Zuckerkandl结节：甲状腺手术中一个重要的解剖标志

目的探讨甲状腺手术中Zuckerkandl结节（zT）与喉返神经（RLN）和上甲状旁腺（sP）的解剖关系及临床应用。方法对我院同一手术组连续施行的153例甲状腺全切术（甲状腺癌121例，甲状腺良性疾病32例）行回顾性分析，观察zT的有无及大小，及与RLN和sP的解剖位置。结果zT出现在多数病例：在右侧为88．2％（135／153），左侧为82．4％（126／153），两侧同时出现的为76．5％（117／153）。RLN主要位于zT与甲状腺腺体之间，其右侧为91．7％（99／108），左侧94．7％（90／95）。sP右侧94．4％（102／108）在zT的头侧10点和11点钟方向，其左侧92．6％（88／95）在zT的头侧1点和2点钟方向。结论ZT与RLN和SP之间有着重要的解剖关系。

Zuckerkandl's tubercle.an anatomical landmark in thyroid surgery

Objective To study the anatomical relation between Zuckerkandl's tubercle(ZT)and recurrent laryngeal nerve(RLN)and the superior parathyroid(SP)glands.Methods 153 patients(121 thyroid cancer and 32 benign diseases)underwent total thyroidectomy from May 2008 to February 2009 were included in our study.We investigated the ZT's presence or absence.size and association with the RLN and SP.Results ZT was identified in most patients.Among them,88.2%(135/153)were found on right,82.4%(90/95) on left and 76.5%(102/108)were found to be bilateral.The RLN was mainly located between the ZT and the main body of the thyroid and 91.7% on riglat(99/108)and 94.7%on left(90/95).94.4% of SP were located on the top of ZT at 10 or 11 o'clock position and 92.6% at about 1 or2 o'clock position.Conclusions There was an important anatomical relationship between ZT and RLN and SP.