今日为大家分享的是由首都医科大学附属北京天坛医院肿瘤七病房刘丕楠、刘健、毕智勇、杨智君、陆斌等多位教授带来的经典教学讲解:“内镜鼻腔基础解剖”,欢迎观看、分享。
讲者:刘丕楠
审校:毕智勇 杨智君
助手:刘 健 陆 斌
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_ldd2slt7fn.gif)
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_26sg7ly2i0.gif)
神经内镜在颅底外科的应用-内镜解剖培训班风采
(点击图片即可查看大图)
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_seyaoc8dci.png)
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_2o1tf6ey9u.png)
切除中鼻甲后观察鼻腔内整体空间形态
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_ldd2slt7fn.gif)
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_26sg7ly2i0.gif)
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_hkr7t9wsvk.png)
侧方观察右侧鼻腔侧壁结构
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_ll1grqbm6j.png)
45度角观察右侧鼻腔侧壁
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131525_o9ny93q1x8.png)
切除右侧中鼻甲后观察右鼻腔侧壁
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131525_5idpwnhwu3.png)
切除中、下鼻甲后抵近观察右侧鼻腔侧壁
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131525_48ru0fppkq.png)
↑ 去除双侧筛窦,观察完整蝶窦前壁
开放蝶窦前壁,观察蝶窦内骨性隆起 ↓
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131525_mps3wg5srn.png)
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131525_3yqgt9g6rf.png)
↑ 抵近离观察蝶窦内骨性隆起及凹陷
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_ldd2slt7fn.gif)
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_26sg7ly2i0.gif)
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131525_a1yfe1b5aa.png)
↑ 去除右侧中、下鼻甲及鼻腔侧壁粘膜后观察筛窦形态
去除钩突、开放筛窦,观察筛房 ↓
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131525_9taqso9wd5.png)
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131525_6nxr2qubxh.png)
↑ 去除筛泡、清理筛窦气房后观察右侧眶纸板
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_ldd2slt7fn.gif)
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_26sg7ly2i0.gif)
↑ 去除鼻中隔,向上方观察筛板
去除左侧筛窦,向上方观察筛顶 ↓
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131525_8ow5jv0tm1.png)
↑ 去除鼻中隔、左侧鼻腔侧壁结构及左眶内容物,前方观察各副鼻窦位置毗邻
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_ldd2slt7fn.gif)
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_26sg7ly2i0.gif)
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131525_8qd05snanb.png)
↑ 去除鼻中隔观察鼻腔后壁结构
抵近观察左侧右鼻孔 ↓
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131526_08htptbcmv.png)
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131526_pua91rlc1v.png)
↑ 去除左侧中鼻甲,抵近观察左侧蝶筛隐窝
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_ldd2slt7fn.gif)
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_26sg7ly2i0.gif)
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131526_762gfn4qq8.png)
↑ 去除双侧筛窦,观察完整蝶窦前壁
开放蝶窦前壁,观察蝶窦内骨性隆起 ↓
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131526_78c1os0uht.png)
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131526_pbla2yom9n.png)
↑ 抵近离观察蝶窦内骨性隆起及凹陷
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_ldd2slt7fn.gif)
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_26sg7ly2i0.gif)
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131526_jwevjbuv22.png)
去除左侧筛窦、左眶内容物,开放左侧额窦,观察额窦开口
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131526_wd2bn7bq8i.png)
开放左侧额窦前壁,观察额窦腔
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_ldd2slt7fn.gif)
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_26sg7ly2i0.gif)
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131526_h9blg67jme.png)
去除左侧筛窦、左眶内容物,开放左侧额窦,观察额窦开口
![undefined](https://res.medtion.com/uploads/1/image/public/201906/20190609131526_ukbdhmaowq.png)
开放左侧额窦前壁,观察额窦腔
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_ldd2slt7fn.gif)
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_26sg7ly2i0.gif)
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_ldd2slt7fn.gif)
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131524_26sg7ly2i0.gif)
![](https://res.medtion.com/uploads/1/image/public/201906/20190609131527_knh0d4k311.gif)
天坛医院神经外科肿瘤七病房
(颅内外沟通肿瘤和内镜颅底外科专业)
长按并识别上方二维码即可观看手术视频