Romanchishen A F, Bagaturiia G O, Karpatskiĭ I V
Vestn Khir Im I I Grek. 2009;168(6):49-55.
On the basis of anatomical (30 observations) and clinical material (160 patients with different diseases of the thyroid gland) the topography of connective-tissue fixing apparatus of the thyroid gland was defined more precisely. Its classification is proposed and the relationship with the surrounding structures is described. The character of changes in the connective-tissue fixing elements is shown in different variants of its pathology. The best places for dissection of the connective-tissue structures are well-founded with special reference to the topography of the thyroid vessel branches, recurrent and superior laryngeal nerves. The sequence of surgeon's actions in mobilization of the thyroid gland lobe is proposed and substantiated.
基于解剖学观察(30例)和临床资料(160例患有不同甲状腺疾病的患者),更精确地确定了甲状腺结缔组织固定装置的局部解剖结构。提出了其分类方法,并描述了其与周围结构的关系。展示了在其病理学的不同变体中结缔组织固定元件的变化特征。特别参照甲状腺血管分支、喉返神经和喉上神经的局部解剖结构,确定了结缔组织结构的最佳解剖部位。提出并论证了外科医生在游离甲状腺叶时的操作顺序。