咽鼓管薄层断层解剖及临床应用

山东大学学报(医学版) ›› 2010, Vol. 48 ›› Issue (10): 101-104.

咽鼓管薄层断层解剖及临床应用

李晓1，王启荣1，刘树伟2，韩飞1，古林涛1，梁辉1，崔朝阳1

1. 山东大学附属千佛山医院耳鼻咽喉科，济南 250014；
2. 山东大学医学院断层影像解剖学研究中心，济南 250012

收稿日期:2010-04-12 出版日期:2010-10-16 发布日期:2010-10-16
通讯作者: 王启荣（1958- ），男，主任医师，主要从事耳显微外科及鼻内镜的临床和基础研究。 E-mail: wangqirong1958@163.com
作者简介:李晓（1984- ），女，硕士研究生，主要从事耳科及鼻内镜基础和临床研究。 E-mail: 249436156@163.com

Lamellar sectional anatomy of the eustachian tube and its surgical significance

LI Xiao1, WANG Qi-rong1, LIU Shu-wei2, HAN Fei1, GU Lin-tao1, LIANG Hui1, CUI Zhao-yang1

1. Department of Otolaryngology, Qianfoshan Hospital of Shandong University, Jinan 250014, Shandong, China;
　2. Research Center for Sectional and Imaging Anatomy, School of Medicine, Shandong University,
Jinan 250012, Shandong, China

Received:2010-04-12 Online:2010-10-16 Published:2010-10-16

摘要/Abstract

摘要：

目的为咽鼓管周围区域手术提供解剖学资料。方法通过冰冻铣切技术获得咽鼓管区域连续薄层断层解剖图像，观察、测量咽鼓管及周围重要毗邻结构。结果咽鼓管两侧枕状黏膜间经测量，咽口宽度为（4.92±2.68）mm；于咽口所在平面，11侧未见下鼻甲，测量剩余19侧标本咽口到下鼻甲后端黏膜距离为（11.65±3.42）mm；咽鼓管骨部与颈动脉管间骨质厚度为（1.28±0.31）mm。结论通过对咽鼓管区的薄层断层解剖测量，可获得较精确的相关数据，为手术提供解剖学指导。

关键词: 咽鼓管；鼻咽；侧颅底；薄层断层解剖；冰冻铣切

Abstract:

Objective To provide lamellar sectional anatomy data for surgery of the eustachian tube. Methods The digital freezing milling technique was used to obtain continuous sectional data in order to observe and measure the cross-sectional images of the eustachian tube and other structures around it. Results The maximal longitude of the tubal torus was (4.92±22.68) mm, which was the width of the pharyngeal opening of the eustachian tube. On the plane of the pharyngeal opening, inferior nasal concha were observed in 19 of 30 subjects and the distance between them was (11.65±3.42)mm. The wall thickness between the bony part of auditory tube and carotid canal was (1.28±0.31)mm. Conclusion The precise data of the eustachian tube and its surroundings can be identified by lamellar sectional anatomy image, which is helpful for surgery.

Key words: Eustachian tube; Pharynx nasalis; Lateral cranial base; Lamellar sectional anatomy; Freezing milling technique

中图分类号:

R764.21

李晓1，王启荣1，刘树伟2，韩飞1，古林涛1，梁辉1，崔朝阳1. 咽鼓管薄层断层解剖及临床应用[J]. 山东大学学报(医学版), 2010, 48(10): 101-104.

LI Xiao1, WANG Qi-rong1, LIU Shu-wei2, HAN Fei1, GU Lin-tao1, LIANG Hui1, CUI Zhao-yang1. Lamellar sectional anatomy of the eustachian tube and its surgical significance[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2010, 48(10): 101-104.

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