摘要
目的探讨甲状腺手术中Zuckerkandl结节(zT)与喉返神经(RLN)和上甲状旁腺(sP)的解剖关系及临床应用。方法对我院同一手术组连续施行的153例甲状腺全切术(甲状腺癌121例,甲状腺良性疾病32例)行回顾性分析,观察zT的有无及大小,及与RLN和sP的解剖位置。结果zT出现在多数病例:在右侧为88.2%(135/153),左侧为82.4%(126/153),两侧同时出现的为76.5%(117/153)。RLN主要位于zT与甲状腺腺体之间,其右侧为91.7%(99/108),左侧94.7%(90/95)。sP右侧94.4%(102/108)在zT的头侧10点和11点钟方向,其左侧92.6%(88/95)在zT的头侧1点和2点钟方向。结论ZT与RLN和SP之间有着重要的解剖关系。
Objective To study the anatomical relation between Zuckerkandl's tubercle (ZT) and recurrent laryngeal nerve (RLN) and the superior parathyroid (SP) glands. Methods 153 patients ( 121 thyroid cancer and 32 benign diseases) underwent total thyroidectomy from May 2008 to February 2009 were included in our study. We investigated the ZT s presence or absence, size and association with the RLN and SP. Results ZT was identified in most patients. Among them, 88.2% (135/153) were found on right, 82.4% (90/95) on left and 76.5% (102/108) were found to be bilateral. The RLN was mainly located between the ZT and the main body of the thyroid and 91.7 % on right (99/108) and 94.7 % on left (90/95). 94.4% of SP were located on the top of ZT at 10 or 11 o'clock position and 92.6% at about 1 or 2 o'clock position. Conclusions There was an important anatomical relationship between ZT and RLN and SP.
出处
《中华内分泌外科杂志》
CAS
2010年第2期90-91,97,共3页
Chinese Journal of Endocrine Surgery
基金
湖北省自然科学基金(2008CDB179)
国家卫生部规划视听教材基金资助项目(09-V0-15)