期刊文献+

超声引导甲状旁腺穿刺的应用解剖 被引量:1

Applied anatomy of ultrasound-guided puncture of parathyoid gland
下载PDF
导出
摘要 目的 :提高甲状旁腺超声引导下介入疗法的成功率和减少穿刺并发症。方法 :在 2 0具成人尸体标本上解剖。观测了甲状旁腺的位置、甲状旁腺与甲状腺上、下动脉吻合支的毗邻关系 ;甲状旁腺的纵径、中部横径和厚度。结果 :2 0例标本共解剖出 65个甲状旁腺、平均每例 3 .2 5个 ,其中上、下甲状旁腺成对出现的为 3 5 % ;成对的上甲状旁腺并单侧下甲状旁腺的为 2 0 % ;成对的下甲状旁腺并单侧上甲状旁腺的为 5 % ,只解剖到上甲状旁腺和下甲状旁腺的分别为 2 0 %。结论 :临床行上甲状旁腺穿刺时 ,穿刺点应距甲状腺侧叶上极下方 16mm和距甲状腺后缘 10mm左右的两点交叉处 ;行下甲状旁腺穿刺时 ,穿刺点应距甲状腺侧叶下极上方 12mm和距甲状腺后缘 10mm左右的两点交叉处进针 ,进针深度约 2 0~ 3 0mm。 Objectives:To provide anatomic basis for ultrasound guided puncture of parathyroid gland.Methods:The positions and vertical and transverse diameters of parathyroid glands were observed on 20 adult cadaveric specimens, and its position relationships to the nerves and anastomosis branches of superior thyroid arteries and inferior thyroid arteries were investigated.Results:Sixty five parathyroid glands were identified in this study (averaged 3.25 per specimen).In eight specimens(40%), both the superior and inferior parathyroid glands were single; in another seven specimens (35%), either the superior or the inferior parathyroid gland were sound in pairs; four of the twenty specimens (20%) showed paired superior glands with a single inferior one; in only one specimen(5%), the inferior glands were in pairs and the superior glands were single.The superior and inferior parathyroid glands situated above or below the anastomosis branches of superior and inferior thyroid arteries respectively. The superior parathyroid gland was far from superior laryngeal nerve, and it was 11.6±4.1 mm from the inferior parathyroid gland to the recurrent laryngeal nerve.Conclusions:The detailed parathyroid anatomy in this study can meet the need of clinicians to perform the ultrasound guided parathyroid puncture safely and efficiently.
出处 《中国临床解剖学杂志》 CSCD 北大核心 2002年第1期28-29,共2页 Chinese Journal of Clinical Anatomy
关键词 甲状旁腺 介入治疗 超声引导 应用解剖 parathyroid gland applied anatomy ultrasound interventional
  • 引文网络
  • 相关文献

参考文献2

二级参考文献1

共引文献9

同被引文献16

引证文献1

二级引证文献2

;
使用帮助 返回顶部