• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

术前计算机断层扫描成像中用于鼻内镜经蝶窦入路手术规划的解剖变异发生率

Prevalence of anatomical variants in preoperative computed tomography imaging for surgical planning of the endonasal transsphenoidal corridor.

作者信息

Vera Larrea Marcelo Rafael, Santibáñez Vásquez Rocío, Martínez Neira David

机构信息

Faculty of Medical Sciences, Universidad Catolica de Santiago de Guayaquil, Guayaquil, Guayas, Ecuador.

Department of Neurosurgery, Luis Vernaza Hospital, Junta de Beneficencia de Guayaquil, Guayaquil, Guayas, Ecuador.

出版信息

Surg Neurol Int. 2025 May 30;16:208. doi: 10.25259/SNI_294_2025. eCollection 2025.

DOI:10.25259/SNI_294_2025
PMID:40469359
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12134806/
Abstract

BACKGROUND

The endonasal transsphenoidal approach is a fundamental technique for the resection of pituitary tumors. Anatomical variability of the sphenoid sinus and its relationship with neurovascular structures can influence surgical planning and outcomes.

METHODS

A retrospective observational prevalence study was conducted using data from 102 patients from the INVIMEDIC database. Preoperative tomographic images in DICOM format were analyzed using RadiAnt Viewer. Data were collected in Microsoft Excel and analyzed with the Statistical Package for the Social Sciences 28 for Windows, including cross tables, Pearson's Chi-square test, and logistic regression analysis.

RESULTS

Significant sex-based differences were identified in sphenoid sinus morphology. The mean anteroposterior length in the overall population was 24.55 mm, with males showing greater depth (26.01 mm vs. 22.98 mm in females) and width (33.26 mm vs. 29.94 mm in females).

CONCLUSION

Significant morphological differences in the sphenoid sinus were observed between sexes, highlighting dimensions that contrast with previous studies. These findings emphasize the importance of assessing anatomical variations to optimize transsphenoidal approach planning and minimize surgical risks.

摘要

背景

经鼻蝶窦入路是垂体瘤切除的基本技术。蝶窦的解剖变异及其与神经血管结构的关系会影响手术规划和结果。

方法

使用来自INVIMEDIC数据库的102例患者的数据进行回顾性观察患病率研究。使用RadiAnt Viewer分析DICOM格式的术前断层图像。数据收集在Microsoft Excel中，并使用适用于Windows的社会科学统计软件包28进行分析，包括交叉表、Pearson卡方检验和逻辑回归分析。

结果

在蝶窦形态上发现了显著的性别差异。总体人群的平均前后长度为24.55毫米，男性的深度更大（26.01毫米对女性的22.98毫米），宽度也更大（33.26毫米对女性的29.94毫米）。

结论

观察到蝶窦在性别之间存在显著的形态差异，突出了与先前研究不同的维度。这些发现强调了评估解剖变异以优化经蝶窦入路规划并最小化手术风险的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad56/12134806/652fbc91a154/SNI-16-208-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad56/12134806/819e43b93d78/SNI-16-208-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad56/12134806/6af41115db84/SNI-16-208-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad56/12134806/14fca10c61bc/SNI-16-208-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad56/12134806/46fd7d7afbe9/SNI-16-208-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad56/12134806/29ccd59d3bc0/SNI-16-208-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad56/12134806/652fbc91a154/SNI-16-208-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad56/12134806/819e43b93d78/SNI-16-208-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad56/12134806/6af41115db84/SNI-16-208-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad56/12134806/14fca10c61bc/SNI-16-208-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad56/12134806/46fd7d7afbe9/SNI-16-208-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad56/12134806/29ccd59d3bc0/SNI-16-208-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad56/12134806/652fbc91a154/SNI-16-208-g006.jpg

