采用超声探测颈侧前部的临床意义

Clinical significance of ultrasound detection on the anterior part of the neck

摘要:

目的探讨颈前椎间盘平面颈动脉鞘和食管的超声影像图及在指导颈椎手术的临床意义。方法采用体表超声检查30例正常成人颈部双侧前方椎间盘平面颈动脉鞘与食管间的关系、走向位置、解剖距离等超声影像图特征。结果颈前超声可清晰探测颈椎间盘、颈动脉鞘、食管及其之间的位置关系。颈部食管在颈椎前方下行中逐渐由中线偏向左侧移行,在各颈椎间盘平面,颈动脉鞘与食管间距离右侧大于左侧。结论颈前右侧颈动脉鞘与食管间距离较左侧更大。为避免食管损伤,在行椎间盘微创穿刺或手术操作中,与左侧入路相比,右侧入路是个相对更安全的操作路径。

Abstract:

【Objective】To discuss the ultrasound imaging of anterior carotid sheath and esophagus at disc plane and its clinical guiding significance in cervical surgery.【Methods】The relationship,orientation position,anatomical distance were examined between anterior carotid sheath and esophagus at disc plane of 30 normal adults.【Results】Precervical ultrasound can clearly detect the position relationship between the cervical disc,carotid sheath and esophagus.The neck esophagus gradually moves from the midline to the left side in the downward front of the cervical spine.In the cervical disc plane,the right distance between the carotid sheath and the esophagus is greater than which of the left side.【Conclusion】The distance between the right anterior carotid artery sheath and the esophagus is wider than the left side.In the minimally invasive disc puncture or surgical operation,in order to avoid esophageal injury the right access is a relatively safer operating path compared to the left access.