[1]韩奖励 　曹作为.CTA影像模拟眶上锁孔入路手术中颈内动脉的显露[J].中国临床神经外科杂志,2016,(02):87-88,91.[doi:10.13798/j.issn.1009-153X.2016.02.009]
　HAN Jiang-li,CAO Zuo-wei..Exposure of the internal carotid artery by surgery via supraorbital keyhole approach simulated on 3D-CTA images[J].,2016,(02):87-88,91.[doi:10.13798/j.issn.1009-153X.2016.02.009]
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CTA影像模拟眶上锁孔入路手术中颈内动脉的显露()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2016年02期
页码:
87-88,91
栏目:
论著
出版日期:
2016-02-25

文章信息/Info

Title:
Exposure of the internal carotid artery by surgery via supraorbital keyhole approach simulated on 3D-CTA images
文章编号:
1009-153X（2016）02-0087-02
作者:
韩奖励 　曹作为
570208，海口市人民医院神经外科（韩奖励 、曹作为）
通讯作者：曹作为，E-mail：HK-NS@163.com
Author(s):
HAN Jiang-li;  CAO Zuo-wei.
Department of Neurosurgery, Haikou Hospital, Central South University, Haikou 570208, China
关键词:
颈内动脉; 颅内段; CT血管造影; 模拟手术; 眶上锁孔入路; 前床突; 颅内动脉瘤; 影像解剖
Keywords:
Aneurysm;  Intracranial internal carotid artery;  Three-dimensional CT angiography;  Supraorbital keyhole approach; Simulated surfery;  Anterior clinoid process
分类号:
R 322.81; R 813
DOI:
10.13798/j.issn.1009-153X.2016.02.009
文献标志码:
A
摘要:
目的 应用CT血管造影（CTA）模拟去除前床突前后颈内动脉颅内段的显露情况，为眶上锁孔入路处理颈内动脉动脉瘤提供解剖数据。方法 收集30例双侧颈内动脉及颅底骨质无解剖异常的CTA影像数据，利用容积再现技术+图像融合技术重建颅骨及颅内主要动脉影像，然后用CTA重建影像模拟眶上锁孔入路手术时颈内动脉和颅骨的显露情况，测量去除前床突前后双侧颈内动脉颅内段的显露长度。结果 30例CTA影像获得60组去骨前后颈内动脉颅内段长度共120个。去除前床突前，颈内动脉的显露长度为4.1~21.9 mm，平均（14.7±3.7） mm；去除前床突后，颈内动脉的显露长度为21.4~39.4 mm，平均（30.6±4.1） mm。去骨前后测量长度有统计学差异（P<0.01）。去除前床突后，增加的长度为10.0~25.5 mm，平均（15.8±3.5） mm。结论 眶上锁孔入路中磨除同侧前床突能增加颈内动脉颅内段的显露范围，术中可利用此方法处理被前床突遮挡的颈内动脉动脉瘤。
Abstract:
Objective To provide the anatomical data for treating aneurysms of intracranial internal carotid artery (ICA). Methods Three-dimensional CT angiography (3D-CTA) was performed in 30 patients in order to obtain 3D-CTA images of heads and the reconstructed images of arteries and skull. The lengths of intracranial ICA exposed by surgery via supraorbital keyhole approach simulated on 3D-CTA images were measured and compared before and after the removal of anterior clinoid process. Results The exposed lengths of intracranial ICA were (14.7±3.7) mm and (30.6±4.1) mm respectively before and after the removal of the anterior clinoid process. There was significant difference in the exposed lengths of the intracranial ICA between before and after the removal of the anterior clinoid process. The length of intracranial ICA exposed by the removal of the anterior clinoid process was increased by (15.8±3.5) mm. Conclusions The exposed length of intracranial ICA can be increased after the removal of the anterior clinoid process during the supraorbital keyhole surgery. The ICA aneurysms obscured by the anterior clinoid process can be exposed by the removal of the anterior clinoid process.

参考文献/References:

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更新日期/Last Update: 2016-02-25