Shipo daim duab peb sab yog suav tias yog nyob rau hauv topographic anatomy ntawm lub taub hau. Nws qhov chaw kho mob tseem ceeb heev. Nws yog ib qho tsim nyog kom paub tias daim duab peb sab no txwv li cas thiab nws qhov peculiarity (qhov tseem ceeb). Peb yuav txiav txim siab txog cov qauv ncauj lus kom ntxaws thiab qhov tseem ceeb ntawm lub cev hauv kab lus no.
Sab nrauv saib ntawm daim duab peb sab Shipo
Tus qauv ntawm daim duab peb sab peb yuav xav txog hauv daim duab no.
Cov txheej txheem mastoid yog tus lej 1. Cov txheej txheem no yog ib feem ntawm cov pob txha ntawm lub cev.
Nyob rau hauv cov txheej txheem mastoid yog sab nraud auditory meatus, nws yog qhia nyob rau hauv daim duab nyob rau hauv tus naj npawb 2. Tom qab dissection ntawm cov ntaub so ntswg mos thiab detachment ntawm lub periosteum nyob rau hauv lub anterior-sab sauv cheeb tsam ntawm lub cheeb tsam, koj muaj peev xwm. saib "daim duab peb sab platform", uas hu ua Shipo.
Shipo daim duab peb sab ciam teb
Saum kab, uas yog txuas ntxiv ntawm zygomatic koov, yog qhia los ntawm tus lej 3. Nyob rau hauv pem hauv ntej, muaj ib txoj kab ntsug kos raws ntug ntug ntawm sab nraud auditory kwj dej. Kab no yog tus lej 4.
Qabthiab los ntawm hauv qab lub crest ntawm mastoid txheej txheem yog qhia. Cov kab no yog peb ciam teb ntawm Shipo lub trepanation daim duab peb sab. Cov kab no yog cim nrog tus lej 5.
Kev kho mob tseem ceeb ntawm daim duab peb sab
Nyob rau hauv qhov tsim no, nrog purulent o ntawm cov pa hlwb (mastoiditis), trepanation ntawm mastoid txheej txheem yuav ua tau. Cov txheej txheem no hu ua anthratomy.
Daim duab peb sab no nyob ib sab ntawm cov qauv uas tuaj yeem ua puas thaum lub sijhawm ua haujlwm ntawm cov txheej txheem.
Yuav ua li cas cov formations nyob ib sab ntawm daim duab peb sab?
Kev phais lub cev ntawm thaj tsam mastoid ntawm daim duab peb sab Shipo yog xws li cov kwj dej ntawm lub ntsej muag paj hlwb nyob rau pem hauv ntej ntawm daim duab peb sab. Qhov kev tsim no tau qhia hauv daim duab hauv qab tus lej 6.
Saum toj no yog nruab nrab cranial fossa, nrog rau lub ntsej muag ntawm lub hlwb. Cov qauv no yog suav 7.
Qab thiab hauv qab - lub sigmoid sinus ntawm dura mater, uas yog qhia los ntawm tus lej 8.
lub ntsiab lus ntawm daim duab peb sab yog dab tsi?
Nco ntsoov tias Shipo daim duab peb sab yog qhov tseem ceeb hauv kev kho mob. Qhov nqi no xav tau qhov twg? Cov lus teb yog yooj yim - hauv kev phais mob (kev phais xwm txheej ceev). Yog hais tias tus kws kho mob yuav tsum tau ua ib tug anthrotomy, ces nws yuav tsum tau nruj me ntsis mus rau hauv lub Shipo daim duab peb sab yam tsis muaj kev puas tsuaj rau nws ciam teb.
Yog tias kev ua haujlwm tsis raug, nws yuav ua rau muaj qhov tshwm sim loj (tuag) rau tus neeg mob.
Nyob rau hauv ciam teb ntawm daim duab peb sab Shipo muaj ib tug resonating kev nyuaj siab, nws kuj yogmastoid qhov tsua, qhov kev nyuaj siab no sib txuas lus nrog nkag mus rau hauv lub qhov tsua nrog lub tympanic kab noj hniav ntawm nruab nrab pob ntseg. Kev nyuaj siab mastoid, txog 12 hli ntev thiab txog 7 hli dav, nyob ntawm qhov tob ntawm 1.5-2 cm ntawm cov pob txha ntawm cov txheej txheem mastoid. Qhov loj ntawm lub qhov tsua yog qhov sib txawv vim cov qauv ntawm cov txheej txheem mastoid (pneumatic, sclerotic lossis diploic).
Lub ciam teb sab saud, tseem hu ua phab ntsa, cais lub qhov tsua nrog lub taub hau fossa. Hauv nws cov phab ntsa nruab nrab, muaj 2 qhov siab, nrog rau cov kwj dej sab nraud, nrog rau txoj hauv kev ntawm cov hlab ntsha sab nraud. Nyob rau sab nraum qab ntawm lub qhov tsua, tshwj xeeb tshaj yog nyob rau hauv brachycephals, txij li thaum lawv mastoid txheej txheem yog tsis zoo tsim, vim hais tias ntawm no, lub sigmoid venous sinus nyob ze. Tab sis feem ntau qhov sinus no cais tawm ntawm lub qhov tsua nws tus kheej los ntawm cov pob txha tuab heev.
keeb kwm ntawm kev qhib daim duab peb sab
Tshawb pom daim duab peb sab Shipo los ntawm Fabkis tus kws kho mob hlwb hu ua Anthony Shipo xyoo 1894. Nws nrhiav tau tus qauv no thiab hu nws qhov chaw ua haujlwm zoo tshaj plaws rau mastoidectomy. Nws tus sau lub npe rau qhov tsim tau raws li hauv qab no - "qhov chaw tawm tsam thaum lub sij hawm mastoidectomy".
Tom qab ntawd, cov kws kho mob tau piav qhia thaj chaw no sab nraud raws li hauv qab no: daim duab peb sab du, uas yog nyob rau ntawm cov txheej txheem mastoid, uas yog ntawm cov pob txha ntawm lub cev, ze rau sab nraud kwj dej. Lub cheeb tsam tsuas yog txwv rau qhov loj heev, kho mob tseem ceeb formations. Kev cob qhia tsis tu ncua, uas lawv tau qhia cov kws kho mob kom ua tiav cov txheej txheem no kom raug, vim tias qhov yuam kev me me tuaj yeem ua rau muaj kev tsis taus lossistxawm tus neeg mob tuag. Tab sis cov lus nug tshwm sim txog yuav ua li cas xws li kev ua haujlwm tau ua ua ntej. Cov lus teb yog yooj yim - nws tau ua raws li square txoj kev, ntawm chav kawm, nws tsis yog li ntawd zoo, thiab lub qhov txhab kho lub sij hawm ntev heev. Tsis tas li ntawd, qhov chaw phais yog ib lub hlis twg ntawm lub ntsej muag.
