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宫前部的状肌肉接近:被遗忘的解剖学与手术和功能方面的影响
Hasan Ali Aydın1, Emrah Keskin1, Murat Kalaycı1
1Department of Neurosurgery, Zonguldak Bülent Ecevit University Medical School, Zonguldak, Turkey.
Journal of craniovertebral junction & spine
|February 20, 2026
概括
在前性脊椎手术中经常遇到的状肌肉,在阻塞性时可以安全地切断. 这种方法可以改善手术可视化和效率,没有显著的不良影响.
科学领域:
- 人体解剖学 解剖学 解剖学
- 脊柱外科手术 脊柱外科手术
- 手术技术手术技术的使用
背景情况:
- 在前椎手术中经常遇到状肌肉,特别是在C5-C7水平.
- 它的上腹部可以阻外科手术走廊,需要外科医生在保存,收缩或切割之间做出决定.
- 在脊柱文献中,对这个肌肉的强调是有限的.
研究的目的:
- 综合有关前椎切除和融合 (ACDF) 肌肉变异性,手术处理和术后结果的解剖学和临床证据.
- 为了评估切割上方状腹部对手术暴露和患者结果的影响.
主要方法:
- 这项研究是一个叙事性综述,合成了解剖学和临床证据.
- 它检查了解剖学变异,手术处理技巧,以及与ACDF的状肌相关的术后结果.
主要成果:
- 解剖学研究显示,状肌肉的显著变化,包括辅助滑落和异常插入.
- 新兴的临床数据表明,切割上腹部可以改善可视化,可能减少手术时间和血液损失.
- 切割似乎没有显著增加食障碍,听力障碍或美容问题.
结论:
- 了解状肌肉的解剖学变异和外科影响对于下椎手术至关重要.
- 在阻塞性时切割上方的状腹部可能会增强操作规划,并优化在ACDF中的暴露.
- 需要进一步的前性研究,以标准化结果措施来证实这些发现.
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