中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (22): 4071-4074.doi: 10.3969/j.issn.1673-8225.2012.22.019

• 骨与关节图像与影像 bone and joint imaging • 上一篇    下一篇

CT扫描和断层解剖观察蝶窦断层的解剖及临床意义*★

武志兵1，郭  兴2，李富德1，李和平1，李建斌1，刘学敏1   

  1. 1长治医学院解剖学教研室，山西省长治市046000；2长治医学院附属和平医院CT室，山西省长治市  046000
  • 收稿日期:2011-09-03 修回日期:2011-10-21 出版日期:2012-05-27 发布日期:2012-05-27
  • 通讯作者: 刘学敏，教授，长治医学院解剖学教研室，山西省长治市 046000 liuxuemin446@sina.com 并列通讯作者：李富德，教授，长治医学院解剖学教研室，山西省长治市 046000 cy1205@sina.cn
  • 作者简介:武志兵★，男，1971年生，山西省襄垣县人，汉族，2005年河北医科大学毕业，硕士，副教授，主要从事断层影像解剖学和人体解剖学教学的研究。czyxywzb2004@sina.com
  • 基金资助:

    2010度山西省高校高新技术产业化项目(2010017)。

Sectional anatomy and CT scanning of the sphenoid sinus and its clinical significance

Wu Zhi-bing1, Guo Xing2, Li Fu-de1, Li He-ping1, Li Jian-bin1, Liu Xue-min1   

  1. 1Department of Anatomy, Changzhi Medical College, Changzhi  046000, Shanxi Province, China; 2Department of CT, Affiliated Heping Hospital of Changzhi Medical College, Changzhi  046000, Shanxi Province, China
  • Received:2011-09-03 Revised:2011-10-21 Online:2012-05-27 Published:2012-05-27
  • Contact: Liu Xue-min, Professor, Department of Anatomy, Changzhi Medical College, Changzhi 046000, Shanxi Province, China liuxuemin446@sina.com Corresponding author: Li Fu-de, Professor, Department of Anatomy, Changzhi Medical College, Changzhi 046000, Shanxi Province, China cy1205@sina.cn
  • About author:Wu Zhi-bing★, Master, Associate professor, Department of Anatomy, Changzhi Medical College, Changzhi 046000, Shanxi Province, China czyxywzb2004@sina.com
  • Supported by:

    Shanxi Higher Education Institutions of 2010 High-Tech Industrialization Project, No. 2010017*

PDF

341

被引次数

1

摘要：

背景：正确掌握蝶窦的断层解剖是临床经鼻-蝶入路的关键。
目的：观测蝶窦断层解剖结构，为经鼻-蝶入路手术提供解剖学依据。
方法：采用CT扫描技术和断层解剖方法，对60例CT扫描头颅和20例尸头进行观察。
结果与结论：①蝶窦冠状断面显示视神经和海绵窦，两侧视神经和两侧颈内动脉间距分别是(16.02±3.47)，(17.23±3.64) mm。②正中矢状位，蝶窦口距离颅前窝底、蝶窦底、蝶窦后壁和前鼻棘分别是(9.57±2.51)，(12.75±3.64)，(23.42±4.36)，(57.82± 3.94) mm。前鼻棘距离鞍底中心(71.98±6.12) mm。③CT扫描可见“3房”“4房”蝶窦。提示蝶窦的断层解剖能为临床医生提供相应指导。
 

关键词: 蝶窦, 断层解剖, CT, 神经外科, 鼻内镜

Abstract:

BACKGROUND: To properly grasp the sectional anatomy of the sphenoid sinus is the key to clinical trans-sphenoidal approach.
OBJECTIVE: To provide an anatomic basis for trans-sphenoidal approach surgery by observing sectional anatomy of sphenoid sinus.
METHODS: CT scanning and sectional anatomy were used for observing 60 cases with CT scanning head and 20 cases head specimens.
RESULTS AND CONCLUSION: ① Optic nerve and cavernous sinus were clearly displayed on coronal section, average distances were (16.02±3.47) mm and (17.23±3.64) mm of two sides optic nerves and internal carotid artery. ② Average distances from the ostia of the sphenoidal sinus to the anterior cranial fossa base, the lowest point of the bottom of the sphenoidal sinus, the posterior wall of sphenoidal sinus and the anterior nasal spina were (9.57±2.51) mm, (12.75±3.64) mm, (23.42±4.36) mm and (57.82±3.94) mm, from the anterior nasal spina to the center of the sellar base was (71.98±6.12) mm on median sagittal plane. ③ Three and four antrums were found by CT scanning of the sphenoidal sinus. It is indicated that sectional anatomy of sphenoid sinus can provide a guide for surgeons.

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