中国临床解剖学杂志 ›› 2010, Vol. 28 ›› Issue (6): 611-.

• 应用解剖 • 上一篇    下一篇

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1, 张 伟2, 王章峰1, 文卫平1, 左可军1, 史剑波1, 许 庚1   

  1. 1.中山大学附属第一医院耳鼻咽喉科医院,中山大学耳鼻喉科研究所,  广州   510080; 
    2.深圳市人民医院耳鼻咽喉科,  广东   深圳    518020
  • 收稿日期:2010-05-21 出版日期:2010-11-25 发布日期:2010-12-01
  • 通讯作者: 许 庚,教授,博士生导师,Tel:13902227692,E-mail:entxgfess@163.com E-mail:chenhexin9999@126.com
  • 作者简介:陈合新(1963-),男,教授,博士,硕士生导师,主要从事鼻内镜外科技术的研究,Tel:13802905858
  • 基金资助:

    国家杰出青年基金项目(39725025)

Anatomy and significance of the nasal endoscopic lamina erbitalis approach

CHEN He-xin, ZHANG Wei,WANG Zhang-feng,et al.   

  1. Hospital of Otorhinolaryngology, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China
  • Received:2010-05-21 Online:2010-11-25 Published:2010-12-01

摘要:

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。

关键词: 鼻内镜, 筛骨纸板, 手术进路

Abstract:

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.

Key words:  Nasal endoscope, Amina erbitalis, Operative approach

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