乙状窦前、远外侧联合手术入路的显微解剖

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1、中文摘要至枕大孔区的岩斜区病变是较为理想的手术切除入路。关键词：手术入路；岩斜区；乙状窦前；远外侧联合；显微解剖英文摘要Microanatomyandclinicalresearchforpresigmoidcombinedfar．1ateralapproachABSTRACTObjective：Petroclivalregionisformedbythejunctionofsphenoidbone，temporalboneandoccipitaljunction．Anatomicallyverycomplex，whichisde

2、epwithnarrowspaceandcontainsbrainstemandnerves，bloodvesselsandotherimportantstructures．Thestructureoftheregionhasbecomeoneofthemostcomplexareaintheskullbasesurgery．Itisverydifficulttocarryoutthesurgicalproceduresatthisregionwithhighermorbidity．Thisapproachissuitablefo

3、rthegiantandwidelyspreadedpetroclivallesionsandmanyneurosurgeonsfeelitthornyuptonow．Thisstudysubjecttoadultcadavericheadofthefarlateraljointsimulationpresigrnoidsurgicalapproachcraniotomymethod，theimportantanatomicalstructuresrelatedtomeasuredandphotographed．provideda

4、taformeoperationandphotographsforreference，theevaluationoftheapproachTherangeofexposureandthestrengthsandweaknesses，guidingrationalchoice，reducecomplicationsandimprovecurerate．Method：wemeasure5examplesofChineseadultdryskulland10dryexamplesofatlasandaxis．Fivenoobviousp

5、athologicalchangesChinesea∈lultcadaverheadswereobservedwhichthecarotidarterieswerefilledwithredemulsionandmevertebralarterieswerefilledwithblueemulsion(3maleand2female)．Microanatomyandmeasurementhavebeenperformedinbothsidesof5adultspecimensalterperformedaccordingtothe

6、proceduresofthefar．1ateralcombinedpresigmoidapproachunderthesurgicalmicroscope，forsomeanatomicalstructurephotographswastaken．Inthemeasurementdatainformation，thelengtharrivesatO．Olmmprecisely，theanglearrivespreciselyO．1。．obtainedgroupofdatabymeanvalue4-standarddeviatio

7、nandminimumvalue～maximumvalueexpression．TheoutcomeswereanalyzedwithSPSS100software．5英文摘要Result：@Resultofmeasuretheforamenmagnum：111esagittaldiameteroftheforamenmagnumiS33．054-2．81111111(28．15~36．30mm)：transferdiameteris27．654-1．72nHn(23．18-30．26mm)．Averagedistanceofto

8、pofprocessusmastoideustotheoutpartofcondylusoccipitalisisleftside21．66士3．32mm(18．35—24．99mm)．rightside23．484-3．47mm(19．58-28