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[关于海绵窦和三叉神经腔统一概念的呼吁]

[Plea for a unifying concept of the cavernous sinus and the trigeminal cavity].

作者信息

Bataille B, Sakka M, Lapierre F

机构信息

Service de Neurochirurgie, CHRU La Miletrie, Poitiers.

出版信息

Chirurgie. 1994;120(2):73-9.

PMID:7729219
Abstract

The object of this study is a scientific research in human and compared anatomy of the cavernous sinus and Meckel's cave. The observations made in the foetus and human adult are compared to these made in non human primates and domestic mammals, the cavernous sinus and the Meckel's cave contribute to realize a entirety that we call "a morphological and functional anatomical system". The human cavernous sinus and Meckel's cave are described as an indissociable parasellar space representing a heavy traffic area for vascular and nervous structures. In the human and non human primates, the authors observe a parasellar space which agreed with the concept of "trigeminal-cavernous anatomical system". In the cat, the same observations are made and an osseous outline closing the roof of the parasellar space is observed; this is the evidence of a more ancient osseous or cartilaginous wall. The authors demonstrate in the last part of this study that the morphogenesis of this trigeminal-cavernous system is in relation with the phylogenic development of its morphological and functional environment, that we call the "externation". This study is of interest: to a best understanding of the tumors involving the cavernous sinus, to a semantic point of view: an attempt to a review of the terminology applied to the cavernous sinus and Meckel's cave.

摘要

本研究的对象是对海绵窦和梅克尔腔进行人体及比较解剖学的科学研究。将在胎儿和成年人体中所做的观察与在非人类灵长类动物和家养哺乳动物中所做的观察进行比较,海绵窦和梅克尔腔共同构成了一个我们称之为“形态与功能解剖系统”的整体。人体海绵窦和梅克尔腔被描述为一个不可分割的鞍旁间隙,是血管和神经结构的重要通道区域。在人类和非人类灵长类动物中,作者观察到一个与“三叉神经 - 海绵窦解剖系统”概念相符的鞍旁间隙。在猫身上也有同样的观察结果,并且观察到有一个骨性轮廓封闭了鞍旁间隙的顶部;这证明存在一个更古老的骨壁或软骨壁。作者在本研究的最后部分证明,这个三叉神经 - 海绵窦系统的形态发生与其形态和功能环境的系统发育发展相关,我们将其称为“外部环境”。本研究具有重要意义:从更好地理解累及海绵窦的肿瘤方面来看;从语义学角度来看:试图对应用于海绵窦和梅克尔腔的术语进行综述。

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