Karakhan V B, Shubaev K Iu
Zh Vopr Neirokhir Im N N Burdenko. 1988 Jan-Feb(1):45-8.
The structural topographic features of a constantly present surgically significant formation--the superior petrosal vein--were disclosed on the basis of postmortem examination of the region of the cerebellopontile angle (204 cases) by means of fine endofibroscopes introduced through a small trephination opening behind the mastoid process of the temporal bone. The method provides for detailed appraisal of the microtopography of the vessel in three-dimensional space without disturbing the regional structural relationships, and makes it possible to disclose more exactly the character of the connection of the vein with the meninges and to determine the variants of the topography of its orifice and the types of formation of the main venous collector without damaging this easily injured vessel. The surgical significance of the recorded features of the structure of the superior petrosal vein is shown.
通过颞骨乳突后小骨窗引入的精细纤维内镜,对204例小脑脑桥角区域进行尸检,揭示了一种持续存在的具有重要手术意义的结构——岩上静脉的结构地形特征。该方法能够在不干扰区域结构关系的情况下,对血管在三维空间中的微观地形进行详细评估,并且能够更准确地揭示静脉与脑膜的连接特征,确定其开口的地形变异以及主要静脉收集器的形成类型,而不会损伤这条容易受损的血管。文中展示了所记录的岩上静脉结构特征的手术意义。