计算机断层扫描检测状孔中的辅助孔:对骨底部手术的影响
George Triantafyllou1,2, Ioannis Paschopoulos1, Panagiotis Papadopoulos-Manolarakis1,3
1Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece Athens.
The Journal of craniofacial surgery
|December 15, 2025
概括
在使用3DCT扫描的患者中,在3.6%的患者中发现了上孔 (JF) 的罕见辅助孔 (AF) 变体. 这一发现对于头骨底部手术的规划和预防神经损伤至关重要.
科学领域:
- 神经外科 神经外科
- 放射学 放射学是一门学科.
- 人体解剖学 解剖学 解剖学
背景情况:
- 精确的沟 (JF) 解剖学对于骨底部手术至关重要.
- 形态变异,如骨化硬膜隔断,影响手术结果.
- 附属孔 (AF) 是最近描述的JF下面表面的一个变体.
研究的目的:
- 通过使用高分辨率计算机断层扫描 (CT) 来评估辅助孔 (AF) 的放射性存在和特征.
主要方法:
- 追溯分析了168个高分辨率头部CT扫描 (336个侧面).
- 扫描在三维 (3D) 中被重建,并使用多平面重建 (MPR) 进行分析.
主要成果:
- 在6名患者 (3.6%) 中单方面确定了辅助孔 (AF).
- 3D重建可视化了所有AF病例,而MPR只划分了2.
- 左侧的AF更频繁,与性别或年龄没有显著的关联.
结论:
- 这项研究证实了罕见的辅助孔 (AF) 的体内存在,可能来自骨化硬膜隔膜.
- 3D CT重建对于检测这种变体是有效的.
- 识别AF对于在骨底部手术中进行手术前评估至关重要,以最大限度地降低下神经受伤风险.
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