Unver Dogan Nadire, Uysal Ismihan Ilknur, Demirci Serafettin, Dogan Kamil Hakan, Kolcu Giray
Acta Clin Croat. 2015 Jun;54(2):201-7.
This study was aimed at determining major accessory fissures (MAF) and absence or incompleteness of lobar or major fissures (MF) during routine forensic autopsies. Prior to starting this prospective study, forms were prepared to collect data on pulmonary lobes and fissures. In this study, 420 lungs of 210 autopsy cases were examined for incompleteness and absence of MF and complete accessory fissures. Horizontal fissures were incomplete in 18 right lungs. Incomplete oblique fissures were noted in three right and two left lungs. Unidentified abnormal fissures were determined in one left lung and five right lungs. The most common fissural abnormality was less than half complete horizontal fissure. Four right lungs had four lobes and two left lungs had three lobes because of complete accessory fissures. The number of lobes in the left and right lungs and the morphological features of both incomplete MF and MAF were determined in detail and the variations were photographed. It is concluded that, in addition to studies on computed tomography scans, autopsy series are useful for determining the variations of MF and MAF of the lungs in different populations.
本研究旨在确定常规法医尸检过程中主要副裂（MAF）以及肺叶或主要裂（MF）的缺如或不完整情况。在开展这项前瞻性研究之前，准备了表格以收集有关肺叶和肺裂的数据。在本研究中，对210例尸检病例的420个肺进行了MF缺如和不完整以及完整副裂情况的检查。18个右肺的水平裂不完整。在3个右肺和2个左肺中发现了不完整的斜裂。在1个左肺和5个右肺中确定了不明异常裂。最常见的裂异常是水平裂不到一半完整。由于存在完整的副裂，4个右肺有4个肺叶，2个左肺有3个肺叶。详细确定了左右肺的肺叶数量以及不完整的MF和MAF的形态特征，并对变异情况进行了拍照。得出的结论是，除了对计算机断层扫描进行研究外，尸检系列对于确定不同人群肺的MF和MAF变异也很有用。
