胎儿甲状腺动脉解剖结构及其意义

林锦娴, 黄海龙

中国临床解剖学杂志 ›› 2021, Vol. 39 ›› Issue (1) : 22-25.

中国临床解剖学杂志 ›› 2021, Vol. 39 ›› Issue (1) : 22-25. DOI: 10.13418/j.issn.1001-165x.2021.01.005
应用解剖

胎儿甲状腺动脉解剖结构及其意义

  • 林锦娴1, 黄海龙2
作者信息 +

Anatomical features of fetal thyroid artery and its significance

  • Lin Jinxian1, Huang Hailong2
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文章历史 +

摘要

目的 利用血管铸型标本和三维重建血管技术探讨胎儿甲状腺动脉的解剖结构及其应用价值。  方法    经颈总动脉和锁骨下动脉灌注填充剂,解剖观察及测量17例18~37周胎儿的甲状腺动脉;将CT扫描铸型标本数据导入Mimics 21.0软件进行甲状腺动脉三维重建。  结果    胎儿甲状腺上动脉可起源于颈外动脉第1分支(79.4%),或起源于颈总动脉(14.7%),或起源于颈总动脉分叉处(5.9%);胎儿甲状腺下动脉可起源于甲状颈干(76.5%),或起源于锁骨下动脉(23.5%)。胎儿甲状腺动脉分支及分布恒定。与成人甲状腺动脉相比,胎儿甲状腺动脉起始位置无明显差异;其分支及分布存在明显差异。  结论    了解胎儿甲状腺动脉的起始位置及分支分布特点,对宫内胎儿发育研究或新生儿临床手术具有指导实践基础。

Abstract

Objective To explore the anatomical features of fetal thyroid artery and its application value by means of cast blood vessel specimen and three-dimensional reconstruction technique. Methods The filler were perfused through the common carotid artery and subclavian artery, and the thyroid artery vessels of 17 fetuses at around 18~37 weeks were anatomically observed and measured. The CT scan data were imported into Mimics 21.0 software for three-dimensional reconstruction of thyroid artery. Results The variation of fetal thyroid artery originated from the first branch of external carotid artery (accounting for 79.4%) or originated from the common carotid artery (accounting for 14.7%) or from the bifurcation of the common carotid artery (accounting for 5.9%),the fetal inferior thyroid artery may originate from the thyrocervical trunk (accounting for 76.5%) or originate from the subclavian artery (accounting for 23.5%). The fetal thyroid artery branches and distribution were constant. There was no significant difference in the initial position between the adult thyroid artery and the fetal thyroid artery. There were significant difference in the branches and distribution between them. Conclusions Understanding the origin of thyroid artery, its branch and distribution characteristics can provide a practical basis for intrauterine fetal development research or neonatal clinical surgery.

关键词

甲状腺动脉 /  铸型标本 /  解剖 /  胎儿

Key words

Thyroid artery /  Cast specimen /  Anatomy /   Fetus

引用本文

导出引用
林锦娴, 黄海龙. 胎儿甲状腺动脉解剖结构及其意义[J]. 中国临床解剖学杂志. 2021, 39(1): 22-25 https://doi.org/10.13418/j.issn.1001-165x.2021.01.005
Lin Jinxian, Huang Hailong. Anatomical features of fetal thyroid artery and its significance[J]. Chinese Journal of Clinical Anatomy. 2021, 39(1): 22-25 https://doi.org/10.13418/j.issn.1001-165x.2021.01.005
中图分类号: R322.5   

