甲状腺上动脉的起始位置及临床意义
陈静,李晓智,陈卓凯,官理智,庄卓凯,马铭键,丘雨旻,吴晓欣,庄宏杰,叶锋,徐达政
中国临床解剖学杂志 ›› 2018, Vol. 36 ›› Issue (4) : 371-374.
甲状腺上动脉的起始位置及临床意义
The origin of superior thyroid artery and its clinical significance
目的 探讨甲状腺上动脉的起始情况及其临床意义。 方法 解剖118具用福尔马林固定的尸体的双侧颈区,观察甲状腺上动脉的起始情况以及起始部位到颈总动脉分叉处的距离,并进行统计学分析。 结果 甲状腺上动脉的起始情况可分为颈总动脉分叉处(A)、颈外动脉(B)和颈总动脉(C)三种,所占比例分别为30.93%,37.71%和30.51%;左右两侧甲状腺上动脉起始情况分布有显著差异(P<0.05);起始于颈外动脉的甲状腺上动脉起始处距颈总动脉分叉处的距离小于起始于颈总动脉的甲状腺上动脉起始处距颈总动脉分叉处的距离。 结论 甲状腺上动脉是头颈部外科手术中具有重要临床意义的动脉,其回顾性分析将为临床应用提供解剖学依据。
Objective To explore the origin of superior thyroid artery and its clinical significance. Methods The bilateral cervical regions of 118 cadavers fixed with formalin were dissected. The origin of the superior thyroid artery and the distance from the origin to the common carotid artery bifurcation were observed and statistically analyzed. Results The origin of the superior thyroid artery could be divided into three types: the common carotid artery bifurcation(A), the external carotid artery(B) and the common carotid artery(C). The percentages of three types were 30.93%, 37.71% and 30.51% respectively. There was a significant difference in the distribution of the origin of the superior thyroid artery between the left and right sides(P<0.05). The distance from the origin of the superior thyroid artery originating from the external carotid artery to the common carotid artery bifurcation was less than the distance from the origin of the superior thyroid artery originating from the common carotid artery to the common carotid artery bifurcation. Conclusions The superior thyroid artery is one of the most important arteries in head and neck surgery. Its retrospective analysis will provide anatomic basis for clinical study.
Common carotid artery / External carotid artery / Common carotid artery bifurcation / Superior thyroid artery
[1] 黄赢.中国人体解剖学数值[M]. 北京:人民卫生出版社, 2002:268-269.
[2] 梁为, 李楚娇, 王振兴, 等. 甲状腺上动脉起始位置3例考察报道[J]. 医学美学美容, 2014,(9):684-685.
[3] 石义生, 余延龄. 颈外动脉结扎术与解剖的关系[J]. 中华耳鼻咽喉科杂志, 1965,(3):188-194.
[4] 王健东, 廖荣魏, 黄达华. 甲状腺切除术中甲状腺上动脉的判断与处理[J]. 医护论坛, 2010,(28):164-165.
[5] Anagnostopoulou S, Mavridis I. Emerging patterns of the human superior thyroid artery and review of its clinical anatomy[J].Surg Radiol Anat, 2014, 36(1):33-38.
[6] Won SY. Anatomical considerations of the superior thyroid artery:its origins, variations, and position relative to the hyoid bone and thyroid cartilage[J]. Anat Cell Biol, 2016, 49(2):138-142.
[7] Gupta P, Bhalla AS, Thulkar S, et al. Variations in superior thyroid artery: A selective angiographic study[J]. Indian J Radiol Imaging, 2014, 24(1):66-71.
[8] 李宁毅, 樊功为. 颈外动脉、甲状腺上动脉、舌动脉的起始部位及其临床意义[J]. 山东医药杂志, 1981,(3):19-20.
[9] 钟源, 孙善全, 龚睿, 等. 喉上神经外支和甲状腺上动脉的应用解剖[J]. 中国临床解剖学杂志, 2016,34(3):241-244.
[10]许卫国, 李鹤平, 彭秀斌, 等. 甲状腺动脉栓塞治疗甲状腺功能亢进症的临床应用[J]. 实用放射学杂志, 2010,26(8):1208-1210.
2018年广州市科技计划项目科普与软科学专项基金(项目编号:201806020061)
/
| 〈 |
|
〉 |