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目的：为临床上颞叶癫痫的外科治疗和寻找合理可取的手术径路提供精确而详实的解剖学依据。方法：在放大４至２５倍手术显微镜下，对６０侧正常成人尸脑大脑半球的杏仁核和海马结构及相关区域进行显微外科解剖和测绘研究。结果：杏仁核的最大长度、宽度和高度分别为１３．８３±１．８０ｍｍ，１１．２９±１．４９ｍｍ和９．４０±１．７３ｍｍ。海马分为头体尾三部分，其宽度分别为１３．６４±２．０２ｍｍ，７．７３±１．２５ｍｍ，６．７６±１．０９ｍｍ，海马实长为５６．５６±３．８５ｍｍ，纵长为４１．６５±３．１３ｍｍ。海马前端与外侧裂底、颞叶下面、颞叶外侧面和颞极的距离分别为１４．６２±２．０４ｍｍ，１９．７０±２．６３ｍｍ，２５．５９±２．９６ｍｍ和３２．０６±１．８３ｍｍ。结论：杏仁核和海马的大小变异很大，以外侧裂入路到达海马距离最短，该区的显微外科解剖在杏仁核海马切除术中具有重要指导作用
Objective: To provide accurate and detailed anatomic evidence for the surgical treatment of clinical temporal lobe epilepsy and to find a reasonable and desirable surgical approach. Methods: Microsurgical anatomy and mapping of the amygdala and hippocampal formation and related regions in 60 adult normal adult cerebral hemispheres were performed under a magnifying 4 to 25 times operating microscope. Results: The maximum length, width and height of amygdala were 13.83 ± 1.80mm, 11.29 ± 1.49mm and 9.40 ± 1.73mm, respectively. The hippocampus is divided into three parts of the head and tail, its width is respectively 13.64 ± 2.02mm, 7.73 ± 1.25mm, 6.76 ± 1.09mm, the length of the hippocampus is 56.56 ± 3.85mm, The length is 41.65 ± 3.13mm. The distance between the hippocampus front and lateral fissure, the temporal lobe below, the lateral temporal lobe and temporal pole were 14.62 ± 2.04mm, 19.70 ± 2.63mm, 25.59 ± 2.96mm and 32.06 ± 1.83mm. CONCLUSION: The size of amygdala and hippocampus varies greatly, and the shortest distance to the hippocampus through the lateral fissure approach is found. The microsurgical anatomy in this area plays an important guiding role in the amygdala of the hippocampus