原创《鼻内镜下鼻腔泪囊造口术应用解剖数据》：本论文为您写造口术毕业论文范文和职称论文提供相关论文参考文献，可免费下载。
[摘 要] 目的 應用解剖学方法测量鼻腔泪囊解剖数据,为鼻科医生内镜手术提供数据和指导,以提高鼻腔泪囊造口成功率,减少并发症.方法 以2012年1月—2017年1月南京医科大学解剖教研室28个无病损完整尸头（56侧）为研究对象.观察鼻泪管解剖结构及中鼻甲腋、总泪小管和泪囊的解剖关系,鼻内镜下不锈钢游标卡尺测量鼻泪管长度、中鼻甲腋和泪囊顶、中鼻甲腋和泪囊底、总泪小管入口和泪囊底间距离等指标.结果 尸头标本鼻泪管长度（15.87±1.93）mm,中鼻甲腋至泪囊顶距离（7.81±1.63）mm,中鼻甲腋至泪囊底距离（7.62±1.88）mm,总泪小管入口至泪囊底距离（11.20±1.69）mm.结论 鼻内镜下鼻腔泪囊造口术以中鼻甲腋为主要标志,有利于准确定位泪囊管.但泪囊和鼻泪管解剖变异较大,建议术前影像学观察泪囊和中鼻甲腋的解剖关系,选择鼻丘隆突下缘处为鼻泪管上口位,下鼻道前端顶壁、侧壁处为鼻泪管上口位.
[关键词] 鼻内窥镜；鼻腔泪囊造口术；应用解剖学；解剖数据
[中图分类号] R777 [文献标识码] A [文章编号] 1674-0742（2018）01（c）-0071-03
[Abstract] Objective The application of anatomical method to measure nasal lacrimal sac anatomic data and to provide the data and guidance for the endoscopic operation of rhinologists to improve the success rate of nasal lacrimal sac stoma and to reduce the complications. Methods From January 2012 to January 2017, 28 intact cadaveric heads （56 sides） of Department of Anatomy, Nanjing Medical University were studied. The anatomic structure of the nasolacrimal duct and the anatomy of the middle turbinate axillary and total lacrimal duct and lacrimal sac were observed. The length of the nasolacrimal duct was measured by endoscopic stainless steel vernier caliper. The middle turbinate axillary and dacryocystorhinostomy, Lacrimal duct entrance and the distance between the dacryocystis and other indicators were observed. Results Cadaveric head specimens of nasolacrimal duct length （15.87±1.93）mm, middle turbinate and lacrimal sac top distance（7.81±1.63）mm, middle turbinate and lacrimal sac bottom distance （7.62±1.88）mm, the total entrance to the lacrimal canaliculus bottom distance（11.20±1.69）mm. Conclusion Nasal endoscopic dacryocystorhinostomy is the main sign of the middle turbinate, which is helpful for the accurate localization of the lacrimal duct. But dacryocystitis and nasolacrimal duct anatomical varied a lot, it was recommended preoperative imaging anatomy observation of lacrimal sac and middle turbinate, nasal inferior edge for long hill with the nasolacrimal duct under the nose, front top wall and side wall at the upper position of nasolacrimal duct.
[Key words] Nasal endoscope； Nasal cavity ostomy； Applied anatomy； Anatomical data
鼻内镜下鼻腔泪囊造口术是临床治疗慢性泪囊炎等泪道疾病的常用手术,能通过吻合泪囊和鼻粘膜使泪液等分泌物经泪囊直接进入鼻道,从而解除泪溢现象[1].临床实践证实,其应用具有视野清晰、操作精细、微创安全等优点,不仅能对因处理鼻泪管堵塞,且无面部畸形和瘢痕,效果肯定.但是,泪囊、鼻泪管位置隐蔽,毗邻结构变异大,术中易损伤,因此,明确鼻泪管解剖位置及准确定位成为提高手术成功率、减少并发症损害的关键[2].既往,临床关于鼻腔泪囊解剖数据的文献报道结论准确性较差,是导致鼻腔泪囊造口偏低甚至失败的原因之一.文章现以2012年1月—2017年1月南京医科大学解剖教研室提供的28个无病损完整尸头为例,观察泪囊和中鼻甲腋解剖关系,测量鼻腔泪囊解剖数据,旨在为鼻腔泪囊造口提供有价值的数据和指导,具体报道如下.
造口术论文参考资料：
结论：鼻内镜下鼻腔泪囊造口术应用解剖数据为适合不知如何写造口术方面的相关专业大学硕士和本科毕业论文以及关于造口人一般能活多久论文开题报告范文和相关职称论文写作参考文献资料下载。
