- · 《中国耳鼻咽喉头颈外科[01/26]
- · 《中国耳鼻咽喉头颈外科[01/26]
- · 中国耳鼻咽喉头颈外科版[01/26]
图像上鼻咽下缘至食管开口区域解剖学研究与喉(3)
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摘要:本研究所收集的患者CT检查资料是因患者自身疾病诊断和治疗需要,并非本研究要求而接受检查,故不违反医学伦理道德规范。本研究局限性在于:①仅测
本研究所收集的患者CT检查资料是因患者自身疾病诊断和治疗需要,并非本研究要求而接受检查,故不违反医学伦理道德规范。本研究局限性在于:①仅测量和讨论了上呼吸道解剖参数之间的关系,并没有实际用于临床中检验有效性。②并非每个患者术前都进行头颈部CT检查,对于没有CT检查的患者,由于会厌根部在甲状软骨上的附着点体表没有明确定位,操作准确性有一定影响,但随着超声等技术的普及,会厌根部在甲状软骨上附着点的解剖定位会更加精确。③D1在解剖上可分为头部和颈部两部分,Agrò等[21]认为可以根据鼻颏间距选择喉罩型号,但是由于临床上下颌骨短小的患者较少见,本文仅从颈部D2分析其对D1的影响,没有讨论下颌骨长度与D1的关系。④此方法不适合颈部解剖结构异常者,如颈部创伤、感染、先天畸形或肿瘤患者。
综上所述,WTC、D1、D2具有性别差异,D1与身高、体质量、WTC、D2等之间具有较好的相关性,其结果对临床喉罩型号选择具有参考意义。
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