McCulloch T A, Rutty G N
Department of Histopathology, Nottingham City Hospital, UK.
J Clin Pathol. 1998 Feb;51(2):163-4. doi: 10.1136/jcp.51.2.163.
The classic methods of examining both the pulmonary arteries and bronchi postmortem partly destroy the anatomy of one of these systems. A technique is described whereby the bronchi and pulmonary arteries are dissected and preserved. The principal difference of this technique is that most of the upper lobe vasculature is opened from the hilum. The exception to this is the lingula, which because it is the embryological homologue of the right middle lobe should be treated in the same way--that is, with the vessels opened from the pleural side and the bronchi from the hilum. One general practical point is that there is a great variation in the number of pulmonary arterial branches in each lobe, particularly in the upper lobes, and especially in the left upper lobe. Furthermore, there is some variation in the local anatomic relations of the vessels and bronchi and on occasion the technique will not work as described and will require some modification. However, most of the time this technique should allow the pathologist to preserve the anatomy of the bronchial tree and pulmonary arteries for better demonstration and photographic purposes when the need arises.
经典的尸检时检查肺动脉和支气管的方法会部分破坏这两个系统之一的解剖结构。本文描述了一种解剖并保存支气管和肺动脉的技术。该技术的主要区别在于，大部分上叶血管系统是从肺门处打开的。舌叶是个例外，因为它是右中叶的胚胎同源物，所以应采用相同的处理方式，即血管从胸膜侧打开，支气管从肺门处打开。一个普遍的实际情况是，每个肺叶中肺动脉分支的数量差异很大，尤其是在上叶，特别是左肺上叶。此外，血管和支气管的局部解剖关系也存在一些变异，有时该技术无法按描述的那样操作，需要进行一些修改。然而，大多数情况下，当有需要时，这种技术应能让病理学家保留支气管树和肺动脉的解剖结构，以便更好地展示和拍照。
