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通过对60个成人整颅、120个翼腭窝进行测量.发现翼腭窝有三种类型:第一种为锥体型,有63个(52.5%);第二种为窄隙型,有20个(16.7%);第三种为中间型,有37个(30.8%).自行设计了两个体表定位点即.颧骨点、眶外下点.测出了两点至翼腭窝内侧壁和后壁的距离.从临床麻醉需要提出了两种新的上颌神经和封闭翼腭神经节的麻醉方法,临床应用315例,完成口腔颌面部大中手术219例.结果显示:有效率295例(93.65%),显效20例(6.35%),无效0.笔者认为该方法在应用中,具有效果良好易掌握,无污染等优点.
There are three types of pterygopalatine fossa: 63 for the first type (52.5%), 2 for the narrow type and 20 for the pterygopalatine fossa (16.7%). The third type was middle type, with 37 (30.8%). Two body surface locating points, zygomatic bone points and orbital points were designed by themselves. Two points were measured to the medial wall of the pterygopalatine fossa And the distance from the posterior wall.From the clinical anesthesia need to put forward two kinds of new maxillary nerve and the closed pterygopalatine ganglion anesthesia method, clinical application of 315 cases, complete oral and maxillofacial surgery in 219 cases.The results showed that: the effective rate of 295 Cases (93.65%), markedly effective in 20 cases (6.35%), invalid 0. I believe that the method in the application, with good results and easy to grasp, no pollution and so on.