Lee Sang Beom, Chang Jae Chil, Park Sukh Que, Cho Sung Jin, Choi Soon Kwan, Bae Hack Gun
Department of Neurosurgery, Soonchunhyang University College of Medicine, Seoul, Korea.
J Korean Neurosurg Soc. 2011 Jul;50(1):30-5. doi: 10.3340/jkns.2011.50.1.30. Epub 2011 Jul 31.
Morphometric data for the sympathetic ganglia (SG) of the upper thoracic spine was investigated to identify the exact location of the SG in order to reduce normal tissue injury in the thoracic cavity during thoracoscopic sympathectomy.
In 46 specimens from 23 formalin-fixed adult cadavers, the authors measured the shortest distance from the medial margin of the T1, T2 and T3 SG to the most prominent point and medial margin of the corresponding rib heads, and to the lateral margin of the longus colli muscle. In addition, the distance between the most prominent point of the rib head and the lateral margin of longus colli muscle and the width of each SG were measured.
The shortest distance from the medial margin of the SG to the prominent point of corresponding rib head was on average 1.9 mm on T1, 4.2 mm, and 4.1 mm on T2, T3. The distance from the medial margin of the SG to the medial margin of the corresponding rib head was 4.2 mm on T1, 5.9 mm, and 6.3 mm on T2, T3. The mean distance from the medial margin of the SG to the lateral margin of the longus colli muscle was 6.7 mm on T1, 8.8 mm, 9.9 and mm on T2, T3. The mean distance between the prominent point of the rib head and the lateral margin of the longus colli muscle was 4.8 mm on T1, 4.6 mm, and 5.9 mm on T2, T3. The mean width of SG was 6.1 mm on T1, 4.1 mm, and 3.1 mm on T2, T3.
We present morphometric data to assist in surgical planning and the localization of the upper thoracic SG during thoracoscopic sympathectomy.
研究上胸椎交感神经节（SG）的形态测量数据，以确定SG的确切位置，从而减少胸腔镜交感神经切除术期间胸腔内正常组织的损伤。
在23具福尔马林固定的成年尸体的46个标本中，作者测量了T1、T2和T3交感神经节内侧缘到相应肋骨小头最突出点和内侧缘以及颈长肌外侧缘的最短距离。此外，还测量了肋骨小头最突出点与颈长肌外侧缘之间的距离以及每个交感神经节的宽度。
交感神经节内侧缘到相应肋骨小头突出点的最短距离在T1平均为1.9mm，在T2、T3分别为4.2mm和4.1mm。交感神经节内侧缘到相应肋骨小头内侧缘的距离在T1为4.2mm，在T2、T3分别为5.9mm和6.3mm。交感神经节内侧缘到颈长肌外侧缘的平均距离在T1为6.7mm，在T2、T3分别为8.8mm和9.9mm。肋骨小头突出点与颈长肌外侧缘之间的平均距离在T1为4.8mm，在T2、T3分别为4.6mm和5.9mm。交感神经节的平均宽度在T1为6.1mm，在T2、T3分别为4.1mm和3.1mm。
我们提供形态测量数据，以协助胸腔镜交感神经切除术期间的手术规划和上胸椎交感神经节的定位。
