生理状态下舌动脉的解剖特点及其与舌根的关系

龚明杰; 邹嘉平; 王均干

doi:10.13201/j.issn.1001-1781.2012.16.002

生理状态下舌动脉的解剖特点及其与舌根的关系

- 1 无锡市第三人民医院耳鼻咽喉-头颈外科(江苏无锡, 214000);
- 2 无锡市第三人民医院影像科

详细信息

通讯作者: 龚明杰,E-mail:mjgong2003sy@yahoo.com.cn

中图分类号: R814

收稿日期: 2011-08-26

Anatomical characteristics of lingual artery in physiological condition and its relationship with tongue base

- 1. Department of Otolaryngology-Head and Neck Surgery, the Third People's Hospital of Wuxi, 214000, China;
- 2. Department of Radiology, the Third People's Hospital of Wuxi

More Information

Corresponding author: GONG Mingjie, E-mail: mjgong2003sy@yahoo.com.cn

Received Date: 26 August 2011

摘要

摘要: 目的:通过CT三维重建技术,对舌动脉的起源、分段和走行进行研究,探讨其位置关系在临床中的作用。方法:选取10例健康人,CT扫描范围从胸锁关节至眼眶下缘,数据传送到工作站进行三维重建。同时测量舌动脉起始点水平到舌骨大角尖端水平及到颈动脉分叉水平的垂直距离,以及舌动脉与舌表面和舌中线的距离。结果:舌动脉起始点水平到舌骨大角尖端水平的垂直距离为(1.51±0.35)cm,舌动脉起始点水平到颈动脉分叉水平的垂直距离为(0.95±0.31)cm;在舌盲孔前1 cm与舌盲孔后1 cm的舌动脉与舌中线距离比较,差异有统计学意义(t=45.27,P＜0.01)。结论:舌动脉以舌骨大角为标志的分段法更符合舌动脉走行变异大的特点。在进行舌根部消融手术时,要控制深度不超过舌表面2 cm,方能避免舌动脉的损伤。
- 舌动脉 /
- 三维重建
Abstract: Objective: To provide the clinical anatomic data of the lingual artery with 3D CT reconstruction.Method: Ten healthy subjects were recruited. Spiral CT scan ranged from the sternoclavicular joint to the lower edge of the orbit and the data was subjected to three-dimensional reconstruction. The distance from the origin of the lingual artery to the bifurcation of the common carotid artery and tip of the greater horn of hyoid bone were measured respectively and the distance between the midline of the lingual artery and the midline of tongue were also measured.Result: The horizontal distance between starting level of lingual artery to the level of the hyoid horn tip was(1.51±0.35)cm. The horizontal distance between the level of the lingual artery to the carotid bifurcation was(0.95±0.31)cm. The comparison of the distance from lingual artery 1 cm anterior or posterior to foramen cecum to midline of tongue showed (t=45.27,P<0.01)a statistically significant difference.Conclusion: The lingual artery could be demonstrated clearly in 3D reconstruction. To ensure the operative safety, the depth of radiofrequency for OSAHS at the tongue base should be limited within 2 centimeters.
- lingual artery /
- three-dimensional reconstruction

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参考文献(9)

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