宫不烧过程和V2脊椎动脉之间的安全空间的解剖学研究
Shuang Wang1, Yi-Nan Zhang1, Xiao Yang2
1Department of Orthopedics, General Hospital of Northern Theater Command, Shenyang, China.
World neurosurgery
|September 12, 2024
概括
这项研究测量了216名患者的非烧结过程 (UP) 和脊椎动脉 (VA) 之间的安全距离. 结果表明,在UP周围大约有4毫米的安全手术空间,在UP的后端 (PT) 周围有10毫米的安全手术空间.
科学领域:
- 神经外科 神经外科
- 人体解剖学 解剖学 解剖学
- 放射学 放射学是一门学科.
背景情况:
- 前椎切除和融合 (ACDF) 需要精确的解剖学知识.
- 无烧结过程 (UP) 和它与脊椎动脉 (VA) 的关系对于手术安全至关重要.
研究的目的:
- 为了追溯测量未切割过程 (UP) 和脊椎动脉 (VA) 的V2段之间的安全手术距离.
- 在前椎手术过程中建立安全的手术走廊的解剖标志.
主要方法:
- 对216个头部和部CT血管图扫描进行了回顾性分析.
- 在UP的关键点 (上尖 - UT,后尖 - PT) 和VA (CA) 的中心从C3到C6之间进行了距离,宽度和深度的测量.
- 在左侧和右侧以及脊椎水平之间进行了比较分析.
主要成果:
- 在UP和VA的上端之间最窄的宽度为4.4毫米 (左侧C5-C6) 和4.6毫米 (右侧C5),这表明~4毫米的安全边缘.
- 在UP和VA的后端之间最窄的宽度为9.9毫米 (C4右) 和10毫米 (C3左),表明~10毫米的安全边缘.
- 从UP的后端到VA的最窄的深度为4.6毫米 (C3左) 和4.7毫米 (C3右),表明~4.5毫米的腹部安全边缘.
结论:
- 无烧结过程 (UP) 和它的后端 (PT) 在前脊椎手术中作为有价值的地标.
- 在UP之外存在大约4毫米的安全外科手术边缘,在尾部区域需要谨慎.
- 在 PT 外部存在大约 10 毫米的安全外科手术边缘,需要在头部区域进行护理,从 PT 处有 ~ 4.5 毫米的腹部边缘.
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