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上肢淋巴系统在个体中不对称:使用ICG淋巴图和SPECT/CT淋巴切图的解剖学研究
James E Fanning1, Rosie Friedman1, Angela Chen1
1Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Annals of surgery
|October 1, 2024
概括
表面淋巴体解剖学和上肢的淋巴结排水在个人之间并不总是对称的. 手性与淋巴对称性没有相关性,挑战了历史假设.
科学领域:
- 淋巴系统的解剖学和生理学.
- 医学成像技术用于淋巴评估.
背景情况:
- 个人中左右淋巴对称性的历史假设.
- 缺乏验证在临床实践和研究中假设的淋巴对称性.
研究的目的:
- 在健康的女性上肢中评估表面淋巴体解剖学和淋巴结排水的对称性.
- 确定手性是否会影响淋巴对称性.
主要方法:
- 在36名健康的女性志愿者中进行双边氨酸绿色 (ICG) 淋巴图和淋巴细胞图.
- 绘制了八个收集血管通路的地图,并可视化了13个淋巴结群.
- 通过手握强度来评估手的优势.
主要成果:
- 只有28%的参与者表现出对称的淋巴管道 (ICG).
- 淋巴结群的完全对称性仅在3%的参与者中观察到.
- 在ICG上对称的淋巴管道在优势手 (39%) 和非优势手 (17%) 个体中更频繁,尽管在统计学上并不显著.
结论:
- 上肢淋巴体解剖学和功能排水表现出显著的不对称性.
- 淋巴结排水显示的对称性不如淋巴管道.
- 对称的淋巴体解剖学与手的优势不相关,反驳了当前的假设.
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