扎克肯德尔结核的真实性以及与其他解剖学变异的关系
Mehmet Taner Unlu1, Nurcihan Aygun1, Mehmet Ektiren2
1Department of General Surgery, University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
World journal of surgery
|December 25, 2024
概括
扎克克兰德尔结核 (TZ) 是甲状腺叶中的一个常见的解剖发现. 虽然TZ的存在和大小与复发的喉神经 (RLN) 麻没有直接关联,但更高类型的TZ增加了RLN陷入的风险.
科学领域:
- 人体解剖学 解剖学 解剖学
- 内分泌学 在内分泌学.
- 手术病理学手术病理学
背景情况:
- 扎克克兰德尔结核 (TZ) 代表了最后分支和中间甲状腺体的融合点.
- 了解TZ变异对于甲状腺手术至关重要,特别是在恢复性喉神经 (RLN) 保存方面.
研究的目的:
- 为了确定Zuckerkandl (TZ) 的结核的频率.
- 为了研究TZ变化和复发性喉神经 (RLN) 之间的关系.
- 评估TZ与其他解剖变异和RLN陷的关联.
主要方法:
- 从627名接受甲状腺切除术的患者中对1011个甲状腺叶进行了回顾性分析.
- 基于尺寸的TZ分类:类别0 (不可见),1 (加厚),2 (≤1厘米),和3 (>1厘米). 2和3类被定义为积极的TZ.
- 评估RLN的位置,贝里带区域的陷,以及与TZ存在和大小相关的.
主要成果:
- 在41.1%的甲状腺叶 (类别2和3) 中观察到Zuckerkandl结核 (TZ).
- 在95.2%的TZ病例中,RLN位于后部中部,在4.8%的TZ病例中位于侧部.
- 贝里带区域的RLN捕获在TZ类别2和3 (25.4%和28%) 与类别1 (17.3%) 相比显著更高,p<0.0001.
- 根据TZ的存在,大小或RLN-TZ关系,没有发现RLN的显著差异.
结论:
- 扎克克兰德尔结核 (TZ) 是甲状腺叶中的一个常见的解剖发现.
- 较高类型的TZ (≥1厘米) 与RLN在贝里带区域被困的风险增加有关.
- 在甲状腺切除术期间,建议仔细剖析TZ而不进行甲状腺叶引和精确的RLN映射,以改善甲状腺切除术期间的神经保护.
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