眶上裂区穿行颅神经显微解剖学观测.pdf

246 塑丛盘堂堂塑(医生堑2 1111生!旦笙塑董墨!麴 眶上裂区穿行颅神经显微解剖学观测+ 娄卫华6朱国臣孙永强黄新辉韩云志袁林林 郑州大学第一附属医院晖鼻u嘣喉一头颈外科郑州450052 △埘，45岁，博I．．主任嫉师．教授，博士研究生导师，研究方向：颅底外科基础与临床 关键词瞩上裂；颅神经；显微解剖学 中圈分类号R322．9 摘要目的：为眶上裂(SOl)区手术提供显微解剖学基础。方法：在于术屁微镜下观测20例(40侧)成人头颅 湿标本SOF区穿行颅神经的直径、位置及其毗邻关系。结果与结论：①泪腺神经距SOF外侧端(417±1．70)mm； ②滑车神经紧贴总胜环外侧人SOF；③动眼神经上距SOF内侧襞(183±0．62)mnl。 Microanatomicalofthe nerves the study cranial passingthroughsuperior orbitalfissure LOU Weihua，ZHU Linlin Guochen，SUNYongqiang，HUANGXinhui，HANYumhi，YUAN andNeck First Urtl— Oeptrrttrteno?厂O如r^‘nofn’y“go￡09y—HeadSurgery，theAffiliatedHospitat，Zhengzhou 450052 versity，Zhengzhou words Key orbital superiorfissure；cranialnel、,es；mieroanatomy AbstractAim：To the anatomiealbasisforthe ofthe oTbitalfissure(SOF、 providemicrosurgicai operationsuperior Method：7rhecouPseand ofthecranial12elWcS SOFwerestudiedin40sidesofadultcadaveric relationship passingthrough headsunderthe and from Conclusion：①ThedistancethelacrimalnervetothelateralendofSOF mimoseope．Results 17±1 nervewas attachedtothelateralsideofthecommontendinous m(4 70)mm；②Thetrochlearclosely ring；③The distancefromthe branchofoeul(Imotort1．ervctothemedial I 83±0 superior walf《SOF棚f 62)删n．r。pro,ide弹fep cneeforthe ofSOF the ofthenerves SOF． operationbyobservingmicroanatom