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骨性鼻泪管与周边结构的应用解剖

Applied anatomy of the bony nasolacrimal duct and its surrounding structures
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摘要 目的:充实骨性鼻泪管与周边结构的解剖数据,为临床手术提供解剖学参考。方法:由口腔专业教师在成人干颅骨上确定、标记骨性鼻泪管与周边结构的解剖位置,用游标卡尺、圆规等进行测量,记录数据,并进行统计学分析。结果:骨性鼻泪管上口的形状有3种,分别为圆形48.08%、卵圆形42.31%和椭圆形9.61%。骨性鼻泪管上口的左右径为(5.28±0.78)mm,前后径为(5.26±0.94)mm,上口外侧点到泪囊窝最高点的距离为(17.17±1.56)mm。骨性鼻泪管上口外侧点和泪囊窝最高点分别到上颌骨额突与鼻额缝前内侧交点、鼻额缝中点、同侧鼻骨外面静脉孔、同侧眶下孔内上缘点、颧颌缝与眶下缘交点、眶下裂前外侧点、颧额缝与眶外缘交点、眶上裂上外侧点、视神经孔上外侧点、眶上切迹的距离依次为(25.77±2.13)mm、(32.13±2.54)mm,(22.88±2.06)mm、(13.50±1.91)mm,(10.59±1.93)mm、(36.52±1.31)mm,(34.58±1.86)mm、(26.13±1.79)mm,(40.10±1.61)mm、(40.46±1.99)mm,(10.04±1.68)mm、(16.41±1.51)mm,(14.23±2.05)mm、(29.91±2.41)mm,(24.75±2.39)mm、(37.75±2.11)mm,(23.27±1.79)mm、(37.27±2.17)mm,(38.64±1.88)mm、(39.24±1.95)mm。上述左、右两侧各个距离差异无统计学意义。结论:骨性鼻泪管与周边结构距离的测量能够为临床相关手术提供解剖学依据。 Objective:To enrich the anatomical data of the bony nasolacrimal duct and its surrounding structures to provide anatomical reference for clinical surgery.Methods:The positions of various anatomical structures on 26 adult dry skulls were identified and marked by dental faculty members by using measuring tools such as vernier caliper and compass.The data were recorded and statistically analyzed.Results:There were three types of upper opening for the bony nasolacrimal duct:round 48.08%,oval 42.31%,and elliptic 9.61%.The transverse diameter of upper opening for the nasolacrimal duct was(5.28±0.78)mm,the anteroposterior diameter was(5.26±0.94)mm,and the distance from the lateral point of the upper opening to the highest point of the lacrimal sac fossa was(17.17±1.56)mm.The distances from the lateral point of the upper opening for the bony nasolacrimal duct,or the distances from the highest point of the lacrimal sac fossa to the following positions were as follows:to the intersection of the frontal process of the maxilla and the anteromedial point of the nasolacrimal suture were(25.77±2.13)mm,(32.13±2.54)mm;to the midpoint of the nasofrontal suture were(22.88±2.06)mm,(13.50±1.91)mm;to the external venous foramen of the ipsilateral nasal bone were(10.59±1.93)mm,(36.52±1.31)mm;to the inner upper margin of the ipsilateral infraorbital foramen were(34.58±1.86)mm,(26.13±1.79)mm;to the intersection of the zygomaticomaxillary suture with the inferior orbital margin were(40.10±1.61)mm,(40.46±1.99)mm;to the anterolateral point of the infraorbital fissure were(10.04±1.68)mm,(16.41±1.51)mm;to the intersection of the zygomaticofrontal suture and lateral orbital margin were(14.23±2.05)mm,(29.91±2.41)mm;to the superior lateral point of the supraorbital fissure were(24.75±2.39)mm,(37.75±2.11)mm;to the superior lateral point of the optic foramen were(23.27±1.79)mm,(37.27±2.17)mm;and to the supraorbital notch were(38.64±1.88)mm,(39.24±1.95)mm.After statistical analysis,the difference was not statistically signifi
作者 秦泗佳 苏晓丽 彭欢 钟钰西 苏军龙 周芳 刘昌奎 Qin Sijia;Su Xiaoli;Peng Huan;Zhong Yuxi;Su Junlong;Zhou Fang;Liu Changkui(School of Stomatology,Xi'an Medical University,Xi'an 710021,China;Research Center for Dental and Maxillofacial Tissue Regeneration and Repair,Xi'an Medical University,Xi'an 710021,China;Department of Basic Medicine,Xi'an Medical University,Xi'an 710021,China)
出处 《解剖学杂志》 CAS 2023年第6期521-524,共4页 Chinese Journal of Anatomy
基金 陕西省科技创新团队(2022TD-54) 西安医学院科研能力提升计划项目(2022NLTS092) 西安医学院教育教学改革研究项目(2020JG-37)。
关键词 鼻泪管 鼻额缝 颧额缝 眶上裂 眶上切迹 nasolacrimal duct nasofrontal suture zygomaticofrontal suture supraorbital fissure supraorbital notch
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