Fournier H D, Dellière V, Gourraud J B, Mercier Ph
Laboratory of Anatomy, Faculty of Medicine, University of Angers, France.
Adv Tech Stand Neurosurg. 2006;31:253-71. doi: 10.1007/3-211-32234-5_6.
This chapter on surgical anatomy is addressed to young neurosurgeons and could be used as an introduction to basic neurosurgical technique. It aims to cover the basic anatomy relevant to making incisions in the scalp and creating bone flaps, an essential preliminary to any form of intracranial surgery. We will examine the anatomy of the scalp, its arterial and venous supply and its nervous system, as well as providing some technical points related to the cranial vault and the base of the skull. It will be explained how a well-grounded knowledge of the anatomical details makes it possible to execute correctly two of the most common approaches in neurosurgical practice, namely the pterional approach and an approach around the sinuso-jugular axis.
本章关于手术解剖学的内容是写给年轻神经外科医生的，可作为基本神经外科技术的入门介绍。其目的是涵盖与头皮切口及制作骨瓣相关的基础解剖知识，这是任何形式的颅内手术必不可少的前期准备。我们将研究头皮的解剖结构、其动脉和静脉供应以及神经系统，同时还会提供一些与颅顶和颅底相关的技术要点。还将解释如何基于扎实的解剖学细节知识正确实施神经外科实践中两种最常见的手术入路，即翼点入路和围绕窦 - 颈静脉轴的入路。
