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Zuckerkandl结节与喉返神经位置关系的观察 被引量:3

Observation of the relationship between the recurrent laryngeal nerve and the Zuckerkandl's tubercle
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摘要 目的观察Zuckerkandl结节(zuckerkandl tubercle,ZT)与喉返神经(recurrent laryngeal nerve,RLN)的位置关系。方法通过51例(102侧)非颈部疾病死亡尸体解剖观察ZT的形态、大小及其与喉返神经的位置关系。根据ZT的大小将其分为4度,0度:肉眼不易识别;1度:仅是甲状腺侧叶增厚形成≤6 mm;2度:6~10 mm;3度:>10 mm。根据ZT在甲状腺上的位置将其分为3组:ZT位于甲状腺上1/3、中1/3、下1/3。结果 51例(102侧)尸体解剖中发现在右侧为88.2%(45/51),左侧为74.5%(38/51),两侧同时出现的为72.5%(37/51)。0度为12.7%(13/102),1度为3.9%(4/102),2度为54.9%(56/102),3度为28.4%(29/102)。ZT主要位于甲状腺侧叶中1/3部,有的越过喉返神经的主干或分支,有的指向喉返神经的主干或分支。结论 ZT作为一个新提出的解剖学标志位置较恒定,易于观察或触摸,方便实用,与喉返神经有密切关系。 Objective To study the relationship between Zuckerkandl' s tubercle (ZT)and the recmTent laryngeal nmwe (RLN). Methods We examined 51 specimens( 102 sides) from cadavers , observed the shape,size and association with RLN. ZT was graded as Grade 0 ( unrecognizable), Grade 1 ( thickening of the lateral lohe only, ≤〈 6 mm ), Grade 2 ( 6~10 ram) and Grade 3 ( larger than 10 ram). ZT was classified into three groups according to its location in the thyroid. Results 88.2% ( 45/51 ) of the cada vers were found in the right side, 74.5% (38/51 in the left side and 72.5% (37/51)bilateral. 12.7% (13/102) were found to be of Grade 0, 3.9% (4/102) Grade 1, 54.9% (56/102)Grade 2 and 28.4% (29/102) of Grade 3. ZT was mainly located in the middle third of the thyroid gland. Some of the tubercles passed over the RLN or branches ; some pointed to the RLN or branches. Conclusion As a new anatomical landmark ,ZT remains in a constant position and is easy to observe and toueh. There is close relationship be tween ZT and RLN.
作者 梁青山
出处 《武警医学》 CAS 2012年第9期779-781,共3页 Medical Journal of the Chinese People's Armed Police Force
关键词 Zuckerkandl结节 喉返神经 甲状腺 Zuckerkandl Tubercle recurrent laryngeal nerve thyroid.
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参考文献15

  • 1Zuckerkandl E. Nebst Bermerkungen uber die Epithelkor- perchen des Menschen[ J ]. Anat Hefte ,N02,19( 1 ) :59 -84.
  • 2Famdom Jr. Thyroid surgery, from one millennium to the next[ J] Asian J Surgery,2001,24(4) :79 - 81.
  • 3郭兴,孟共林.甲状腺手术中识别喉返神经的解剖标志[J].局解手术学杂志,2005,14(4):227-228. 被引量:22
  • 4刘岩岩,吴高松,马小鹏,刘捷,汪杰,黄丽丽,尹玉平.Zuckerkandl结节:甲状腺手术中一个重要的解剖标志[J].中华内分泌外科杂志,2010,4(2):90-91. 被引量:17
  • 5Mansberger A R, Wei J P. Surgical embryology and a- natomy of the thyroid and parathyroid glands [ J ]. Surg Clin North Am, 1993,73 ( 4 ) : 727 - 746.
  • 6Yalgin B, Poyrazoglu Y, Ozan H. Relationship Between Zuckerkandl Tubercle and the hfferior Laryngeal Nerve Including the Laryngeal Branches [ J ] Surg Today, 2007,37(2) :109 - 113.
  • 7Gauger P G, Delbridge L W, Thompson N W, et al. Inci- dence and importance of the tubercle of Zuckerkandl in Thyroid surgery[JJ. Eur J Surg,2001,167(4) :249 -254.
  • 8Koqak S, Aydintu S. Zuckerkandl' s tuberculum[ J]. J Am Coll Surg,2000,190(1) :98 - 99.
  • 9Hillemlann C L,Tarpey J,Phillips D E. Laryngeal nerve identification during thyroid surgery - feasibility of a no- vel approach[J]. Can J Ana,2003,50(2) :189 - 192.
  • 10王炳煌.甲状腺切除术后功能性并发症的防治[J].中国实用外科杂志,1997,17(5):265-267. 被引量:71

二级参考文献24

共引文献131

同被引文献48

  • 1方国恩,施俊义,盛援,杨丰,毕建威,闻兆章,马立业,李莉,魏国,华积德,申功恩,沈炎明.甲状腺疾病3091例外科治疗分析[J].中国实用外科杂志,2004,24(10):596-599. 被引量:87
  • 2朱小龙,缪爱林,徐普庆.喉返神经解剖在甲状腺手术中的意义[J].现代肿瘤医学,2006,14(7):802-803. 被引量:1
  • 3吕新生.甲状腺手术时喉返神经损伤的预防和治疗[J].中国普通外科杂志,2007,16(1):1-3. 被引量:140
  • 4YunJS,LeeYS,JungJJ,etal.TheZuckerkandl’stubercle;ausefulanatomicallandmarkfordetectingboththerecurrentlaryngealnerveandthesuperiorparathyroidduringthyroidsurgery[J].EndocrJ,2008,55(5):925-930.
  • 5宋清斌,车兆义,辛世杰,等.甲状腺手术中避免RLN 损伤的体会[J].中国实用外科杂志,1996,16(6):226-228.
  • 6Jamski J,Jamska A,Graca M,et al.Recurrent laryngeal nerve in jury following thyroid surgery[J].Przegl Lek,2004,61(1):13-16.
  • 7Lahey FH,Hoover WB.Injuries to the recurrent laryngeal nerve in thyroid operations:Their management and avoid- anc[J],Ann Surg,1938,108(4):545-562.
  • 8Jatzko GR,Lisborg PH,Muller MG,et al.Recurrent nerve palsy after thyroid operations:Principal nerve,identifica- tion and a literature review[J].Surgery,1994,115(2):139-144.
  • 9Wagner HB,Seiler C.Recurrent laryngeal nerve palsy after thyroid gland surgery[J],Br J Surg,1994,81(2):226-228.
  • 10陈玲珑,林贤平,郑鸣.喉返神经的解剖特点及临床意义[J].福建医药杂志,2008,30(1):6-8. 被引量:7

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