成人颞区骨缝分型与临床意义考察
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- 英文论文题名：Types of bone suture in adult temporal region and its research in clinical significance
- 论文作者：林素华 ; 何英姿 ; 于晋平 ; 李春婷 ; 徐湘江 ; 罗文奇 ; 吴长初
- 英文论文作者：LIN Su-hua ; HE Ying-zi ; YU Jin-ping ; LI Chun-ting ; XU Xiang-hong ; LUO Wen-qi ; WU Chang-chu ; Changsha Medical University
- 年：2017
- 作者机构：长沙医学院;
- 论文关键词：颅骨连结 ; 翼点 ; 硬膜外血肿 ; 颅内手术入路
- 英文论文关键词：skull connection ; pterion ; epidural hematoma ; intracranial surgical ; approach
- 会议召开时间：2017-08-07
- 会议录名称：中国解剖学会第六届全国解剖学技术学术会议论文汇编
- 语种：中文
- 分类号：R322
- 学会代码：ZGJP
- 会议名称：中国解剖学会第六届全国解剖学技术学术会议
- 会议地点：中国江西九江
- 主办单位：中国解剖学会科技开发和咨询工作委员会
- 学会名称：中国解剖学会
- 页数：2
- 文件大小：2226k
- 原文格式：D
- 会议级别：全国
摘要
目的为了探索成人颅骨翼点骨连结的组成类型与临床应用关系,开展对其相关形态结构的考察。材料来源于解剖教学标本库,共39具完整成人颅骨,标本经过清洁、消毒和脱脂处理后的干骨,外形完整,表面结构标志清晰,满足考察要求。方法采用非测量观察法,根据河北新医大学人体解剖学编写组《人体解剖学》(上册),人民卫生出版社1977版颅骨翼点区骨的组成形式分类法逐一分类考察。结果发现每个颅骨双侧形态基本一致,属于蝶顶型(H型)48侧,占61.5%(76.5%~79.5%);翼上骨型(翼颞上骨混合型)12侧,占15.4%(10.1%~31.2%);联合型("X"或"K"字型)8侧,占10.3%(0.35%~1.5%);其他类型(融合型、不规则型)10侧,占12.8(0.15%~0.45%)。结论本次考察结果分析,经典5型中蝶顶型与翼上骨型出现率基本与统计正常值相近,但联合型出现率却明显高于正常值。此外本次39具颅骨中颞额突型缺失,而有不规则型出现。虽然样本数偏小,但还可见统计意义。
Objective To investigate the relationship between the compositional types of adult skull pterygoid bone connection and clinical application,and to investigate its related morphological structure.A total of 39 complete adult skulls were from the anatomical teaching specimen library,and the specimens were dry bone after cleaning,disinfection and degreasing treatment with complete shape,clear surface structure signs to meet the inspection requirements.Methods The non-measurement observation method was used to classify the compositional type of the skull pterygoid bone according to‘the human anatomy‘(Volume One) edited by the human anatomy group of Hebei Xinyi University and"Classification of the composition of the skull pterygoid bone"(4thedition)edited People's Medical Publishing House.Results The results showed that the bilateral shape of every skull were similar which included sphenoparietal type [H type,48 cases,accounting for 61.5%(76.5% ~ 79.5%)],epipteric bone(pterygoid supertemporal,12 cases,accounting for 15.4%(10.1% ~ 31.2%)],unions ["X"or"K"font,8 cases,10.3%(0.35% ~ 1.5%)],and other types [(fusion type or irregular type),10 cases,accounting for 12.8(0.15% ~ 0.45%)].Conclusion This study revealed that the occurrence rate of sphenoparietal type and epipteric bone which belongs to the five classic types was similar to the normal statistical value,but rate of the unions was significantly higher than the normal value.In addition,the frontal temporal is absent among these 39 skulls,and irregular type appeared.Although the sample size is small,it showed statistical significance.
Objective To investigate the relationship between the compositional types of adult skull pterygoid bone connection and clinical application,and to investigate its related morphological structure.A total of 39 complete adult skulls were from the anatomical teaching specimen library,and the specimens were dry bone after cleaning,disinfection and degreasing treatment with complete shape,clear surface structure signs to meet the inspection requirements.Methods The non-measurement observation method was used to classify the compositional type of the skull pterygoid bone according to‘the human anatomy‘(Volume One) edited by the human anatomy group of Hebei Xinyi University and"Classification of the composition of the skull pterygoid bone"(4thedition)edited People's Medical Publishing House.Results The results showed that the bilateral shape of every skull were similar which included sphenoparietal type [H type,48 cases,accounting for 61.5%(76.5% ~ 79.5%)],epipteric bone(pterygoid supertemporal,12 cases,accounting for 15.4%(10.1% ~ 31.2%)],unions ["X"or"K"font,8 cases,10.3%(0.35% ~ 1.5%)],and other types [(fusion type or irregular type),10 cases,accounting for 12.8(0.15% ~ 0.45%)].Conclusion This study revealed that the occurrence rate of sphenoparietal type and epipteric bone which belongs to the five classic types was similar to the normal statistical value,but rate of the unions was significantly higher than the normal value.In addition,the frontal temporal is absent among these 39 skulls,and irregular type appeared.Although the sample size is small,it showed statistical significance.
引文
[1]河北新医大学.人体解剖学编写组.人体解剖学(上册)[M].北京:人民卫生出版社,1977,71,264-306.
[2]杜斌,王少和,孙瑞凤,等.右侧翼点变异一例[J].解剖学杂志.2015,38(4):445.
[3]兰满生,黄阳生,汤挺兵,等.国人颅骨颞区的观察测量[J].2006,24(19):159.
[4]张涵,罗毅男,张友军,等.颞区解剖学特点及临床应用[J].吉林大学学报(医学版).2007,33(1):144-147.
[2]杜斌,王少和,孙瑞凤,等.右侧翼点变异一例[J].解剖学杂志.2015,38(4):445.
[3]兰满生,黄阳生,汤挺兵,等.国人颅骨颞区的观察测量[J].2006,24(19):159.
[4]张涵,罗毅男,张友军,等.颞区解剖学特点及临床应用[J].吉林大学学报(医学版).2007,33(1):144-147.