Zuckerkandl 结节在甲状腺外科中的重要意义

doi:10.13418/j.issn.1001-165x.2019.01.022

中国临床解剖学杂志 ›› 2019, Vol. 37 ›› Issue (1): 107-109.doi: 10.13418/j.issn.1001-165x.2019.01.022

Zuckerkandl 结节在甲状腺外科中的重要意义

刘家锋

赣南医学院第一附属医院耳鼻咽喉头颈外科，江西赣州 341000

收稿日期:2018-07-24 发布日期:2019-02-20
作者简介:刘家锋（1975-），副主任医师，硕士，主要从事头颈肿瘤及头颈临床解剖学方面的研究，E-mail：ljfhns@126.com
基金资助:
江西省卫生计生委星火计划项目（20188016）

The significance of Zuckerkandl’s tubercel in thyroid surgery

LIU Jia-feng

Department of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Gannan Medical College, Ganzhou 341000, Jiangxi Province, China

Received:2018-07-24 Published:2019-02-20

摘要/Abstract

摘要：

目的　探讨 Zuckerkandl 结节（Zuckerkandl’s tubercle，ZT）在甲状腺手术中出现的机率，以及ZT与喉返神经（recurrent laryngeal nerve，RLN）、上甲状旁腺（superior parathyroid gland，SPG）的解剖关系。方法　回顾分析2016年12月至2017年12月，在赣南医学院第一附属医院耳鼻咽喉-头颈外科住院施行单侧或双侧甲状腺腺叶切除的120例甲状腺肿瘤患者的病历资料。对146个腺叶进行记录，观察ZT，分析其与RLN、SPG的解剖关系。结果　76例（63.3%）患者发现ZT，而54例（45.0%）患者其结节最长径大于1 cm。ZT较大者，87例（92.6%）RLN在ZT内侧，7例（7.4％）RLN横过ZT。SPG通常位于ZT之上，RLN之后。结论　ZT是甲状腺的显著特征之一，多数甲状腺手术中可以发现。ZT的大小和位置与术前症状没有确切的关系。理解ZT与RLN和SPG的解剖关系，对甲状腺手术的安全性具有重要意义。

关键词: Zuckerkandl 结节, 　甲状旁腺, 　喉返神经, 　甲状腺切除术

Abstract:

Objective　To study the occurrence rate of tubercle of Zuckerkandl (ZT) in thyroid surgery and the anatomic relationship between ZT and recurrent laryngeal nerve(RLN) and superior parathyroid gland (SPG).　Methods　Data of 120 patients with thyroid tumor underwent unilateral or bilateral thyroid gland lobe resection in the department of otolaryngology - head and neck surgery of the first affiliated hospital of Gannan medical college between December 2016 to December 2017 were retrospectively analyzed. One hundred and forty six glandular lobes were recorded, ZT was analyzed and the size of ZT was measured. The relationship between ZT and recurrent laryngeal nerve and superior parathyroid gland was observed.　Results　ZT was identified in 76 cases (63.3%) of patients and its longest diameter was >1 cm in 54 cases (45.0%). In 87 cases (92.6%) of patients with an enlarged ZT, the RLN laid medial to it and the nerve was found lateral to the ZT in 7 cases (7.4%). The SPG was usually cranial to the ZT and posterior to the recurrent laryngeal nerve.　Conclusions　ZT is a distinct feature of the thyroid gland that can be recognized during most thyroidectomies. The size and position of the ZT have no constant relationship to preoperative symptoms. An understanding of the consistent anatomical relationship between the ZT and RLN and SPG is crucial for safe thyroidectomy.

Key words: Zuckerkandl’s tubercle； , Parathyroid gland； , Recurrent laryngeal nerve； , Thyroidectomy

刘家锋. Zuckerkandl 结节在甲状腺外科中的重要意义[J]. 中国临床解剖学杂志, 2019, 37(1): 107-109.

LIU Jia-feng. The significance of Zuckerkandl’s tubercel in thyroid surgery[J]. Chinese Journal Of Clinical Anatomy, 2019, 37(1): 107-109.

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Zuckerkandl 结节在甲状腺外科中的重要意义

The significance of Zuckerkandl’s tubercel in thyroid surgery

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