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左甲状腺下动脉缺如:临床意义。

Absence of the left inferior thyroid artery: clinical implications.

作者信息

Sherman Jonathan H, Colborn Gene L

机构信息

Medical College of Georgia, Augusta, Georgia, USA.

出版信息

Clin Anat. 2003 Nov;16(6):534-7. doi: 10.1002/ca.10195.

DOI:10.1002/ca.10195
PMID:14566904
Abstract

Dissection of an adult male cadaver revealed an absence of the left inferior thyroid artery; its usual area of distribution to the thyroid gland was supplied by the right inferior thyroid artery. Absence of the left inferior thyroid artery occurs in 1-6% of cases. The inferior thyroid artery arises commonly from the thyrocervical trunk, passes posterior to the carotid sheath and supplies the inferior pole of the corresponding lobe of the thyroid gland; its branches can course anterior or posterior to or between branches of the recurrent laryngeal nerve. During thyroid surgery it is imperative to identify the relationship of the inferior thyroid artery to the recurrent laryngeal nerve or to establish its absence because injury to the nerve can be a major complication; awareness of significant variations of the surgical anatomy of the thyroid gland is vital for preserving the integrity of important structures.

摘要

对一具成年男性尸体进行解剖时发现,左甲状腺下动脉缺如;其通常分布至甲状腺的区域由右甲状腺下动脉供血。左甲状腺下动脉缺如的情况在1%至6%的病例中出现。甲状腺下动脉通常起自甲状颈干,在颈动脉鞘后方经过,供应甲状腺相应叶的下极;其分支可在喉返神经分支的前方、后方或之间走行。在甲状腺手术中,必须明确甲状腺下动脉与喉返神经的关系或确认其缺如,因为神经损伤可能是一种主要并发症;了解甲状腺手术解剖结构的显著变异对于保护重要结构的完整性至关重要。

相似文献

1
Absence of the left inferior thyroid artery: clinical implications.左甲状腺下动脉缺如:临床意义。
Clin Anat. 2003 Nov;16(6):534-7. doi: 10.1002/ca.10195.
2
Course of the recurrent laryngeal nerve relative to the inferior thyroid artery and the suspensory ligament of Berry.喉返神经相对于甲状腺下动脉及Berry悬韧带的走行
Int Surg. 1992 Oct-Dec;77(4):287-8.
3
Anatomic configurations of the recurrent laryngeal nerve and inferior thyroid artery.喉返神经和甲状腺下动脉的解剖结构。
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Arterial supply to the thyroid gland and the relationship between the recurrent laryngeal nerve and the inferior thyroid artery in human fetal cadavers.人胎儿尸体甲状腺的动脉供应及喉返神经与甲状腺下动脉的关系。
Clin Anat. 2014 Nov;27(8):1185-92. doi: 10.1002/ca.22448. Epub 2014 Aug 8.
5
[Course and branches of the recurrent laryngeal nerve, inferior thyroid artery and inferior laryngeal artery].[喉返神经、甲状腺下动脉及喉下动脉的走行与分支]
Gegenbaurs Morphol Jahrb. 1986;132(5):617-43.
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Microsurgical anatomy of the laryngeal nerves as related to thyroid surgery.与甲状腺手术相关的喉神经显微外科解剖学
Laryngoscope. 2002 Feb;112(2):386-92. doi: 10.1097/00005537-200202000-00033.
7
Re: "anatomic configurations of the recurrent laryngeal nerve and inferior thyroid artery".关于:“喉返神经和甲状腺下动脉的解剖结构”
Surgery. 2006 Sep;140(3):482-3; author reply 483. doi: 10.1016/j.surg.2006.03.030. Epub 2006 Jul 31.
8
Anatomic configurations of the recurrent laryngeal nerve and inferior thyroid artery with statistical considerations.喉返神经和甲状腺下动脉的解剖结构及统计学考量
Surgery. 2006 Sep;140(3):481; author reply 481-2. doi: 10.1016/j.surg.2006.02.016.
9
[Recurrent laryngeal nerve and inferior thyroid artery. Anatomo-surgical considerations].
Rev Fac Cien Med Univ Nac Cordoba. 2000;57(2):181-5.
10
[Anatomic pitfalls of recurrent laryngeal nerve dissection].[喉返神经解剖的陷阱]
J Chir (Paris). 1983 May;120(5):329-33.

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Considerations on the origin of the inferior thyroid artery emerging from the subclavian artery determined by CT examination.对 CT 检查确定的发自锁骨下动脉的甲状腺下动脉起源的思考。
Surg Radiol Anat. 2023 Jun;45(6):721-727. doi: 10.1007/s00276-023-03140-9. Epub 2023 Apr 4.
3
The Thyroid Gland: A Revision Study on Its Vascularization and Surgical Implications.
甲状腺:血管化及其手术意义的复习研究。
Medicina (Kaunas). 2022 Jan 17;58(1):137. doi: 10.3390/medicina58010137.
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Variations in the origins of the thyroid arteries on CT angiography.CT血管造影中甲状腺动脉起源的变异
Jpn J Radiol. 2018 Feb;36(2):96-102. doi: 10.1007/s11604-017-0710-3. Epub 2017 Dec 4.
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Salient anatomical landmarks of thyroid and their practical significance in thyroid surgery: a pictorial review of thyroid surgical anatomy (revisited).甲状腺的显著解剖标志及其在甲状腺手术中的实际意义:甲状腺手术解剖的图片综述(再探讨)
Indian J Surg. 2014 Jun;76(3):207-11. doi: 10.1007/s12262-013-0856-x. Epub 2013 Jan 27.
6
Bilateral aberrant origin of the inferior thyroid artery from the common carotid artery.
Surg Radiol Anat. 2014 Apr;36(3):295-7. doi: 10.1007/s00276-013-1153-x. Epub 2013 Jun 20.