1.华北理工大学研究生院,河北 唐山 063000
2.唐山市人民医院乳腺外科,河北 唐山 063000
Received:07 September 2024,
Published:25 July 2025
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刘禹岐,张雪鹏,蔡海峰.筛状筋膜的解剖及其在乳腺外科膜解剖中的意义[J].局解手术学杂志,2025,34(07):634-637.
LIU Yu-qi,ZHANG Xue-peng,CAI Hai-feng.Anatomy of the cribriform fascia and its significance in the membranous anatomy of breast surgery[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(07):634-637.
刘禹岐,张雪鹏,蔡海峰.筛状筋膜的解剖及其在乳腺外科膜解剖中的意义[J].局解手术学杂志,2025,34(07):634-637. DOI: 10.11659/jjssx.09E024037.
LIU Yu-qi,ZHANG Xue-peng,CAI Hai-feng.Anatomy of the cribriform fascia and its significance in the membranous anatomy of breast surgery[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(07):634-637. DOI: 10.11659/jjssx.09E024037.
筛状筋膜在腋窝由深浅两层筋膜融合而成,并与皮下组织和皮肤共同组成腋窝底部,是乳腺外科膜解剖体系中的关键部分。筛状筋膜疏松的解剖结构使其成为腋窝区域重要的解剖标志,尤其在淋巴结准确定位中发挥了重要作用。与传统腋窝褶皱入路相比,通过筛状筋膜行前哨淋巴结活检的术中出血量更少,置管时间更短。但是,筛状筋膜的解剖结构及其在乳腺外科膜解剖中的意义尚未得到充分阐释。本文通过分析筛状筋膜的解剖结构及其毗邻组织,强调经腋窝筛状筋膜行前哨淋巴结活检术需要注意的解剖结构,为临床医师充分认识筛状筋膜结构提供参考。
The cribriform fascia is formed by the fusion of deep and superficial fascias in the axilla,and it forms the base of the axilla together with the subcutaneous tissue and skin,which is a key part of the system of the membranous anatomy of breast surgery. The loose anatomical structure of the cribriform fascia makes it an important anatomical landmark in the axillary region,which plays an important role in accurate localization of lymph nodes. The sentinel lymph node biopsy through cribriform fascia has less intraoperative blood loss and shorter catheterization time compared with the traditional axillary fold approach. However,the anatomical structure of the cribriform fascia and its significance in the membranous anatomy of breast surgery have not been fully elucidated. This article analyzes the anatomical structure of the cribriform fascia and its adjacent tissues,and emphasizes the anatomical structure that needs to be paid attention to in sentinel lymph node biopsy through the axillary cribriform fascia,so as to provide a reference for clinicians to fully understand the cribriform fascia structure.
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