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首页> 外文期刊>National Journal of Medical Research >Natural Fissures of Lung- Anatomical Basis of Surgical Techniques and Imaging
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Natural Fissures of Lung- Anatomical Basis of Surgical Techniques and Imaging

机译:肺自然裂痕-手术技术与影像学的解剖基础

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Background The fissures in lung enhances uniform expansion.These fissures may be complete, incomplete or absent.A detailed knowledge of variations of classical and accessory fissures is necessary for proper radiological interpretation.It is a guide to cardiothoracic surgeons performing segmental lung resections, lobectomies to have an uncomplicated perioperative outcome. So,the cadaveric study was done to note the morphological variation of the fissures of lung in eastern Indian population and compare it with previous studies. Methods 102 lungs obtained during dissection of formalin fixed cadavers in Calcutta National Medical College,Kolkata and preserved in 10% formalin were thoroughly studied to note every morphological details of fissures present in the lungs. Results 44% of left lungs had classically complete oblique fissure compared to 26.92% on the right. No oblique fissure could be detected in 8% lungs of left and 11.54% of right side. Horizontal fissure was completely absent in 34.6%. Various degree of parenchymal fusion was more common on the right side.None of the oblique fissures had uniform depth. Conclusion Comparison with other studies shows wide regional variations in morphological patterns of lung fissures,implying environmental and genetic factors in its development .Present study unfolds that parenchymal fusion of various extent is a very common entity of oblique fissure of lung. So more lung parenchyma has to be dissected to reach the bronchi and pulmonary arteries during partial lung resection which naturally might lead to peroperative hemorrhage and more postoperative complications.This knowledge of anatomy of fissures of lung may also help clarifying confusing radiographic findings.
机译:背景肺部裂隙可促进均匀扩张,这些裂隙可能是完整,不完整或不存在的,需要详细了解经典裂隙和副裂隙以进行正确的放射学解释,这是心胸外科医师进行肺段性切除,肺叶切除术的指南。具有简单的围手术期结果。因此,尸体研究是为了记录印度东部人口肺裂的形态变化,并将其与以前的研究进行比较。方法对加尔各答加尔各答国家医学院福尔马林固定尸体解剖过程中获得的102肺并保存在10%福尔马林中进行彻底研究,以记录肺中存在的裂痕的形态学细节。结果44%的左肺有经典的完全斜裂,而右边的为26.92%。在左侧的8%的肺和右侧的11.54%的肺中未检测到斜裂。完全没有水平裂缝的占34.6%。右侧各种程度的实质融合比较普遍,没有一个斜裂深度均匀。结论与其他研究的比较表明,肺裂的形态学区域差异很大,这暗示了其发展的环境和遗传因素。目前的研究表明,不同程度的实质融合是肺斜裂的一种非常普遍的现象。因此,在部分肺切除过程中必须解剖更多的肺实质以到达支气管和肺动脉,这自然可能导致围手术期出血和更多的术后并发症。了解肺裂的解剖学知识也可能有助于澄清令人困惑的放射影像学发现。

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