参考文献

[1]  房林, 陈磊, 黄毅祥. 主编. 甲状腺疾病外科学[M]. 北京: 军事医学科学出版社, 2015: 1-9.
[2]  林华, 赵永康, 李波, 等. 甲状腺上动脉应用解剖[J]. 解剖科学进展, 2000, 6(2): 174-175. DOI: 10.3969/j.issn.1006-2947.2000.02.023.
[3]  杨豪琛, 马建军, 赵晓楠, 等. 左甲状腺下动脉缺如伴右锁骨下动脉多分支1例[J]. 中国临床解剖学杂志, 2014, 32(2): 239. DOI: 10.13418/j.issn.1001-165X.2014.02.035
[4]  刘恒兴. 甲状腺的解剖与变异[J]. 临床外科杂志, 2010, 18(7): 434-435. DOI: 10.3969/j.issn.1005-6483.2010.07.002
[5]  黄海龙, 周显光. 胎儿头颈部血管铸型设计的某些改进[J]. 四川解剖学杂志, 2006, 14(1): 18. DOI: CNKI:SUN:SCGP.0.2006-01-008.
[6]  黄海龙, 杨海敏, 杨廉柏, 等. 环保型人体管道铸型填充剂的实验研究[J].现代生物医学进展, 2012, 12(4): 652-655. DOI: CNKI:SUN:SWCX.0.2012-04-017.
[7]  陈静, 李晓智, 陈卓凯, 等. 甲状腺上动脉起始位置及临床意义[J]. 中国临床解剖学杂志, 2018, 36(4): 371-374. DOI:CNKI:SUN:ZLJ Z.0.2018-04-003.
[8]  王浩岩, 钟震亚. 甲状腺下动脉、椎动脉其周围相关结构的观察[J]. 黑龙江医药科学, 2007, 30(6): 46. DOI: 10.3969/j.issn.1008-0104. 2007. 06. 009.
[9]  庹光芳, 兰永树, 唐光才, 等. 256层iCT正常成人甲状腺大小及其影响因素的相关性研究[J]. 临床放射学杂志, 2018, 37(2): 214-218. DOI: CNKI:SUN:LCFS.0.2018-02-009.
[10] 徐佳. 甲状腺手术区域的应用解剖学与影像学观测及其临床意义[D]. 长春: 吉林大学, 2007: 6-13.
[11] 董振. 甲状腺上动脉相关区域解剖及临床意义[D]. 山西: 山西医科大学, 2012:20-30.
[12] 万玉柱. 甲状腺术区甲状腺下动脉分支与喉返神经解剖学关系的研究[D]. 山东: 山东大学, 2007: 18-22.
[13] 柯芳芳, 贲晓明. 胎儿和新生儿甲状腺功能亢进症的诊治进展[J]. 医学综述, 2019, 25(1): 109-113. DOI: 10.3969/j.issn.1006-2084. 2019. 01. 020.
[14] 吴志君. 先天性甲状腺功能减低症的筛查及临床分析[J]. 中国优生与遗传杂志, 2007, 15(12): 75. DOI: 10.3969/j.issn.1006-9534. 2007.12.042.
[15] 马立芳, 王春梅, 王利利. B超联合CT检查在甲状腺结节性疾病诊断中应用价值分析[J]. 药物与临床, 2019, (34): 100-101.
[16] 胡锡华. B超和CT在甲状腺结节性疾病诊断中的比较分析[J]. 临床医学工程,2005, 22(6): 693-694. DOI: 10.3969/j.issn. 1674-4659. 2015.06.0693.
[17] 陈丹丹, 李鹏, 柏严, 等. 人体血管三维重建图像在影像解剖学中的应用[J]. 医疗科技, 2019, (19): 225-227. DOI: CNKI:SUN:KJSJ. 0.2019- 19-109.
[18] 郭东铭,曹宇辉,周小兵,等. 手部皮支皮瓣造影及三维可视化[J]. 解剖学杂志,2017, 40(4): 449-452. 10.3969/j.issn.1001-1633.2017.04.020.
[19] 孙文聪, 丁超, 苏自杰, 等. 甲状腺全切术中甲状旁腺原位保留与自体移植效果比较[J]. 河南医学研究, 2019, 28(8): 1393-1395. DOI: 10.3969/j.issn.1004-437X.2019.08.012.
[20] 黄静光, 蕈建宏. 胎儿甲状旁腺同种异体移植的进展[J]. 右江民族医学院学报, 2000, 22(4): 667-668. DOI: 10.3969/j.issn.1001-5817.2000.04.138.
[21] 李嫔. 孕期甲状腺疾病对胎儿发育及新生儿健康的影响[J]. 中国实用儿科临床杂志, 2019, 34(8): 574-577. DOI: 10.3760/cma.j.issn.2095-428X.2019.08.004.

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广东省医学科学技术研究基金(B2018207)

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