单鼻孔经蝶入路鞍区手术的蝶窦前壁解剖学研究

1、单鼻孔经蝶入路鞍区手术的蝶窦前壁解剖学研究?15?4.2?0.6mm?4.9?0.9mm?5.2?0.8mm?60.40?3.20mm?31.5?2.7?3.82?0.35mm?6.62?0.48mm?;?;?3.5mm?;?;?;?:R741.02:A:1006-351X(2021)03-0164-03A?-?SUNG?-?HAO?-?LIUR?-?ANGM?-?ANGL?-?LIU?-?HAN?-?.DepartmentofNeurosurger?theSecondHospitalofHebeiMedicalUniversit?Shijia?huang05000ChinaC?:SUNGuo

2、-?huEamil:sungg?h705sohu ?A?O?Toprovideanatomicdataforaccuratel?locali?ingtheapertureofsphenoidalsinswithoousideinjur?.M?Theanteriorwallsofspheroidsinusandanaslseptawereobservedandmeasuredwithaerniercaliperandananglegaugeon15adultcadavers.R?Thethicknessofanteriorpartcentralpartandposteriorpartofanas

3、lseptawere4.2?0.6mm4.9?0.9mmand5.2?0.8mmrespectivel?.Thedistancefromtherootofcolumellanasitotheinforiorpolesofphenoidalsinusaperturewas60.40?3.20mmandtheanglewithbasiscavumnasiwas31.5?2.7mm.Thedistancesfromtheinforiorpoleofsphenoidalsinusaperturetothesuperiorandinferiorposteriorarter?ofnasalseptumwe

4、re3.82?0.35mmand6.62?0.48mmrespectivel?.C?Theapproachofcuttingopenthecentralregionofanaslseptumisrecommendedandapertureofsphenoidalsinusisanimportantmarkerinsingle-nostriltranssphenoidalmicrosurger?.Thebelowboundar?ofopenningtheanteriorwallofsphenoidsinusshouldnotbemorethan3.5mm.?K?Single-nostrilapp

5、roach;Nasalseptum;Apertureofsphcnoidalsinus;Sphenopalatinearter?(07052)?050000(?)?(?)?1-2?15?1.:?15?2.:?(?)?(?0.5mm)?(?0.2mm)?(?0.1?)?3.:?123?30?4612021193:?(?)?4.:?SPASS15.0?s?1.?4.2?0.6mm?4.9?0.9mm5.2?0.8mm?20.8?1.9mm(19.6?25.9mm)?40.6?3.2mm(37.7?52.1mm)?29.6?2.32mm(26.4?37.1mm)?39.1?3.6mm(33.0?45

6、.8mm)?2.?0.34?0.07mm(0.24?0.38mm)?;?(?)?13?7mm;?1?2?1.6?0.4mm(1.4?2.2mm)?1.6?0.5mm(1.4?2.4mm)?1.1?0.3mm(0.7?1.5mm)?1.3?0.2mm(0.8?1.6mm)?3.82?0.35mm(3.4?4.1mm)?6.62?0.48mm(5.5?8.1mm)?1.6?0.4mm(1.4?2.2mm)?3.?60.0%(18)?26.7%(8)?13.3%(6)?:?3.5?1.5mm(1.2?6.6mm)?1.5?0.5mm(0.8?2.6mm)?3.4?1.0mm(1.3?4.8mm)?3

7、.7?1.0mm(1.9?7.2mm)?12.44?1.63mm(10.24?14.69mm)?7.3?2.4mm(2.0?18.0mm)?57.8?4.9mm(52?63mm)?31.5?2.7?(28.1?33.7?);?60.40?3.20mm(56?64mm)?4.?:?)?;?;?;?;?3?5612021193?3mm?4-5?6?:?)?1mm?7;?65%30%(?)?5%8?(60.0%)?(26.7%)?(13.3%)?3.5?1.5mm1.5?0.5mm3.7?1.0mm12.44?1.63mm?60.40?3.20mm57.8?4.9mm31.5?2.7?62.14?1

8、.93mm12.20?1.10mm9?3.82?0.35mm?6.62?0.48mm?3.5mm?7?1.200686:1585-1588.2ZhaoBWeiYKLiGLetal.E?tendedtranssphenoidalapproachforpituitar?adenomasinvadingtheanteriorcranialbasecavernoussinusandclivus:asingle-centere?periencewith126consecutivecases.JNeurosurg2021112:108-117.3.-.20065:639-641.4MortiniPBar?

9、aghiRLosaMetal.Surgicaltreatmentofgiantpituitar?adenomas:strategiesandresultsinaseriesof95consecurivepatients.Neurosurger?200760:993-1002.5DePaivaNetoMAVandergriftAFatemiNetal.Endonasaltranssphenoidalsurger?andmultimodalit?treatmentforgiantpituitar?adenomas.ClinEndocrinol(O?f)?202172:512-9.6.200510:244-246.7.20054:41-43.8ThomasRFMon