aneurysms: comparison with conventional CT angiography
[J]. Eur Radiol,2009,19(9):2261-2267.

[6] 孟庆玲,韩卉,柏亚,等.15例成年国人颞骨内部结构CT解剖学
[J]. 中国临床解剖学杂志, 2007,25(5)：507-510.

[7] Koesling S, Kunkel P, Schul T. Vascular anomalies, sutures and small canals of the temporal bone on axial CT
[J]. Eur J Radiol, 2005, 54(3)：335-343.

[8] Jr Louis R G, Loukas M, Wartmann C T, et al. Clinical anatomy of the mastoid and occipital emissary veins in a large series
[J]. Surg Radiol Anat,2009,31(2):139-144.

[9] Martinez F, Laxague A, Vida L, et al.Topographic anatomy of the asterion
[J]. Neurocirugia (Astur),2005,16(5):441-446.

[10] San M R D, Gailloud P, Rufenacht D A, et al.The craniocervical venous system in relation to cerebral venous drainage
[J].Am J Neuroradiol,2002,23(9):1500-1508.

[11]陈合新,钟世镇.乙状窦后进路骨窗和乳突孔定位的解剖学研究
[J].中国临床解剖学杂志,2000,18(3)：195-196.

[12] 郑　鸣, 程金妹. 颞骨乳突管（道）的应用解剖
[J].中国临床解剖学杂志,1998,16(1):15-18.

[13]Reis C V, Deshmukh V, Zabramski J M, et al. Anatomy of the mastoid emissary vein and venous system of the posterior neck region: neurosurgical implications
[J]. Neurosurgery,2007, 61(ONS Suppl 2):ONS193–ONS201.

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