相似文献

1
Prevalence of anatomical variants in preoperative computed tomography imaging for surgical planning of the endonasal transsphenoidal corridor.术前计算机断层扫描成像中用于鼻内镜经蝶窦入路手术规划的解剖变异发生率
Surg Neurol Int. 2025 May 30;16:208. doi: 10.25259/SNI_294_2025. eCollection 2025.
2
Sella turcica anatomy by three-dimensional computed tomography for an endonasal transsphenoidal approach to pituitary adenoma.经鼻蝶入路垂体腺瘤手术中三维计算机断层扫描下的蝶鞍解剖
Minim Invasive Neurosurg. 2011 Aug;54(4):162-6. doi: 10.1055/s-0031-1284385. Epub 2011 Sep 15.
3
The neurosurgical anatomy of the sphenoid sinus and sellar floor in endoscopic transsphenoidal surgery.经蝶窦内镜手术中蝶窦及鞍底的神经外科解剖。
J Neurosurg. 2011 May;114(5):1319-30. doi: 10.3171/2010.11.JNS10768. Epub 2011 Jan 14.
4
Imaging Evaluation of the Location and Fenestration of Sellar Floor During Endonasal Transsphenoidal Surgery in Patients with Pituitary Adenomas.垂体腺瘤患者经鼻蝶窦手术中蝶鞍底位置及开窗的影像学评估
World Neurosurg. 2018 Aug;116:e232-e238. doi: 10.1016/j.wneu.2018.04.178. Epub 2018 May 3.
5
Critical analysis of anatomical landmarks within the sphenoid sinus for transsphenoidal surgery.经蝶窦手术中蝶窦内解剖标志的批判性分析。
Eur Arch Otorhinolaryngol. 2016 Nov;273(11):3929-3936. doi: 10.1007/s00405-016-4052-z. Epub 2016 Apr 21.
6
Anatomical Features and Morphometric Characteristics of the Sphenoidal Sinus in MRI Studies.MRI研究中蝶窦的解剖特征和形态测量特征
Cureus. 2024 Aug 13;16(8):e66764. doi: 10.7759/cureus.66764. eCollection 2024 Aug.
7
Relationship of anatomical variations of sphenoid sinus and the outcomes of endoscopic endonasal transsphenoidal surgeries: a systematic review.蝶窦解剖变异与鼻内镜下经鼻蝶窦手术疗效的关系：一项系统评价
Eur Arch Otorhinolaryngol. 2025 May;282(5):2189-2202. doi: 10.1007/s00405-024-09082-1. Epub 2024 Nov 23.
8
Anatomical Differences in Sphenoid Sinus During Endoscopic Transsphenoidal Surgery: Comparison Between Nonfunctioning Pituitary Neuroendocrine Tumor (PiTNET) and Growth Hormone-Secreting PiTNET.蝶窦在经鼻蝶窦入路手术中的解剖差异：无功能垂体神经内分泌肿瘤（PiTNET）和生长激素分泌型 PiTNET 的比较。
World Neurosurg. 2024 Oct;190:e701-e706. doi: 10.1016/j.wneu.2024.07.209. Epub 2024 Aug 6.
9
Endoscopic endonasal transsphenoidal approach to large and giant pituitary adenomas: institutional experience and predictors of extent of resection.经鼻内镜蝶窦入路切除大型和巨大型垂体腺瘤：机构经验和影响切除程度的预测因素。
J Neurosurg. 2014 Jul;121(1):75-83. doi: 10.3171/2014.3.JNS131679. Epub 2014 May 2.
10
Reoperative endoscopic endonasal surgery for residual or recurrent pituitary adenomas.经鼻内镜垂体腺瘤术后残留或复发的再次手术治疗。
J Neurosurg. 2017 Aug;127(2):397-408. doi: 10.3171/2016.8.JNS152709. Epub 2016 Oct 28.

本文引用的文献

1
Anatomic Variation for the Endoscopic Endonasal Transsphenoidal Approach.经鼻内镜颅底入路的解剖变异。
World Neurosurg. 2021 Dec;156:111-119. doi: 10.1016/j.wneu.2021.09.103. Epub 2021 Oct 2.
2
Endoscopic Endonasal Transsphenoidal Pituitary Surgery: Experience of 80 Cases.鼻内镜下经蝶窦垂体手术：80例经验
Turk Neurosurg. 2015;25(6):883-7. doi: 10.5137/1019-5149.JTN.10495-14.2.
3
Variations of endonasal anatomy: relevance for the endoscopic endonasal transsphenoidal approach.鼻腔内解剖结构的变异：与经鼻内镜经蝶窦入路相关。
Acta Neurochir (Wien). 2010 Jun;152(6):1015-20. doi: 10.1007/s00701-010-0629-2. Epub 2010 Mar 23.
4
Endoscopic endonasal transsphenoidal approach to the sellar region: results of endoscopic dissection on 30 cadavers.经鼻内镜经蝶窦入路至鞍区：30例尸体的内镜解剖结果
Turk Neurosurg. 2009 Jul;19(3):237-44.