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目的:探讨临床上各种海马杏仁核切除手术入路的优劣。方法:依据手术特点对15例(30侧)成人尸体头颅颞叶进行巨微解剖。结果:脉络膜裂是重要解剖间隙,其内有海马动脉、脉络膜前动脉走行,海马动脉是海马结构的主要供血动脉;大脑后动脉走行于环池内,与海马旁回间有蛛网膜相隔。结论;现有的经颞叶外侧皮层、经例裂、经颞底等入路各有其优劣,而经颧弓颞叶入路是相对安全的入路。
Objective: To investigate the clinical advantages and disadvantages of various surgical approaches for the surgical resection of the amygdala in the hippocampus. Methods: According to the characteristics of surgery, 15 cases (30 sides) of adult cadaver head and temporal lobe were micro-anatomized. Results: The choroid fissure is an important anatomic space. The hippocampal artery and the anterior choroidal artery travel. The hippocampal artery is the main feeding artery of the hippocampal formation. The posterior cerebral artery runs in the circular pool with arachnoid space separated from the parahippocampal gyrus. Conclusions. The existing lateral cortex of the temporal lobe has its own advantages and disadvantages, such as the cleft palate and the inferior temporal approach, while the approach to the temporal lobe through the zygomatic arch is relatively safe.