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咽旁间隙的CT影像解剖学及临床意义

Imaging anatomy and clinical significance of the parapharyngeal space

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【作者】 范锡印付升旗荆利民郭进学刘恒兴

【Author】 Fan Xiyin,Fu Shengqi,Jing Limin,Guo Jinxue,Liu Hengxing.Department of Anatomy,Xinxiang Medical College,Xinxiang 453003,China

【机构】 河南省新乡医学院解剖学教研室新乡市第一人民医院河南省新乡医学院解剖学教研室 新乡453003新乡453003新乡453003

【摘要】 目的 为咽旁间隙疾病的CT诊断提供影像解剖学资料。方法 选用 6 0例扫描对称的正常CT片 ,在咽隐窝水平层面观察咽旁间隙及咽旁结构的解剖学关系 ,用游标卡尺及关联方格测量其宽度和面积。结果 咽旁间隙呈近似三角形 ,断面面积分别为左 (4 2 6± 3 1 2 )mm2 和右 (4 3 1± 2 96 )mm2 ,两侧咽旁间隙及咽旁结构呈对称性 ,断面面积和宽度无显著性差异 (P >0 0 5 )。自茎突至咽隐窝的连线将咽旁间隙分为咽旁前、后间隙 ,CT图像能较好显示咽旁后间隙内各结构的相互关系。咽旁脂肪组织、颈内动脉、颈内静脉、茎突、翼内肌是CT诊断的重要解剖学标志。结论 咽旁间隙的影像解剖学对咽旁间隙疾病CT诊断具有重要的临床意义

【Abstract】 Objective To provide imaging anatomical data for CT diagnosis of the parapharyngeal space diseases.Methods Sixty normal and symmetrical CT scans were selected,At pharyngeal recess level,Parapharyngeal space and parapharyngeal structures were observed,It was measured in the width and area with vernier caliper and associated pane.Results The shape of the parapharyngeal space was similar triangle,It was (42 6±3 12)mm 2(left)and (43 1±2 96)mm 2(right)in area.Parapharyngeal space and parapharyngeal structures were symmetrical of both sides,There were no significant difference in the area and width( P >0 05).Parapharyngeal space was divided into two parts by the line from styloid process to pharyngeal recess;preparapharyngeal and retroparapharyngeal space,It was better to show relationship of structures in the retroparapharyngeal space with CT.Fatty tissue,internal corotid artery,internal jugular vein,styloid process and medical pterygoid muscle were important anatomical marks for CT diagnosis.Conclusion Imaging anatomy of the parapharyngeal space has an important significance for CT diagnosis of the parapharyngeal space diseases.

  • 【文献出处】 解剖学研究 ,Anatomy Research , 编辑部邮箱 ,2003年04期
  • 【分类号】R813
  • 【被引频次】16
  • 【下载频次】239
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