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解剖变异的文献综述:临床意义、识别方法及教学策略

Literature Review of Anatomical Variations: Clinical Significance, Identification Approach, and Teaching Strategies.

作者信息

Alraddadi Abdulrahman

机构信息

Basic Medical Sciences, Anatomy, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, SAU.

Basic Medical Sciences, Anatomy, King Abdullah International Medical Research Center (KAIMRC), Riyadh, SAU.

出版信息

Cureus. 2021 Apr 13;13(4):e14451. doi: 10.7759/cureus.14451.

Abstract

This article is a comprehensive literature review on anatomical variations, shedding some light on their clinical significance, identification approaches, and teaching strategies. Anatomical variation is a normal presentation of body structure with morphological features different from those that have been classically described in several anatomy textbooks. Under normal circumstances, it has no impact on the function of the structure. However, it may influence different aspects of clinical practice. As a result, accurate knowledge of common anatomical variations in the treated area may improve clinical practice outcomes. On the other hand, anatomical variations are usually identified during routine dissection and clinical practice, including preoperative imaging and surgical procedures. Additionally, scientific research, such as observational studies using cadaveric dissection, medical images, and evidence-based anatomy, are effective approaches to identify anatomical variations. With regard to the teaching of anatomical variations, cadaveric dissection is the most commonly used and recommended learning tool for teaching anatomy and relevant variations in medical schools. However, the literature emphasizes introducing anatomical variations in the clinical phase of medical curricula and postgraduate training of surgical and radiological programs. The current study suggests creating a registry of anatomical variations encountered during practice that may enhance best care and prevent any confusion about those variations. In addition, there is a need to conduct more educational studies to research the best learning strategies for teaching and assessing anatomical variations in the medical curricula.

摘要

本文是一篇关于解剖变异的综合文献综述,阐述了其临床意义、识别方法及教学策略。解剖变异是身体结构的一种正常表现,其形态特征与几本解剖学教科书经典描述的不同。在正常情况下,它对结构功能无影响。然而,它可能会影响临床实践的不同方面。因此,准确了解治疗区域常见的解剖变异可能会改善临床实践结果。另一方面,解剖变异通常在常规解剖和临床实践中被识别,包括术前影像学检查和手术操作。此外,科学研究,如使用尸体解剖、医学图像的观察性研究以及循证解剖学,是识别解剖变异的有效方法。关于解剖变异的教学,尸体解剖是医学院校解剖学及相关变异教学中最常用且推荐的学习工具。然而,文献强调在医学课程的临床阶段以及外科和放射学项目的研究生培训中引入解剖变异。当前研究建议建立一个实践中遇到的解剖变异登记册,这可能会提升最佳医疗护理水平并防止对这些变异产生任何混淆。此外,需要进行更多教育研究,以探究医学课程中教授和评估解剖变异的最佳学习策略。

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