發(fā)布時(shí)間：2018-02-26 17:33

  本文關(guān)鍵詞： 面神經(jīng) 中間神經(jīng) 小腦前下動脈 乙狀竇后-內(nèi)耳道上入路　出處：《鄭州大學(xué)》2006年碩士論文　論文類型：學(xué)位論文

【摘要】：本研究旨在了解橋小腦角的顯微解剖；探討枕下乙狀竇后入路及乙狀竇后-內(nèi)耳道上入路的優(yōu)缺點(diǎn)。本實(shí)驗(yàn)采用15例(30側(cè))干標(biāo)本和10例(20側(cè))濕標(biāo)本，按照枕下乙狀竇后入路和乙狀竇后-內(nèi)耳道上入路的所涉及的解剖區(qū)域，解剖觀測面神經(jīng)、中間神經(jīng)、小腦前下動脈及巖靜脈等諸多結(jié)構(gòu)，并對神經(jīng)外科手術(shù)乙狀竇后入路及乙狀竇后。內(nèi)耳道上入路作初步探討，主要實(shí)驗(yàn)結(jié)果如下： 1．面神經(jīng)橋小腦角池段長為11.13士1.35mm，內(nèi)耳道段長為10.69±0.90mm。面神經(jīng)在橋延溝的外端起自腦干，與其外側(cè)的前庭蝸神經(jīng)進(jìn)入腦干處相距2.38+0.65mm，距外側(cè)展神經(jīng)6.62±0.41mm，距三叉神經(jīng)7.59±1.08mm。由交匯角內(nèi)前方沿巖骨探查32mm，即可發(fā)現(xiàn)面聽神經(jīng)。 2．中間神經(jīng)單根束居多，共12側(cè)，，兩根束6側(cè)，三根束2側(cè)。未見四根束。中間神經(jīng)前庭部長為7.62±0.69mm，中間部長為10.05±1.12mm。 3．小腦前下動脈 小腦前下動脈(AICA)出現(xiàn)率為100％,20側(cè)共23支，單干18側(cè)，雙干1側(cè)，三干1側(cè)，未見缺失。20支起自基底動脈(BA)下段，2支起自BA中段，1支起自BA上段。副小腦前下動脈共出現(xiàn)3支，主要分支有迷路動脈、回返穿通動脈、弓狀下動脈。 4．10例(20側(cè))標(biāo)本共有27支巖靜脈，6側(cè)中存在有2～3支巖靜脈。巖靜脈在腦橋小腦角內(nèi)各屬支的匯合點(diǎn)至巖上竇入口處的距離為3.46±1.87mm。巖靜脈在注入巖上竇入口處的壓扁外徑為2.26±0.82mm。可在前庭蝸神經(jīng)正上方71mm
[Abstract]:The purpose of this study was to investigate the microanatomy of the cerebellopontine angle, and to explore the advantages and disadvantages of the retrosigmoid sinus approach and the retrosigmoid approach to the inner ear. 15 cases (30 sides) of dry specimens and 10 cases (20 sides) of wet specimens were used. According to the anatomical regions involved in the retrosigmoid suboccipital approach and the retrosigmoid approach and the superior approach to the internal auditory canal, the structures of the facial nerve, the intermediate nerve, the anterior inferior cerebellar artery and the petrosal vein were anatomically observed. The retrosigmoid approach, retrosigmoid sinus approach and suprasigmoid approach were discussed. The main results were as follows:. 1. The length of cerebellopontine cistern was 11.13 鹵1.35 mm, and the length of internal auditory canal was 10.69 鹵0.90 mm. The distance from the lateral vestibulocochlear nerve to the brainstem was 2.38 0.65 mm, 6.62 鹵0.41 mm from the lateral abductor nerve and 7.59 鹵1.08 mm from the trigeminal nerve. 2. There were 12, 6 and 2 bundles of the medial nerve, respectively. There were no four bundles. The vestibular part of the medial nerve was 7.62 鹵0.69 mm, and the middle part was 10.05 鹵1.12 mm. 3. The occurrence rate of AICA in 20 sides of anterior inferior cerebellar artery (AICA) was 100 and 20, 18 in single trunk, 1 in double trunk and 1 in third trunk. No missing .20 was found in the inferior segment of the basilar artery (BAA) and 2 branches in the middle segment of BA and 1 branch in the upper segment of BA. There were 3 branches of the anterior inferior accessory cerebellar artery, the labyrinthine artery, the return perforating artery, and the arcuate inferior artery. 4. There were 27 petrosal veins in 20 sides of 10 cases. The distance between the confluence of petrosal veins in the cerebellopontine angle and the entrance of the superior petrosal sinus was 3.46 鹵1.87 mm. the petrosal vein was compressed at the entrance of the superior petrosal sinus. The outer diameter was 2.26 鹵0.82mm. it was 71mm above the vestibulocochlear nerve.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2006
【分類號】：R322

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 潘亞文;與聽神經(jīng)瘤相關(guān)的橋腦小腦角區(qū)顯微解剖[J];國外醫(yī)學(xué)(神經(jīng)病學(xué)神經(jīng)外科學(xué)分冊);2003年04期

2 趙衛(wèi)東,周良輔,毛穎;乙狀竇后-內(nèi)聽道上入路的相關(guān)顯微解剖研究[J];中國臨床神經(jīng)科學(xué);2003年02期

3 賈旺 ,于春江 ,王鳳梅 ,陳菲;枕下-乙狀竇后-內(nèi)耳道入路顯微解剖學(xué)研究[J];首都醫(yī)科大學(xué)學(xué)報(bào);2004年01期

4 宮劍,于春江,關(guān)樹森,王鳳梅,陳菲;乙狀竇后經(jīng)內(nèi)聽道上嵴入路應(yīng)用解剖學(xué)研究[J];首都醫(yī)科大學(xué)學(xué)報(bào);2005年01期

5 房臺生,馬兆龍,楊慶余;巖靜脈的顯微外科解剖[J];西安交通大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);1982年01期

6 朱國臣,韓卉,牛朝詩;Dorello管區(qū)顯微外科解剖學(xué)研究[J];安徽醫(yī)科大學(xué)學(xué)報(bào);2001年02期

7 張巖松,惠國楨,常義,邵君義,劉宏毅;乙狀竇后內(nèi)聽道上入路的顯微解剖研究[J];江蘇醫(yī)藥;2002年11期

8 陳立華,陳凌,A.Samii,M.Samii,凌鋒;枕下乙狀竇后-內(nèi)聽道上入路顯微手術(shù)切除巖斜區(qū)腦膜瘤[J];中國耳鼻咽喉顱底外科雜志;2005年05期

9 王仲明;乙狀竇后進(jìn)路三叉神經(jīng)根手術(shù)中的微創(chuàng)技術(shù)[J];中華耳鼻咽喉科雜志;2004年04期

10 江濤,王忠誠,于春江,劉吉祥,陳菲,王鳳梅;單側(cè)枕下乙狀竇后入路磨開內(nèi)耳道后壁與骨迷路保護(hù)[J];中華神經(jīng)外科雜志;1999年04期

相關(guān)博士學(xué)位論文 前2條

1 李愛民;擴(kuò)大乙狀竇后經(jīng)內(nèi)耳孔上入路顯微外科解剖學(xué)系列研究[D];蘇州大學(xué);2002年

2 趙衛(wèi)東;乙狀竇后——內(nèi)聽道上入路的相關(guān)顯微解剖和臨床研究[D];復(fù)旦大學(xué);2003年

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