解剖学报 ›› 2023, Vol. 54 ›› Issue (5): 560-566.doi: 10.16098/j.issn.0529-1356.2023.05.009

• 解剖学 • 上一篇    下一篇

多模态电磁导航辅助新鲜尸头经鼻内镜的颅底解剖测量

周春辉 谢胜强 王姜婷 兰晓娟 张剑宁* 赵虎林*     

  1. 解放军总医院第六医学中心神经外科,北京 100048
  • 收稿日期:2022-04-26 修回日期:2022-08-25 出版日期:2023-10-06 发布日期:2023-12-25
  • 通讯作者: 赵虎林 E-mail:zhaohulin_90@sohu.com
  • 基金资助:
    首都卫生发展科研专项项目

Application of multimodal electromagnetic navigation in endoscopic endonasal skull base anatomical measurement of fresh cadavers 

ZHOU Chun-hui XIE Sheng-qiang WANG Jiang-ting LAN Xiao-juan ZHANG Jian-ning* ZHAO Hu-lin*    

  1. Department of Neurosurgery, the Sixth Medical Center of PLA General Hospital, Beijing 100048, China
  • Received:2022-04-26 Revised:2022-08-25 Online:2023-10-06 Published:2023-12-25
  • Contact: Hu-Lin ZHAO E-mail:zhaohulin_90@sohu.com

摘要:

目的 利用电磁导航观察并测量经鼻内镜入路(EEA)至腹侧颅底重要解剖结构,为临床手术提供数据。   方法 在10具新鲜尸头上利用电磁导航测量中央、旁中央腹侧颅底的解剖结构,其中颈内动脉(ICA)最为重要。   结果 电磁导航有助于判断重要的神经血管走行。腹侧颅底的ICA分为5段+7大分支,各自的长度、走行等均做了测量和记录。   结论 ICA的识别和保护是EEA处理腹侧颅底病变的关键,电磁导航辅助可以提高EEA手术效率和安全性。

关键词: 颈内动脉, 颅底, 经鼻内镜入路, 电磁导航, 解剖, 测量, 人 

Abstract:  Objective  Electromagnetic navigation was used to observe and measure important anatomical structures through endoscopic endoscopic approach (EEA) to the ventral skull base to provide data for clinical surgery.     Methods  Using electromagnetic navigation to measure the anatomical structure of the central and paracentral ventral skull base on 10 fresh cadavers, the internal carotid artery (ICA) was the most important.     Results  Electromagnetic navigation helped to determine the course of important neurovascular. The ICA of the ventral skull base was divided into 5 segments+7 major branches, and the length and course of each were measured and recorded.     Conclusion  The identification and protection of ICA is the key to EEA treatment of ventral skull base lesions, and electromagnetic navigation assistance can improve the efficiency and safety of EEA surgery
 

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