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经皮穿刺胸腺的应用解剖 被引量:2

Applied anatomy of thymic percutaneous paracentesis
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摘要 目的通过穿刺胸腺组织诊断胸腺肿瘤,注入抗肿瘤药物治疗重症肌无力等。方法解剖观察成尸标本37具,观测胸腺的位置、形态,经皮穿刺进针点及深距。结果胸腺位于胸骨后方长(88.3±21.8)mm,宽(32.3±10.5)mm,厚(5.1±2.3)mm。经皮从胸骨柄上缘颈静脉切迹穿刺点穿刺至胸骨角后方深距(62.8±14.1)mm。从胸锁乳突肌内侧下段穿刺点至胸骨柄后方深距(45.0±9.2)mm,向前内进针角度为17.7°±7.9°。结论可经皮穿刺胸腺组织诊断胸腺增生或肿瘤,介入注射抗肿瘤药物治疗重症肌无力等。 Objective To diagnosis thymic tumors and to treatment myasthenia gravis by antitumors pharmaceutical injection by thymic percutaneous paracentesis. Methods The position and shape of thymus and the position and depth of percutaneous paracentesis were observed and measured on 37 adult's cadaver specimens. Results Thymus was in dorsal position of sternum,and it's was (88.31±21.87)mm length, (32.3±10.5)mm width, (5.1±2.3)mm thick. The distance of pereutaneous paracentesis between paracentesis point of Jugular notch locating in superior edge of manubrium sterni and the dorsal point of sternal angle was (62.8±14.1)mnl, paracentesis angle to anterior medial direction was 17.71°±7.9°. the distance of percutaneous paracentesis between paracentesis point locating in inferior medial part of sternocleidomastoid and the dorsal point of manubrium sterni was (45.0±9.2)mm. Conclusion Diagnosis of thymic tumors can be made by thymic percutaneous paracentesis, and injecting antitumors pharmaceutical can treatment myasthenia gravis.
出处 《解剖学研究》 CAS 2005年第3期183-184,187,共3页 Anatomy Research
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