首都医科大学学报 ›› 2013, Vol. 34 ›› Issue (3): 353-357.doi: 10.3969/j.issn.1006-7795.2013.03.006

• 医学影像学专题 • 上一篇    下一篇

基于容积CT的成人颧面管解剖研究

吕晗, 李静, 赵鹏飞, 王振常   

  1. 首都医科大学附属北京同仁医院医学影像中心,北京 100730
  • 收稿日期:2013-03-05 出版日期:2013-06-21 发布日期:2013-06-17
  • 通讯作者: 王振常 E-mail:cjr.wzhch@vip.163.com
  • 基金资助:

    北京市卫生系统高层次卫生技术人才(2011-2-10)。

Analysis of adult zygomatico-facial tube anatomy based on spiral CT

LV Han, LI Jing, ZHAO Pengfei, WANG Zhenchang   

  1. Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • Received:2013-03-05 Online:2013-06-21 Published:2013-06-17
  • Supported by:

    This study was supported by Qualified Technician Foundation of Beijing Health System (2011-2-10).

摘要:

目的 探讨颧面管的解剖特点,为临床手术及骨折的影像鉴别诊断提供解剖学依据。方法 对50例成人眼眶容积CT图像进行标准化处理,观察颧面管的显示率、形态、分支、平均长度、外孔至眶内缘距离、内外孔数量及孔径。结果 颧面管显示率为89.0%,男女、左右2侧显示率比较,差异无统计学意义。颧面管为管状形或迂曲形,共有45侧颧面管发出分支进入颧骨。根据走行分6型,分别为单支型(21.0%)、两支型(17.0%)、三支型(1.0%)、分叉型(31.0%)、两组分叉型(2.0%)、单支+分叉型(17.0%)。颧面管长度为(10.2±2.0)mm,男性颧面管长于女性,数值差异有统计学意义(P=0.002)。颧面孔距眶边缘(8.7±1.7)mm。颧眶孔、颧面孔均分为1孔、2孔或3孔型。颧眶孔、颧面孔的孔径分别为(1.3±0.4)mm、(1.5±0.5)mm。结论 颧面管是眼眶外壁内常见的神经血管通道,走行及开口变异多样。临床工作中应重视此结构,进行个性化观察。

关键词: 颧面管, 颧面孔, 颧眶孔, 整形外科, 体层摄影术, X线计算机

Abstract:

Objective To observe the anatomy of zygomatico-facial tube to provide data for surgical design and differentiation of fractures.Methods Images of totally 50 adults (100 sides) were observed after standardization. The presence, morphology, branches, mean length, origin, distance from the outer opening foramen (ZFF, zygomatico-facial foramen) to the inner margin of lateral orbit wall, number and diameter of the openings (inner one, ZOF, zygomatico-orbital foramen; outer one, ZFF) of the zygomatico-facial tube were evaluated. Results The presence of zygomatico-facial tube was seen in 89.0% of the cases. It may be straight or tortuous. A branch course into the zygomatic bone was present in 45 of 100 cases. The zygomatico-facial tube can be classified into six types based on the morphology: single tube (21.0%), double tubes (17.0%), triple tubes (1.0%), bifurcation (31.0%), double tubes with bifurcation (2.0%), and single tube combined with bifurcation (17.0%). The mean length was (10.2±2.0) mm with a gender difference. The ZFF were (8.7±1.7) mm away from the inner margin of the lateral orbit wall. One to three foramina of the origin foramen (ZOF, zygomatico-orbital foramen) and ZFF were seen. The diameter of ZOF and ZTF was (1.3±0.4) mm, 0.8 (1.5±0.5) mm respectively.Conclusion The zygomatico-facial tube is commonly present in the lateral orbital wall with a variety of morphology, origin and openings.

Key words: zygomatico-facial tube, zygomatico-facial foramen, zygomatico-orbital foramen, plastic surgery, tomography, X-ray computed

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