CAJ | 학술논문

Zuckerkandl结节是甲状腺腺体自身突起而形成的结节,近年来逐渐引起解剖学者与外科医师的重视.临床上行甲状腺手术时为了避免伤及喉返神经及其分支与上甲状旁腺,外科医师常需要借助于特定解剖学标志,如甲状软骨下角、甲状腺下动脉、甲状腺下极、气管食管沟和甲状腺悬韧带等,这些特定解剖学标志有以下共同的特点:(1)标志本身位置较固定;(2)易于观察或触及,方便实用.Zuckerkandl结节作为一个新提出的解剖学标志符合以上特点,且在人群中普遍存在,可作为甲状腺手术中识别喉返神经及其分支与上甲状旁腺的重要标志.本文就Zuckerkandl结节在甲状腺外科手术中的作用作一综述.
Zuckerkandl결절시갑상선선체자신돌기이형성적결절,근년래축점인기해부학자여외과의사적중시.림상상행갑상선수술시위료피면상급후반신경급기분지여상갑상방선,외과의사상수요차조우특정해부학표지,여갑상연골하각、갑상선하동맥、갑상선하겁、기관식관구화갑상선현인대등,저사특정해부학표지유이하공동적특점:(1)표지본신위치교고정;(2)역우관찰혹촉급,방편실용.Zuckerkandl결절작위일개신제출적해부학표지부합이상특점,차재인군중보편존재,가작위갑상선수술중식별후반신경급기분지여상갑상방선적중요표지.본문취Zuckerkandl결절재갑상선외과수술중적작용작일종술.
Zuckerkandl tubercle is the extension of thyriod gland. For the past few years, more and more surgeons and anatomists have become interested in it. Clinically, surgeons usually rely on specified anatomical landmarks to avoid injuries to the recurrent laryngeal nerve, including the laryngeal branches and the superior parathyroid in thyroid surgery, such as the bottom corner of the thyroid cartilage, the inferior thyroid artery, lower pole of thyroid, tracheoesophageal groove, suspensory ligament of thyroid gland and so on. As the specified landmarks, they have several common characteristics:on the one hand, their location should be constant; on the other hand, they should be easy to observe and touch, meanwhile convenient and practical.As a new anatomical landmark, Zuckerkandl tubercle is in accordance with the above characteristics and prevalent in the population. Therefore, Zuckerkandl tubercle could become an important landmark to identify the the recurrent laryngeal nerve, including the laryngeal branches and the superior parathyroid in thyroid surgery. This essay aims to briefly analyze the role of Zuckerkandl tubercle in thyroid surgery.