Liliequsit膜和环中脑膜的显微解剖研究和临床意义

中国临床解剖学杂志 ›› 2012, Vol. 30 ›› Issue (6): 612-616.

Liliequsit膜和环中脑膜的显微解剖研究和临床意义

宋海民¹，　张震宇¹，　蒋秋华¹，　樊俊²，　漆松涛²

1.江西省赣州市人民医院南昌大学附属赣州医院神经外科, 江西赣州 341000；
2.南方医科大学南方医院神经外科，广州 510515

收稿日期:2012-09-01 出版日期:2012-11-25 发布日期:2012-12-11
通讯作者: 漆松涛,教授，博士生导师，Tel: 020-61641801 ，E-mail：nfcns@163.com E-mail:haimin1204@163.com
作者简介:宋海民（1984-），男，江西宁都人，研究方向：显微神经外科，Tel：13767785480

Microsurgical anatomy and clinical significance of liliequist and premesencephalic membranes

SONG Hai-min¹, ZHANG Zheng-yu¹, JIANG Qiu-hua¹, FAN Jun², QI Song-tao²

1.Department of Neurosurgery, The People Hospital of Ganzhou, Affiliated Hospital of Nanchang University, Ganzhou 341000, China; 2. Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China

Received:2012-09-01 Online:2012-11-25 Published:2012-12-11

摘要/Abstract

摘要：

目的　描述liliequist膜和环中脑膜的显微解剖特点及相互联系和临床意义。方法　在手术显微镜下对10例尸头的liliequist膜和环中脑膜的特点及相互联系进行观察。结果　Liliequist膜由中脑叶、间脑叶组成，中脑叶的前端附着存在2种形式；中脑叶的外侧边和环中脑膜前端相续。环中脑膜由枕叶底面、小脑上表面、颞叶底面蛛网膜在幕切迹处汇合环绕中脑而成，分为前、中以及后部。Liliequist膜中脑叶的外侧边和环中脑膜前部相连。结论　明确了liliequist膜组成，变异，外侧边和环中脑膜附着关系和临床意义。

关键词: 蛛网膜, 环中脑膜, 显微解剖, 脑池, 神经外科

Abstract:

Objective　To describe microsurgical anatomy characteristics and clinical significance of liliequist membrane and premesencephalic membranes and their relationship.　Methods　10 formalin-fixed cadaveric head specimens were dissected to observe features of liliequist membrane and premesencephalic membranes, as well their anatomic relationship.　Results　The liliequist membrane was composed of diencephalic and mesencephlic membranes. Anterior attachment of mesencephlic membrane presented 2 styles. Lateral border of mesencephlic membrane attached to the anterior of premesencephalic membrane. The perimesencephalic membrane originated from the reflexion of the arachnoidal membrane covered the lower surface of the temporo-occipital lobe and the upper surface of the cerebellum, which could be divided into anterior, medial and posterior parts. Lateral border of mesencephlic part of liliequist membranes connected with the anterior of premesencephalic membrane.　Conclusions　The structure, variation, relationship and clinical significance of liliequist membranes and premesencephalic membranes are explored and analyzed in this study.

Key words: Arachnoid membrane, Premesencephalic membrane, Microsurgery, Cistern, Neurosurgery

中图分类号:

宋海民, 张震宇, 蒋秋华, 樊俊, 漆松涛. Liliequsit膜和环中脑膜的显微解剖研究和临床意义[J]. 中国临床解剖学杂志, 2012, 30(6): 612-616.

SONG Hai-Min, ZHANG Shen-Yu, JIANG Qiu-Hua, FAN Dun, QI Song-Chao. Microsurgical anatomy and clinical significance of liliequist and premesencephalic membranes[J]. Chinese Journal Of Clinical Anatomy, 2012, 30(6): 612-616.

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