常见,内,外 carotid 动脉的双边后脉过程:部剖析的含义
Sakurako Sakai1, Shogo Kikuta2, Jingo Kusukawa1
1Dental and Oral Medical Center, Kurume University School of Medicine, Asahi-machi 67, Fukuoka, Kurume, 830-0011, Japan.
Surgical and radiologic anatomy : SRA
|December 13, 2025
概括
这份病例报告强调了一个舌头癌症患者的动脉罕见的双边后脉循环. 手术前的成像和精心的手术规划使得安全的部剖析成为可能,强调了识别血管异常的重要性.
科学领域:
- 头部和部手术 头部和部手术
- 血管解剖学 血管解剖学
- 在瘤学瘤学.
背景情况:
- 舌头状细胞癌需要手术干预,通常涉及部剖析.
- 解剖学变异,特别是涉及主要血管的变异,可能会使手术过程复杂化.
- 喉动脉的逆脉过程是一种非常罕见的异常现象.
研究的目的:
- 为了记录一个独特的舌头癌症病例与双边后喉状动脉.
- 强调手术前成像在安全的部解剖中的关键作用.
- 强调在头手术中识别罕见的血管异常的必要性.
主要方法:
- 一个81岁的女性患有右舌癌的案例研究.
- 术前对比增强型计算机断层扫描 (CT) 确定了双边的后喉动脉.
- 患者接受了部分光切除术和修改的部彻底剖析.
主要成果:
- 手术前的成像和三维评估有助于早期识别和保存动脉.
- 部解剖完成,没有显著的出血 (估计血液损失:76毫升).
- 最终的病理学揭示了pT2N0M0;患者因与手术无关的败血症而死亡,伤口无故愈合.
结论:
- 部剖析是可行的,即使在罕见的动脉异常的情况下也是安全的.
- 进行彻底的术前放射性评估对于预防严重的血管并发症至关重要.
- 头部和部外科医生应对潜在的解剖变异保持高度意识.
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