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[研究舌下区手术解剖特征及在筋膜鞘内进行颈动脉三角颈部清扫术的方法学探讨]

[Methodological approaches to study characteristics of surgical anatomy of episublingual area and carotid triangle securing neck dissection within fascial sheaths].

作者信息

Tsentilo V G

出版信息

Morfologiia. 2005;128(5):78-80.

PMID:16669253
Abstract

The studies performed in 91 non-fixed human cadavers included: layer-by-layer preparation of the tissues to the depth of the bottom of operation wound after cervical lymphadenectomy within the whole anterior triangle of the neck; layer-by-layer preparation within the limits of anatomical zones and structures of the anterior triangle of the neck; study of the number and completeness of fascial sheaths in the same locations using the developed method. The anatomical findings obtained necessitate re-consideration of the conventionally described submandibular triangle medial and lateral borders in favor of their expansion. The study has defined the fascial plate dividing the contents of submandibular and carotid triangles and has specified the lines of tissue dissection with the purpose to improve the ablasticity of neck dissection operations for metastases of maxillofacial malignant tumors.

摘要

在91具未固定的人体尸体上进行的研究包括:在整个颈部前三角区内,对颈淋巴结清扫术后手术伤口底部深度的组织进行逐层制备;在颈部前三角区的解剖区域和结构范围内进行逐层制备;使用所开发的方法研究相同位置筋膜鞘的数量和完整性。所获得的解剖学发现有必要重新考虑传统描述的下颌下三角的内侧和外侧边界,以支持其扩展。该研究确定了分隔下颌下三角和颈动脉三角内容物的筋膜板,并明确了组织解剖线,目的是提高颌面部恶性肿瘤转移颈部清扫手术的彻底性。

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