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[CT和MRI对蝶骨外侧壁解剖结构的相关研究]

[Related structures of the lateral sphenoid wall anatomy studies in CT and MRI].

作者信息

Liu Sha, Wang Zhenchang, Zhou Bing, Yang Bentao, Fan Erzhong, Li Ying

机构信息

Beijing Institute of Otolaryngology, Beijing 100005.

出版信息

Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2002 Aug;16(8):407-9.

Abstract

OBJECTIVE

To study the anatomy of the Lateral Sphenoid Wall in CT and MRI in normal adults so as to provide a theoretical basis for imagine science.

METHOD

High resolution CT in axial and coronal planes was conducted on 25 normal adults. MRI in axial and coronal planes, using SE T1 WI and FSE T2 WI was conducted on 20 volunteers.

RESULT

  1. The pneumatisation of sphenoid sinus can be divided into two types: Pneumatisation of the sphenoid body and the one of sphenoid process. The former one can be subdivided into three categories: concha (2%), pre sellar (20%), sellar (78%). The latter can be subdivided into four categories: lesser wing (38%), greater wing (40%), pterygoid process (34%) and dorsum sellar (6%). 2. The thinnest part (< 1 mm) of the LSW is located at the inner wall of the optic nerve canal (96%), at the bony wall in the plane of sphenoethmoid recess (86%), the bony wall in the plane of the internal carotid artery (66%). 3. Over pneumatised sphenoid sinus could make the foramen rotumdum (64%) and pterygoid canal (44%) protrudes into the sphenoid cavity.

CONCLUSION

Attention should be paid to the various mode of pneumatization around the optic nerve canal.

摘要

目的

研究正常成年人蝶骨外侧壁在CT和MRI上的解剖结构,为影像科学提供理论依据。

方法

对25例正常成年人进行轴位和冠状位高分辨率CT检查。对20名志愿者进行轴位和冠状位MRI检查,采用SE T1WI和FSE T2WI序列。

结果

1.蝶窦气化可分为两种类型:蝶骨体气化和蝶骨突气化。前者可细分为三类:鼻甲型(2%)、鞍前型(20%)、鞍型(78%)。后者可细分为四类:小翼型(38%)、大翼型(40%)、翼突型(34%)和鞍背型(6%)。2.蝶骨外侧壁最薄处(<1mm)位于视神经管内壁(96%)、蝶筛隐窝平面骨壁(86%)、颈内动脉平面骨壁(66%)。3.过度气化的蝶窦可使圆孔(64%)和翼管(44%)突入蝶窦腔内。

结论

应注意视神经管周围各种气化方式。

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