表面动脉活检切口优化:一个解剖学研究
Alexander R Engelmann1, Nicole P Rebollo, Suraj Bala
1Cleveland Clinic Foundation, Cole Eye Institute, Cleveland, Ohio, U.S.A.
Ophthalmic plastic and reconstructive surgery
|September 11, 2025
概括
这项研究在尸体中绘制了表面动脉 (STA) 路径,以指导活检. 在螺旋根附近可靠地找到STA,帮助外科医生在非可触摸的情况下.
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
- 血管解剖学 血管解剖学
背景情况:
- 动脉活检对于诊断巨细胞动脉炎至关重要.
- 触摸表面动脉 (STA) 可能很困难,复杂化了活检.
- 准确的解剖学知识对于安全有效的动脉活检至关重要.
研究的目的:
- 为了划出表面动脉 (STA) 的解剖过程.
- 为了确定最优的切口部位时动脉活检时脉冲不是可触摸的.
- 为了最大限度地减少周围结构,特别是面部神经的阳性损伤.
主要方法:
- 12个新鲜的成年尸体头部的解剖学剖析.
- 注射红色烯乳以可视化STA.
- 标准化冠状切口和对STA位置在网格系统上的分析.
主要成果:
- STA始终在螺旋根的45毫米范围内穿过冠状切口线.
- 在68.4%的标本中,STA位于特定的5x5毫米区域内 (10-15毫米头骨,切口前5-10毫米).
- 在所有情况下,STA都在最佳位置的7毫米范围内.
结论:
- 通过特定的切口策略,可以可靠地定位STA用于活检.
- 建议从5毫米前方和5毫米头骨开始切口到螺旋根.
- 这种以后方和骨角度的方法有助于安全地遇到STA并避免面部神经受伤.
相关概念视频
01:14Temperature Measurement Sites
A thermometer measures body temperature. The common sites for measuring body temperature are the oral cavity, axillary region, temporal artery, and skin surface, such as the forehead, abdomen, and axilla. True core body temperature is assessed in the rectum, tympanic membrane, pulmonary artery, esophagus, and urinary bladder.
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
01:19Assessing Body Temperature - Temporal Artery
Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's forehead...
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's forehead...