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轨道的内镜360度视图:对内和外轨方法的比较解剖研究

Dario Gagliano¹, Roberto Manfrellotti², Nikolay Lasunin³

¹Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy; Laboratory of Surgical NeuroAnatomy (LSNA), Faculty of Medicine, Universitat de Barcelona, Villarroel 170, 08036 Barcelona, Spain.

Neurocirugia

|June 15, 2025

概括

结合内镜内 (EEA) 和跨轨道 (ETOA) 方法,提供了360度的轨道外科视图. 这项解剖学研究详细介绍了这些微创技术如何为复杂病理提供对轨道结构的全面访问.

科学领域:

神经外科神经外科
眼科医生眼科眼科
手术解剖学手术解剖学

背景情况:

轨道损伤治疗由于具有关键神经血管结构的深厚,狭窄的空间而带来了手术挑战.
传统的跨和面方法有其局限性.
最少侵入性技术,如内透视内透视方法 (EEA) 和内透视轨道方法 (ETOA) 已经出现,以减少发病率.

研究的目的:

为了比较和结合EEA和ETOA的外科观点.
为了实现对轨道的环接入.
为临床应用提供详细的解剖学概述.

主要方法:

在五个尸体标本 (10面) 上进行解剖剖.
静脉和静脉系统注射了乳.
使用微手术仪器和外科内镜进行的剖析.

主要成果:

暴露和剖析眼外肌肉,视神经,眼动脉和眼腺.
详细剖析了头骨神经 (眼运动神经,三角神经,垂体神经) 和眼神经的分支.
确定EEA和ETOA路径之间的通信区域,提供不同的视角.

结论:

合并的EEA和ETOA提供了360度的轨道视图.
欧洲经济区 (EEA) 提供了较低和中等的观点; ETOA提供了横向的观点.
这些方法为治疗轨道病理提供了最佳的暴露,但需要通过病例系列进行临床验证.

关键词:

进行内镜和内鼻腔治疗.进入一个内透视的跨轨道.解剖学研究研究解剖学研究.内镜内表面的方法.透视透视轨道接近的内镜方法.研究室的解剖学.轨道轨道的轨道.一个轨道的轨道.

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