附属神经的解剖学变异性:对IIB水平剖析的含义
Nitin A Pagedar1, Henry T Hoffman1
1Department of Otolaryngology - Head and Neck Surgery, University of Iowa, Iowa City, Iowa, U.S.A.
The Laryngoscope
|June 8, 2023
概括
在IIB水平的脊柱辅助神经长度与部剖析期间更多的淋巴结相关,但与患者报告的症状无关. 不管神经长度如何,IIB级解剖是必要的.
科学领域:
- 手术解剖学手术解剖学
- 头部和部手术 头部和部手术
- 在瘤学瘤学.
背景情况:
- 在部剖析期间的IIB级淋巴切除术涉及脊柱辅助神经的操纵,可能导致残疾.
- 关于部上部的脊柱辅助神经变异及其影响的文献有限.
研究的目的:
- 测量IIB级别的尺寸并评估它们对节点产量的影响.
- 评估IIB级尺寸与患者报告的部症状之间的相关性.
主要方法:
- 在接受部剖析的150名患者中测量了IIB水平的边界.
- 在手术内将II级分为IIA和IIB.
- 在50名患者中使用部剖析障碍清单 (NDII) 评估患者报告的症状.
主要成果:
- 37.7%的II级节点位于IIB级.
- 在II级的辅助神经平均长度为2.5厘米.
- 每增加1厘米的辅助神经长度与两个额外的IIB级节点相关联.
- 在辅助神经长度,IIB级维度和NDII分数之间没有发现相关性.
结论:
- 在IIB水平中,较长的辅助神经长度与节点产量增加有关.
- 没有特定的辅助神经长度切断被确定以避免IIB水平剖析.
- IIB级尺寸与术后部症状没有相关性.
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