肺叶和裂的解剖学变化:一个系统的审查和元分析
Seid Mohammed Abdu1, Seid Yimam Ali2, Ebrahim Msaye Assefa1
1School of Biomedical Sciences, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
概括
肺部解剖学变异,包括裂纹和叶片差异,很常见,影响了近一半的人. 了解这些变异对于准确的医学成像和安全的胸部手术至关重要.
科学领域:
- 人体解剖学 解剖学 解剖学
- 放射学 放射学是一门学科.
- 胸部外科手术 胸部外科手术
背景情况:
- 肺裂纹和叶片变异具有显著的解剖学和临床重要性.
- 标准描述往往忽略了不完整,缺席或附属裂的高患病率.
- 这些变化会影响手术程序,疾病进展和放射学解释.
研究的目的:
- 量化肺裂纹和叶片变异的流行率和分布.
- 为准确的临床规划,放射学解释和解剖学教育提供必要的数据.
主要方法:
- 在主要数据库 (PubMed,Hinari,Crossref,Google Scholar) 和解剖学期刊上进行系统的文献搜索.
- 遵守基于证据的解剖学工作组建议和PRISMA 2020指南.
- 使用随机效应模型进行元分析,从符合条件的研究中汇集流行数据.
主要成果:
- 在所有评估的肺部中,42%发现了解剖学变异,其中63%位于右侧.
- 右肺的变化发生在55%的患者中,左肺的变化发生在33%的患者中. 右水平裂:54%完成,35%不完整,11%没有.
- 附属裂存在于14%;右下附属 (6%),左小裂 (8%).
结论:
- 肺裂纹和叶片变异在近一半的个体中普遍存在,具有明显的横向性.
- 对这些变异的认识对于解剖学准确性至关重要.
- 对于手术规划,放射学解释和最大限度地减少胸部手术并发症至关重要.
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