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[基于神经外科视角,利用干燥颅骨对后颅窝进行解剖测量]

[On the anatomical measurements of the posterior fossa using dry skulls--from neurosurgical standpoint].

作者信息

Ogata M

出版信息

No Shinkei Geka. 1984 May;12(6):717-23.

PMID:6462364
Abstract

For the purpose of studying anatomy of the posterior fossa from neurosurgical standpoint, detailed observation and measurements were performed on dry skulls. In addition, literatures were reviewed concerning size and shape of the tentorial incisura, as well as anatomical locations of dural penetration of the cranial nerves, three to twelve, and numbers of their rootlets. As a cardinal landmark for posterior fossa craniotomy, junction of the transverse and the sigmoid sinuses was chosen. This corresponds to the crossing point of the following two lines: A) parieto-mastoid suture B) a line drawn from the mastoid tip perpendicular to a line connecting the mastoid tip and the inferior orbital ridge. The point also corresponds to the lateral extremity of the ridge of the petrous pyramid. Average length of the ridge of the petrous pyramid: 49.5 +/- 2.9 mm. Average distance from the lateral extremity of the ridge of the pyramis and the posterior margin of the internal acoustic meatus: 27.5 +/- 2.6 mm. Average distance from the lateral extremity of the ridge of the pyramis and that of the posterior clinoid process: 52.4 +/- 3.1 mm. Average distance from the anterior margin of the internal acoustic meatus to the lateral edge of the posterior clinoid process: 24.6 +/- 2.0 mm. Average distance from the posterior margin of the internal acoustic meatus to the posterior end of the semicircular canal: 13.1 +/- 1.9 mm. Average distance from the internal acoustic meatus to the facial canal (through which, tympanic segment of the facial nerve runs): 11.5 +/- 1.5 mm.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

为了从神经外科角度研究后颅窝的解剖结构,我们对干燥颅骨进行了详细的观察和测量。此外,还查阅了有关小脑幕切迹的大小和形状,以及第3至12对脑神经硬膜穿透的解剖位置及其神经根数量的文献。作为后颅窝开颅手术的主要标志,选择横窦和乙状窦的交界处。这对应于以下两条线的交叉点:A)顶乳缝;B)从乳突尖向连接乳突尖与眶下缘的线作垂线所形成的线。该点也对应于岩骨嵴的外侧端。岩骨嵴的平均长度:49.5±2.9毫米。岩骨嵴外侧端与内耳道后缘的平均距离:27.5±2.6毫米。岩骨嵴外侧端与后床突外侧端的平均距离:52.4±3.1毫米。内耳道前缘至后床突外侧缘的平均距离:24.6±2.0毫米。内耳道后缘至半规管后端的平均距离:13.1±1.9毫米。内耳道至面神经管(面神经鼓室段走行于此)的平均距离:11.5±1.5毫米。(摘要截选至250字)

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