Geldenhuys Elsje-Márie, Burger Elsie Helena, van Helden Paul David, Mole Calvin Gerald, Kotzé Sanet Henriët
Division of Anatomy and Histology, Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa.
Division of Forensic Medicine, Department of Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa.
Anat Sci Educ. 2016 Nov;9(6):575-582. doi: 10.1002/ase.1617. Epub 2016 May 3.
An accurate knowledge of anatomy, especially natural variation within individuals, is of vital clinical importance. Cadaver dissection during anatomical training may be a valuable introduction to pathology for undergraduate students, which can contribute greatly to a successful medical career. The purpose of this study was to determine the extent and type of pathology lesions in a cadaver population (n = 127) used for medical dissection. This was done to gauge whether sufficient pathology lesions representative of all the organ systems were present in the cadaver population to warrant the use of cadavers as an additional pathology learning resource. This study demonstrated a wide variety of pathology lesions in different organ systems. The respiratory system was most affected with pulmonary tuberculosis (TB) lesions being the most common finding (seen in 76% of cadavers) followed by bronchopneumonia and emphysema. Other common pathology findings included atherosclerosis, colonic diverticula, and chronic pyelonephritis. Skeletal fractures and degenerative joint disease were also noted. This study shows that cadaveric dissection offers a chance to alert and expose students to a wide variety of gross pathology and histopathology. It has been suggested that most medical students will practice in primary health care and as such more attention should be given to the pathology of commonly encountered diseases. This is particularly true for developing countries, where diseases such as TB are commonly encountered. The integration of pathology into the dissection hall may therefore be beneficial to student learning while simultaneously optimizing the use of cadaver material. Anat Sci Educ 9: 575-582. © 2016 American Association of Anatomists.
准确掌握解剖学知识,尤其是个体内部的自然变异,具有至关重要的临床意义。解剖学训练期间的尸体解剖对于本科生来说可能是病理学的宝贵入门途径,这对成功的医学职业生涯有很大帮助。本研究的目的是确定用于医学解剖的尸体群体(n = 127)中病理病变的范围和类型。这样做是为了评估尸体群体中是否存在代表所有器官系统的足够病理病变,以证明将尸体用作额外的病理学学习资源是合理的。本研究显示不同器官系统存在多种病理病变。呼吸系统受影响最大,肺结核(TB)病变是最常见的发现(在76%的尸体中可见),其次是支气管肺炎和肺气肿。其他常见的病理发现包括动脉粥样硬化、结肠憩室和慢性肾盂肾炎。还注意到骨骼骨折和退行性关节疾病。本研究表明,尸体解剖为提醒和让学生接触各种大体病理学和组织病理学提供了机会。有人建议,大多数医学生将在初级卫生保健领域执业,因此应更多关注常见疾病的病理学。对于发展中国家尤其如此,在这些国家,结核病等疾病很常见。因此,将病理学融入解剖室可能有利于学生学习,同时优化尸体材料的使用。《解剖科学教育》9: 575 - 582。© 2016美国解剖学家协会。