经鼻内镜筛骨纸板进路眶内手术的解剖学研究及其意义
陈合新, 张 伟, 王章峰, 文卫平, 左可军, 史剑波, 许 庚
中国临床解剖学杂志 ›› 2010, Vol. 28 ›› Issue (6) : 611.
经鼻内镜筛骨纸板进路眶内手术的解剖学研究及其意义
Anatomy and significance of the nasal endoscopic lamina erbitalis approach
目的 为经鼻内镜进行眶内手术提供解剖学依据。 方法 根据文献报道的手术方法,对筛骨纸板切除的范围和厚度、眶筋膜和眶脂肪的厚度进行测量。 结果 在眶纸板上可以矩形切除的范围前后长:(22.15±6.06)mm(20.16~14.68 mm);宽度为:(13.45±2.08)mm(12.66~14.44 mm)。筛骨纸板骨壁的厚度为(0.38±0.06)mm(0.30~0.46 mm),眶筋膜的厚度为(0.32±0.02)mm(0.30~0.38 mm),眶脂肪(福尔马林已经固定)厚度为(1.40±0.34)mm(1.18~1.76 mm)。 结论 经鼻内镜进行眶内手术具有可行性,本文的研究结果对临床手术的开展具有指导意义。
Objective To provide anatomic basis for the nasal endoscopic orbital interior operative approach. Methods According to the reported approach, the range and thickness of lamina erbitalis excised during the process, and the thickness of fasciae and fossae ischiorectalisadipose body of orbit were measured. Results Excisional range of lamina erbitalis was about 22.15±6.06 mm(20.16~14.68 mm) in length, and 13.45±2.08 mm(12.66~14.44 mm) in height. The thickness of orbital paper plate was 0.38±0.06 mm(0.30~0.46mm), the thickness of the fasciae of orbit was(0.32±0.02 mm(0.30~0.38 mm), and that of fossae ischiorectalisadipose body of orbit (fixed specimens) was about 1.40±0.34 mm(1.18~1.76 mm). Conclusions It is feasible to perform orbital interior operation under the guiding of nasal endoscope, and our result provide anatomic basis for clinical application of nasal endoscope.
国家杰出青年基金项目(39725025)
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