左肺肺段切除术手术入路的应用解剖  

Applied Anatomy of Segmentectomy of Lung Approach in Left Lung

作　　者：王佑怀[1] 徐锐[1] 汤桂成[1] 

机构地区：[1]三峡大学医学院解剖学教研室,湖北宜昌443003

出　　处：《湖北民族学院学报（医学版）》2002年第1期5-7,共3页Journal of Hubei Minzu University(Medical Edition)

基　　金：湖北省教育厅科研重点项目资助课题(99A039)

摘　　要：目的 为左肺肺段切除术寻找肺段段间平面提供解剖学基础。方法 在40个成人左肺标本上,切开肺段间各表面形态处的脏胸膜,沿“自然分裂线”寻找段间平面。结果①上叶的尖前切迹、第一心切迹和“舌段间副裂”的出现率分别为 95．0%、65．0%和62．5%,第一心切迹和“舌叶间副裂”能被分离的占60．O%和62．5%;②下叶的“底内侧副裂”、“底前副裂”和“底后副裂”的出现率分别为 72．5%、32．5%和15．0%,“底内侧副裂”能分离的占52．5%。结论 第一心切迹、“舌段间副裂”和“底内侧副裂”能分离出段间平面,是肺段分界的表面标志,可作为肺段切除术的手术入路。ve To seek intersegmental plane of bronchopulmonary segments for left lung. Methods The visceral pleura intersegmental surface on 40 adult left lung specimens were incised and intersegmental planes were sought along 'natural line of cleavage' in adjoining segments. Results 1 The occurrence rates of anterior apex notch, first cardiac notch, ' in-terlingula segment accessory fissure' were 95. 0%, 65. 0% and 62. 5% respectively, 60. 0% first cardiac notch and 62, 5% 'interlingula segment accessory fissure' could be separated respectively. 2 The occurrence rates of 'basal-medial accessory fissure', ' basal -anterior accessory fissure' and ' basal -posterior accessory fissure' were 72. 5%, 32. 5% and 15. 0% respectively; 52.5% ' basal-medial accessory fissure' could be separated. Conclusion The first cardiac notch, 'interlingula segment accessory fissure' and 'basal -medial accessory fissure' could be separated as intersegmental planes, they are surface markers of bronchopul-monary segmental demarcation line as approaches of segmentectomy of left lung.

关 键 词：手术入路 应用解剖 支气管肺段 表面标志 段间平面 左肺肺段切除术 

分 类 号：R655.3[医药卫生—外科学]