乙状动脉与乙状细胞和前头骨底部相关的位置
Seiichiro Kamimura1, Keisuke Ishitani1, Hitoshi Shono1
1Department of Otolaryngology-Head and Neck Surgery, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
The journal of medical investigation : JMI
|October 27, 2024
概括
在日本患者身上绘制了内镜外科手术期间至关重要的状动脉. 外科医生必须注意头骨底部以下的前额状动脉,特别是带有上额状细胞的前额状动脉,以防止受伤.
科学领域:
- 人体解剖学 解剖学 解剖学
- 手术解剖学手术解剖学
- 医疗成像医学成像
背景情况:
- 在内镜性鼻手术 (ESS) 期间,甲状动脉易受损伤.
- 了解它们的精确解剖位置对于手术安全至关重要.
研究的目的:
- 为了研究甲状腺动脉相对于甲状腺细胞和前头骨底部 (ASB) 的解剖学定位.
- 为了评估这些关系,特别是在一个日本患者队列.
主要方法:
- 从50名日本患者 (100面) 的CT图像的回顾分析.
- 评估前 (AEA),中 (MEA) 和后 (PEA) 乙动脉与乙细胞相关的位置.
- 测量这些动脉与ASB的距离.
主要成果:
- 前和后动脉一直存在.
- 60%的AEA和9%的PEA位于ASB以下.
- 在21%的侧面中发现了中间的状动脉,其中23.8%的动脉位于ASB以下.
- 在患有上上皮质细胞 (SOECs) 的患者中观察到低于ASB的AEAs的发生率显著更高.
结论:
- 这项研究提供了详细的解剖数据在日本患者的ethmoidal动脉.
- SOECs的存在增加了AEA损伤的风险,因为它们通常位于ASB以下.
- 外科医生应谨慎行事,以避免在ESS期间在SOEC患者中发生AEA损伤.
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