摘要
目的:对桥小脑角区(CPA)上血管神经复合体进行显微解剖研究,从而对临床范围三叉神经微血管减压术给予解剖学参考。方法:通过解剖15例灌有乳胶并经过甲醛(10%)固定的成人头颅标本,经枕下乙状窦后入路,在神经内镜辅助下对CPA区上血管神经复合体进行逐层解剖、观察、测量及照相。结果:CPA区上血管神经复合体由滑车及三叉神经、小脑上及前下动脉、岩静脉等结构组成,调整内镜角度可清晰显示三叉神经与小脑上动脉、岩静脉、小脑前下动脉的关系。结论:神经内镜辅助下CPA区上血管神经复合体详尽的解剖学研究,有助于提高微血管减压术(MVD)成功率并尽可能保存神经功能。
Objective：To investigate the microanatomical structures of the upper neurovascular complex. Methods：15 adult cadaveric heads fixed in 10% formalin were used for this study. The heads were placed in a head holder in a position simulating the trans-suboccipital retrosigmoid approach to the CPA region. Dissections were performed under magnification and endoscopy. Results：The upper neurovascular complex included trigeminal nerve,trochlear nerve and superior cerebellar artery,anteroinferior cerebellar artery, et al. The relationship between them can be clearly shown by endoscopy.Conclusion：Thorough anatomical study of the upper neurovascular complex can help to improve the success in Microvascular decompression（MVD）surgery,as well as satisfactory functional survival of the patient.
作者
雷钟奇
程宏伟
李长元
单明
洪文明
周律
LEI Zhong-qi;CHENG Hong-wei;LI Chang-yuan(The First Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhu)
出处
《安徽卫生职业技术学院学报》
2018年第4期20-22,共3页
Journal of Anhui Health Vocational & Technical College
基金
安徽省科技攻关计划项目(编号:12010402112)
