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Variations in human pulmonary fissures and lobes: a study conducted in nepalese cadavers

机译:人类肺裂和肺叶的变化:在尼泊尔尸体上进行的一项研究

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摘要

The fissures of lungs are embryologically separating the bronchopulmonary segments, which later on persist in interlobar planes of fully developed lung. Fifty lungs (23 right side and 27 left side), obtained during routine dissection and preserved in formalin constituted the material for present study. In them, variations in fissures and lobes of lung were observed and compared with the previous studies. Seven right sided and 14 left sided lungs showed incomplete oblique fissure. Incomplete horizontal fissure of right lung was observed in eight lungs while it was completely missing in three specimens. A right lung with “lobe of the azygos vein” separated by a supernumerary fissure in medial surface was found. One of the right lung had both superior accessory fissure and inferior accessory fissure and four other right lungs and one left lung presented only with inferior accessory fissure. A vertical notch was found in middle lobe of one right lung. Eight left lungs exhibited with left minor fissure among them two lungs had lingula appearing as a separate lobe. Knowledge of variations in fissures and lobes is of interest to all medical professionals to exactly interpret radiographs, computed tomography scans, to diagnose, plan and modify a surgical procedure depending on the merit of the case and also in certain classical clinical cases pertaining to lung pathologies.
机译:肺部的裂痕在胚胎学上将支气管肺段分开,随后在完全发达的肺叶间平面中持续存在。在常规解剖过程中获得并保存在福尔马林中的五十只肺(右侧23侧,左侧27侧)构成了本研究的材料。在它们中,观察到了肺裂和肺叶的变化,并与先前的研究进行了比较。右侧七个肺和左侧十四个肺显示不完全的斜裂。在八个肺中观察到右肺水平裂不完全,而在三个标本中完全缺失。发现右肺中部表面有“多指裂隙”,被多发性裂隙隔开。右肺中的一者同时具有上附属裂和下附属裂,而另外四个右肺和一个左肺仅表现为下附属裂。在一个右肺的中叶发现垂直切口。八个左肺表现出左小裂痕,其中两个肺的舌齿表现为单独的叶。所有医学专业人员都希望了解裂隙和肺叶的变化,以便根据病例的价值以及在某些与肺部疾病有关的经典临床病例中,准确地解释射线照相,计算机断层扫描,诊断,计划和修改手术程序。

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