—551—CHINESEJOURNALOFANATOMYVol.45No.62022解剖学杂志2022年第45卷第6期doi:10.3969/j.issn.1001-1633.2022.06.012·论著·第1作者E-mail:760214966@qq.com△通信作者,E-mail:Jirong1966@sina.com收稿日期:2022-05-12;修回日期:2022-09-16椎动脉解剖学分型及其在微血管减压术治疗面肌痉挛中的应用代飞虎1纪荣明2王玉海1赵伟1疏龙飞1胡旭1董吉荣1△(1中国人民解放军联勤保障部队第904医院神经外科,无锡214000;2海军军医大学人体解剖学教研室,上海200433)摘要目的:目的:研究椎动脉解剖学分型与面肌痉挛责任血管的解剖关系,为微血管减压术治疗面肌痉挛提供参考。方法:方法:将椎动脉分为3型,Ⅰ型为居中型,Ⅱ型为单偏侧型,Ⅲ型为双偏侧型。通过成人头颅标本、面肌痉挛患者影像和临床资料对椎动脉解剖学分型以及与面肌痉挛责任血管压迫区域关系进行观测。结果:结果:15例标本中椎动脉解剖分型Ⅰ型6.67%,Ⅱ型80.00%,Ⅲ型13.33%。80例患者中Ⅰ型6.25%,Ⅱ型73.75%,Ⅲ型20.00%;椎动脉偏移侧与患侧一致为80.00%,椎动脉偏移侧与患侧相反为13.75%,组间差异有统计学意义。椎动脉偏移造成面神经受压区域主要集中于面神经实际出脑干点与面神经贴附段。结论:结论:椎动脉解剖分型以Ⅱ型居多,椎动脉偏移侧与面肌痉挛发病侧有显著相关,微血管减压术前应对椎动脉解剖学分型充分评估。关键词面肌痉挛;椎动脉;解剖学分型;责任血管AnatomicalclassificationofvertebralarteryanditsapplicationinmicrovasculardecompressioninthetreatmentofhemifacialspasmDaiFeihu1,JiRongming2,WangYuhai1,ZhaoWei1,ShuLongfei1,HuXu1,DongJirong1△(1.DepartmentofNeurosurgery,The904thHospitalofPLALogisticsJointSupportForce,Wuxi214000;2.DepartmentofAnatomy,NavalMedicalUniversity,Shanghai200433,China)AbstractObjective:Tostudytheanatomicalrelationshipbetweenvertebralarteryanatomicalclassificationandfacialnerve,andtoprovidereferenceformicrovasculardecompressioninthetreatmentofhemifacialspasm.Methods:Thevertebralarterywasdividedintothreetypes:TypeⅠ:medium,TypeⅡ:singlelateral,TypeⅢ:doublelateral.Therelationshipbetweenanatomicalclassificationofvertebralarteryandresponsiblevesselareaofhemifacialspasmwasobservedbyimagingandclinicaldataofadultcranialspecimensandpatient...