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左肺下叶支气管的精细解剖分类及亚肺叶切除术的指导

Fine anatomical classification of the bronchi in left lower lobe and guidance for sublobectomy.

作者信息

Liu Shicheng, Chen Shuangqing, Li Zhikai, Duan Guochen

机构信息

Department of Thoracic Surgery, Hebei General Hospital, Shijiazhuang, China.

Department of Thoracic Surgery, Xiongan Xuanwu Hospital, Xiongan New Area, China.

出版信息

Future Oncol. 2025 Jul;21(17):2189-2201. doi: 10.1080/14796694.2025.2514427. Epub 2025 Jun 4.

Abstract

AIM

The purpose of this study was to analyze the branching pattern and anatomic variation of the bronchi in left lower lobe.

METHODS

CT data of some patients admitted to Hebei General Hospital from September 2021 to September 2023 were collected, and the bronchial branch pattern of the left lower lobe was analyzed.

RESULTS

Left B was classified into single-branch type (521 cases, 96.5%) and two-branches type (19 cases, 3.5%) according to the number of bronchial stems. B can be classified into 10 types according to its original position, among which the most common type is B originates from B (299 cases, 55.4%). The left B-B was classified into three types: B-B bifurcated type (434 cases, 80.4%), B-B trifurcated type (101 cases, 18.7%), and B-B quadrivial type (5 cases, 0.9%).

CONCLUSIONS

We analyzed the branching pattern of the bronchi in left lower lobe and discussed the related surgical methods deeply. Some new anatomical types are proposed for the first time, which fill the relevant gaps in this field.

摘要

目的

本研究旨在分析左肺下叶支气管的分支模式及解剖变异。

方法

收集河北医科大学附属第一医院2021年9月至2023年9月收治的部分患者的CT数据,分析左肺下叶支气管分支模式。

结果

左B根据支气管干数量分为单支型(521例,96.5%)和双支型(19例,3.5%)。B根据其起源位置可分为10种类型,其中最常见的类型是B起源于B(299例,55.4%)。左B-B分为三种类型:B-B二叉型(434例,80.4%)、B-B三叉型(101例,18.7%)和B-B四叉型(5例,0.9%)。

结论

我们分析了左肺下叶支气管的分支模式,并深入探讨了相关手术方法。首次提出了一些新的解剖类型,填补了该领域的相关空白。

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