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[生理状态下舌动脉的解剖学特征及其与舌根的关系]

[Anatomical characteristics of lingual artery in physiological condition and its relationship with tongue base].

作者信息

Gong Mingjie, Zou Jiaping, Wang Jungan

机构信息

Department of Otolaryngology-Head and Neck Surgery, the Third People's Hospital of Wuxi, 214000, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2012 Aug;26(16):736-8.

Abstract

OBJECTIVE

To provide the clinical anatomic data of the lingual artery with 3D CT reconstruction.

METHOD

Ten healthy subjects were recruited. Spiral CT scan ranged from the sternoclavicular joint to the lower edge of the orbit and the data was subjected to three-dimensional reconstruction. The distance from the origin of the lingual artery to the bifurcation of the common carotid artery and tip of the greater horn of hyoid bone were measured respectively and the distance between the midline of the lingual artery and the midline of tongue were also measured.

RESULT

The horizontal distance between starting level of lingual artery to the level of the hyoid horn tip was (1.51 +/- 0.35) cm. The horizontal distance between the level of the lingual artery to the carotid bifurcation was (0.95 +/- 0.31) cm. The comparison of the distance from lingual artery 1 cm anterior or posterior to foramen cecum to midline of tongue showed (t = 45.27, P < 0.01) a statistically significant difference.

CONCLUSION

The lingual artery could be demonstrated clearly in 3D reconstruction. To ensure the operative safety, the depth of radiofrequency for OSAHS at the tongue base should be limited within 2 centimeters.

摘要

目的

通过三维CT重建提供舌动脉的临床解剖学数据。

方法

招募10名健康受试者。螺旋CT扫描范围从胸锁关节至眼眶下缘,并对数据进行三维重建。分别测量舌动脉起点至颈总动脉分叉处以及舌骨大角尖端的距离,同时测量舌动脉中线与舌中线之间的距离。

结果

舌动脉起始水平至舌骨角尖端的水平距离为(1.51±0.35)cm。舌动脉水平至颈动脉分叉处的水平距离为(0.95±0.31)cm。舌动脉在盲孔前方或后方1 cm处至舌中线距离的比较显示(t = 45.27,P < 0.01)有统计学显著差异。

结论

三维重建可清晰显示舌动脉。为确保手术安全,阻塞性睡眠呼吸暂停低通气综合征(OSAHS)舌根射频治疗深度应限制在2厘米以内。

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