翼管走行的解剖测量及其临床意义

山东大学耳鼻喉眼学报

翼管走行的解剖测量及其临床意义

柳林整¹，刘红军²，李维民²

延安大学医学院第二附属医院 1. 耳鼻咽喉科； 2. 放射科，陕西绥德 718000

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-04-24 发布日期:2008-04-24
通讯作者: 柳林整

Measurement of the pterygoid canal and its clinical significance

LIU Lin-zheng¹，LIU Hong-jun²，LI Wei-min²

Department of Otorhinolaryngology; 2.Department of Radiology, Second Affiliated Hospital of Medical College, Yan′an University, Suide 718000, China

Received:1900-01-01 Revised:1900-01-01 Online:2008-04-24 Published:2008-04-24
Contact: LIU Lin-zheng

摘要/Abstract

摘要： 目的为临床经鼻内镜翼管神经穿刺手术提供解剖学依据。方法利用金属探针及X线片的辅助，主要对56侧颅骨翼管的相关骨性结构、解剖标志，特别是走行方向定位进行观测。结果翼管长度为（16.03±1.48）mm，双侧前口间距为（27.56±3.11）mm，双侧后口间距为（34.41±3.37）mm；鼻骨下缘中点与翼管前口距离（60.70±8.86）mm，前鼻棘至翼管前口距离为（58.16 ±5.80）mm，两者连线与翼管之间前夹角为（33.50±3.52）°；翼管与颅骨中矢状面之间的夹角（取双侧夹角的平均值）为（11.95±1.12）°，翼管与法兰克福平面间夹角为（6.86±3.37）°；翼管与下鼻道平面间夹角为（9.68±4.60）°。结论本研究的测量数据可作为经鼻内窥镜翼管神经穿刺术的重要解剖学参数。

关键词: 翼管, 翼管神经, 鼻炎, 变应性, 常年性, 解剖

Abstract: To provide an anatomical basis for vidian neurotomy by endonasal endoscopy. MethodsWith the assistant of a metal stylet and X-ray, the pterygoid canal and its track and orientation were dissected and observed on 56 sides of a skull. ResultsThe average length of the pterygoid canal was 16.03±1.48 mm and from the lower border midpoint of the nose bone to the anterior openings of the pterygoid canal was 60.70 ±8.86mm. Spacing between the twin anterior openings of the pterygoid canal was 27.56±3.11mm and between the twin back opening of the pterygoid canal was 34.41±3.37mm. The angle of the double pterygoid canal was 23.9±2.25°. The average length from the front nose thorn to the anterior opening of the pterygoid canal was 58.16±5.80mm and the average angle between their line and the pterygoid canal was 33.50±3.52°. The average angle between the pterygoid canal and the Frankfurt horizontal plane was 6.86±3.37° and between the pterygoid canal and the nose fundus plane was 9.68±4.60°. ConclusionThe resultant data attained in this research can be used as momentous parameters for vidian neurotomy by nostril endoscopy.

Key words: Vidian nerve, Rhinitis, Pterygoid canal, allergic, perennial, Anatomy

中图分类号:

R323.1

柳林整,刘红军,李维民 . 翼管走行的解剖测量及其临床意义[J]. 山东大学耳鼻喉眼学报, 2008, 22(2): 139-140 .

LIU Lin-zheng,LIU Hong-jun,LI Wei-min . Measurement of the pterygoid canal and its clinical significance[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(2): 139-140 .

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