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• 专题研究-体质人类学 • 上一篇    下一篇

颞区解剖学特点及临床应用

张涵, 罗毅男,张友军*, 邬巍,李蕴潜,韩岩青   

  1. 吉林大学第一医院神经外科, 吉林 长春 130021
  • 收稿日期:2006-03-06 修回日期:1900-01-01 出版日期:2007-01-28 发布日期:2007-01-28
  • 通讯作者: 罗毅男

Anatomic feature and clinical application of temporal region

ZHANG Han, LUO Yi-nan, ZHANG You-jun*, WU Wei, LI Yun-qian, HAN Yan-qing   

  1. Department of Neurosurgery, First Hospital, Jilin University, Changchun 134001,China
  • Received:2006-03-06 Revised:1900-01-01 Online:2007-01-28 Published:2007-01-28
  • Contact: LUO Yi-nan

摘要: 目的:获得颞区解剖学数据、探讨颞中间隙在颞区二期植骨术的临床应用价值。 方法:10%甲醛固定的成人湿性头颅标本15具(30侧),在手术显微镜下对标本颞区进行逐层解剖,观察解剖层次及神经血管结构的走行及分布。把颞浅动脉主干与颧弓上缘交点、面神经颞支最颞侧支与颧弓上缘相交点、冠状缝与颞上线交点、颧弓后根前2 cm处颧弓上缘分别设为A、B、C、D点,测量A、B点与颧弓后根距离,观察CD线与面神经颞支的关系。 结果:① 颞区是头皮中富含筋膜和脂肪组织的区域,并有三个潜在的解剖间隙; ② A点距颧弓后根0.3~0.8 cm[(0.5±0.1) cm]、B点距颧弓后根2.2~3.5 cm[(2.6±0.3)cm]; ③面神经颞支均在CD连线前方的颞区内,75.0%行于皮下、21.4%行于颞浅间隙、3.6%行于颞中间隙。 结论: ① 颞中脂肪层是颞中间隙重要的解剖标志;② 在颧弓后根前1 cm处切开皮肤,不会损伤颞浅动脉主干;③ CD线后方颞区为避免面神经颞支损伤的安全操作区。

关键词: 面神经颞支, 颞浅动脉, 颧弓后根, 颞浅间隙, 颞中间隙

Abstract: To provide a detailed anatomic data of temporal region and evaluate the clinical application of intermedial temporal space in re-time bone graft operation. MethodsStepwise dissection was performed in the temporal region in 15 pre-fixed adult cadavers(30 sides) with the aid of surgical microscope,and the anatomic layers,the distribution of nerves and blood vessels in temporal region were observed. Results① Temporal region was rich in fascia layers,fatty tissue layers, and contained 3 latent anatomic spaces;② The distance between point A,B and dorsal root of ygomatic arch was 0.3-0.85 cm[(0.5±0.1)cm],2.2-3.5 cm [(2.6±0.3)cm], respectively. ③ All of the temporal branches of facial nerve were located in front of line CD,75.0% in subcutaneous tissue, 21.4% in superficial temporal space, 3.6% in intermedial temporal space. Conclusion ① The intermediate fat layer is an important landmark of intermediate temporal space;② The skin flap before dorsal root of ygomatic arch 1 cm is safety to temporal artery;③ The temporal space after the line CD is a safety operation area for the protection of temporal branch of facial nerve.

Key words: temporal branch of facial nerve, temporal artery, dorsal root of ygomatic arch, superficial temporal space, intermedial temporal space

中图分类号: 

  • R322.8