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犬浅表肿瘤切除的筋膜平面映射。第一部分:颈部和躯干。

Fascial plane mapping for superficial tumor resection in dogs. Part I: Neck and trunk.

作者信息

Schroeder Mikayla M, Skinner Owen T

机构信息

University of Missouri Veterinary Medical Center, Columbia, Missouri.

出版信息

Vet Surg. 2022 Jan;51(1):68-78. doi: 10.1111/vsu.13569. Epub 2021 Jan 21.

Abstract

OBJECTIVE

To provide qualitative fascial categories and classify the intersections of various fascial planes of the trunk of the dog to facilitate preoperative planning for superficial cancers.

STUDY DESIGN

Qualitative anatomical study.

SAMPLE POPULATION

Two male and three female mixed breed canine cadavers weighing approximately 15 to 35 kg.

METHODS

The skin and subcutaneous fat were excised. Fascial planes were incised and elevated to allow exploration of their quality and borders. Fascia was categorized as type I (discrete sheets), type II (tightly adhered to thin muscles), type III (tightly adhered to thick muscles), or type IV (associated with periosteum). Photographs of specimens were digitally modified with overlays to map tissue types.

RESULTS

Differences between cadavers were largely associated with muscle mass or sex, with only minor anatomical differences and enough subjective similarity among specimens to allow mapping. The fasciae of the neck and trunk were predominantly type I or type II, with type III fascia at the shoulder and type IV fascia at the scapular spine, 13th rib, dorsal spinous processes, and the wing of the ilium.

CONCLUSION

The superficial fasciae of the canine trunk were consistent among the dogs evaluated and can be classified as four broad fascial types. The population used was small, and individual variation should be considered when using these images in a clinical setting.

CLINICAL SIGNIFICANCE

The images and categorization of fascia and transitions between fascial layers detailed here provide a visual and written reference for surgeons to facilitate preoperative planning and excision of superficial cancers.

摘要

目的

提供定性的筋膜分类,并对犬躯干不同筋膜平面的交叉点进行分类,以促进浅表癌症的术前规划。

研究设计

定性解剖学研究。

样本群体

两只雄性和三只雌性杂种犬尸体,体重约15至35千克。

方法

切除皮肤和皮下脂肪。切开并掀起筋膜平面,以探查其性质和边界。筋膜分为I型(离散薄片)、II型(紧密附着于薄肌肉)、III型(紧密附着于厚肌肉)或IV型(与骨膜相关)。标本照片经数字叠加修改以绘制组织类型。

结果

尸体之间的差异主要与肌肉质量或性别有关,标本之间只有微小的解剖差异和足够的主观相似性以进行绘图。颈部和躯干的筋膜主要为I型或II型,肩部为III型筋膜,肩胛冈、第13肋骨、棘突和髂骨翼处为IV型筋膜。

结论

在所评估的犬中,犬躯干的浅表筋膜是一致的,可分为四种广泛的筋膜类型。所使用的群体较小,在临床环境中使用这些图像时应考虑个体差异。

临床意义

此处详细介绍的筋膜图像、分类以及筋膜层之间的过渡为外科医生提供了视觉和书面参考,以促进浅表癌症的术前规划和切除。

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