改良经眶入路翼腭窝穿刺解剖学观测

安月勇, 梁秀芬, 安然, 曲永松, 周燕, 冯建坤

中国临床解剖学杂志 ›› 2013, Vol. 31 ›› Issue (1) : 25-27.

中国临床解剖学杂志 ›› 2013, Vol. 31 ›› Issue (1) : 25-27.
应用解剖

改良经眶入路翼腭窝穿刺解剖学观测

  • 安月勇1, 梁秀芬1, 安然2, 曲永松1, 周燕1, 冯建坤1
作者信息 +

Anatomic investigation of modified approach of puncture of pterygopalatine fossa from orbit

  • AN Yue-yong, LIANG Xiu-fen, AN Ran, QU Yong-song, ZHOU Yan, FENG Jian-kun
Author information +
文章历史 +

摘要

目的 为眶入路法行翼腭窝穿刺提供新的进针路径。  方法 对77个(154侧)成人颅的眶和翼腭窝进行相关的观察和测量。  结果 眶外缘点至眶外下缘点、圆孔外口下缘、眶上裂后端、眶下裂前端的距离分别为:左(4.93±1.80)mm,右(4.02±2.05)mm;左(43.74±2.75)mm,右(43.80±2.89)mm;左(47.83±2.47)mm,右(47.74±2.53)mm;左(17.74±2.18)mm,右(17.43±1.97)mm。穿刺针(直针)由眶外缘点进入翼腭窝的成功率为:左侧96.10%;右侧93.51%。对穿刺针(直针)进入翼腭窝失败者改用弯针穿刺,直针和弯针由眶外缘点进入翼腭窝的总成功率为:左、右均达98.70%。  结论 经眶外缘点行眶入路翼腭窝穿刺可明显提高穿刺成功率。

Abstract

Objective To provide an anatomic basis for a modified approach of the puncture of the pterygopalatine fossa through the orbit. Methods The pterygopalatine fossa and orbit were observed with relevant anatomical data obtained in seventy-seven human skulls. Results  (1) The distance from the point of lateral orbital margin to the point of the inferolateral edge of the orbit was (4.93±1.80) mm at the left side and (4.02±2.05) mm at the right side; (2) The distance from the point of the lateral orbital margin to the point of the lower edge of the external aperture of the foramen rotundum was (43.74±2.74) mm at the left side and (43.80±2.89) mm at the right side; (3) The distance from the point of the lateral orbital margin to the point of the posterior end of the superior orbital fissure was (47.83±2.47) mm at the left side and (47.74±2.53) mm at the right side;(4)The distance from the point of the lateral orbital margin to the point of anterior end of the inferior orbital fissure was ( 17.74±2.18) mm at the left side and (17.43±1.97) mm at the right side.(5)The success rate of the puncture of the pterygopalatine fossa from the point of the lateral orbital margin with a straight needle was 96.10% at the left side and 93.51% at the right side;(6)The combined success rate of the puncture of the pterygopalatine fossa from the point of the lateral orbital margin using both a straight needle and a curved needle could reach 98.70% at both sides. Conclusion The success rate of the puncture of the pterygopalatine fossa from the point of lateral orbital margin was higher than that of other puncture methods.

关键词

翼腭窝 / 穿刺 / 眶下裂

Key words

Pterygopalatine fossa / Puncture / Inferior orbital fissure

引用本文

导出引用
安月勇, 梁秀芬, 安然, 曲永松, 周燕, 冯建坤. 改良经眶入路翼腭窝穿刺解剖学观测[J]. 中国临床解剖学杂志. 2013, 31(1): 25-27
AN Ru-Yong, LIANG Xiu-Fen, AN Ran, QU Yong-Song, ZHOU Yan, FENG Jian-Kun. Anatomic investigation of modified approach of puncture of pterygopalatine fossa from orbit[J]. Chinese Journal of Clinical Anatomy. 2013, 31(1): 25-27
中图分类号: R322.9   

参考文献


[1]  陆春才,陈雨田.颅骨圆孔的应用解剖
[J].中华口腔医学杂志,1987,22(6):346-347.

[2]  柳新华,卢凤山,周瑞芳,等.翼腭窝神经阻滞麻醉的临床应用
[J].现代口腔医学杂志,1997,11(3):204-205.

[3]  陶高见,林建.试验性经眶入路上颌神经阻滞在三叉神经痛治疗中的应用
[J].临床麻醉学杂志,2011,27(6):602-603.

[4]   陶高见,林建,朱丹.CT引导下经眶-圆孔入路射频热凝治疗第2支三叉神经痛
[J].中国疼痛医学杂志,2012,18(5):264-1268.

[5]  唐国琛,徐日晔,王继堂,等.中国北方人1000个颅眶区的研究
[J].哈尔滨医科大学学报,1983,2:13-16.

[6]  胡玉婷,韩卉,孟庆玲,等.上颌神经阻滞麻醉的应用解剖学基础
[J].四川解剖学杂志,2003,11(4):15-17.

[7]  占大兴, 柯国平.颅骨圆孔的应用解剖与临床
[J].数理医药学杂志,2000,13(4):323.

[8]  郑海宁,吴樾,吕杨波,等.翼腭窝手术入路的断层与应用解剖学研究
[J].中国临床解剖学杂志,2009,27(4):379-383.

[9]  胡玉亭,韩卉,庞刚.翼腭窝区多层螺旋CT的解剖学研究
[J].中国临床解剖学杂志,2005,23(6):566-569.

[10] 胡玉婷.翼腭窝的解剖学研究及临床意义
[J].中国临床解剖学杂志, 2004,22(1):104-108.

[11]张旭,杨澄.MSCT图像后处理在显示翼腭窝结构中的价值
[J].中国临床解剖学杂志, 2010,28(3):285-289.


Accesses

Citation

Detail

段落导航
相关文章

/