鼻內(nèi)鏡下鼻腔淚囊造孔術(shù)的影像解剖和應(yīng)用解剖學研究.pdf

1、山西醫(yī)科大學碩士學位論文鼻內(nèi)鏡下鼻腔淚囊造孔術(shù)的影像解剖和應(yīng)用解剖學研究姓名：雷朝霞申請學位級別：碩士專業(yè)：耳鼻咽喉科學指導教師：王斌全武有禎20060523山西醫(yī)科大學碩士學位論文AbstractObjectiveMeetingtotheneedsfortheclinicaloperation，wehadtheresearchontheappliedanatomy，imaginganatomyandsectionalanatomyab

2、outnasolacrimalcanaloperationvianasalunderendoscopeAfterthat，wewanttohaveaquick，secureandeasieroperationmarginandsumtheadaptiontoitSOthatweprovidethereliableanatomydataandmeansforthediagnosisandendoscopicoperationonthedi

3、seaseofnasolacrimalcanalwehavedonethisworkSOastosuccessfullycarvingoutofthisoperationandinducingthecomplicationsMaterialandMethods：(至)Aplliedanatomystudy：56adultcadaverdeadswereselectedrandomized(male40，female16)，wecutth

4、eseheadsalongthelineofthemiddleaxialandbraintissuewereremmoved11lecourseofnasolacrimalcanal，thelocationandshapeofthecanalinferierostium，theadjacentrelationbetweenthecanalandothernasalrelatedstructurewerestudied：thelength

5、，theupperostiumsdiameter，thecanaldiameterandinnerwallthicknesslocatedinthecanalmiddleportion，thediameterandinnerwallthicknessoftheinferiorOStium，theangleofelevation，thedistancebetweenthefrontmarginoftheinferiorostiurnand

6、thefront砌acentportionoftheinferiorturbinate，thedistancebetweenthefrontmarginoftheinferiorostiumandthefrontnasalspine，thedistancebetweenthefrontmarginofmaxillarysinusostiumandtheposteriormarginofthecanalTheoverallrecorded

7、datawastreatedstatisticallybytheSPSSmicrosoft②THestudyofsectionalandCTimaginganatomy：SomeadultcadaverdeadswerescannedviaCTwithOMaxialplaneandthespecialcoronalplanewhichislocatedbetweentheoutstandingportionofthefrontaltub

8、erandthefrontnasalspinethatisanteversionby9。mthicknessofeveryscanningsectionis2mmnlelengthofnasolacrimalcamalwasmeas—uredandthescannedsectionallayerofthecarnalwasstudiedResult11圮lengthofnasolacrimalcarnalis1599mmonaverag

9、e(malel673mm，female1416mm)mdiameterofthecannal‘SupperOStiumis297mm(male309inln，female267m／n)mdiameterofthemiddleportionalongthecarnalis毛20mm(male436mm，female381mm)111ediameterofthecannal‘SostiumiS427mmTllethicknessofthec

10、annal’SupperostiuminnerwalliS073mm，nlethicknessofinnerwalllocatedinthecarnalmiddleportioniS055rainThedistancebe—tweenthecarnal’sinferiorostiumandthefrontnasalspineiS2197mm11ledistancebetweenthecannal’sinferiorostiumandth

11、efrontadjacentportionoftheinferiorturbinateis1054mmThedistancebetweenthefrontmarginofmaxillarysinusostiumandtheposteriorwallofthecarnalis382mm111eanglebetweenthecannal’Slongaxialandthelinefromthefrontaltubertothefrontnas

12、alspineis874。139。(55。13。)Accordingtothisline，thenasolacrimalcarnalwasscannedviaCTasthecoronalpositionTheentirelengthappearsNo3、4sectionallayerinmostcases111eresultofthesectionalanatomyarethesameastheresultofCTimagineinba