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使用相同的解剖语言:标准化喉神经术语在解剖学和医学中至关重要。

Speaking the same anatomical language: standardizing laryngeal nerve terminology matters in anatomy and medicine.

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中文摘要

目的: 本研究旨在根据官方解剖学命名法,确定通常被称为“喉返神经”或“喉下神经”的神经最合适的术语。此外,它还试图分析这些术语在科学文献中的使用频率,并提供该神经的详细解剖描述,以促进学术和临床环境中的术语准确性。
方法: 进行了三个阶段的描述性分析。首先,在MEDLINE/PubMed、Embase、LILACS、SciELO、Cochrane Library和Google Scholar中进行了文献检索,同时审查了主要解剖学教科书,以量化两个术语的使用情况。其次,查阅了《解剖学术语》(TA)和《神经解剖学术语》(TNA),以确定官方认可的术语。第三,从权威来源汇编了该神经的解剖、功能和临床意义的全面描述。
结果: 在所有检索的科学数据库和现代解剖学教科书中,“喉返神经”这一术语占绝对优势。例如,MEDLINE/PubMed中标题使用该术语的文章有1,828篇,而“喉下神经”仅有111篇。TA和TNA均仅承认“N. laryngeus recurrens”,翻译为“喉返神经”,作为官方名称。当前命名法中的“喉下”一词保留给血管结构,即喉下动脉和静脉。
结论: 正确且国际公认的术语是“喉返神经”。一致使用标准化术语对于教育、临床实践和研究中的精确交流至关重要。彻底了解喉返神经的解剖走行和变异对于最大限度地减少颈部手术(尤其是甲状腺和甲状旁腺手术)中医源性损伤的风险至关重要。

英文摘要

OBJECTIVES: This study aimed to identify the most appropriate terminology for the nerve commonly referred to as the "recurrent laryngeal nerve" or "inferior laryngeal nerve", based on official anatomical nomenclatures. Additionally, it sought to analyze the frequency of use of these terms in scientific literature and provide a detailed anatomical description of the nerve to promote terminological accuracy in academic and clinical settings.
METHODS: A descriptive analysis was conducted in three phases. First, a literature search was performed in MEDLINE/PubMed, Embase, LILACS, SciELO, Cochrane Library, and Google Scholar, alongside a review of major anatomical textbooks, to quantify the usage of both terms. Second, theTerminologia Anatomica (TA) and Terminologia Neuroanatomica (TNA) were consulted to identify the officially sanctioned term. Third, a comprehensive description of the nerve's anatomy, function, and clinical significance was compiled from authoritative sources.
RESULTS: The term "recurrent laryngeal nerve" was overwhelmingly predominant in all searched scientific databases and modern anatomical textbooks. For instance, MEDLINE/PubMed yielded 1,828 articles using this term in the title, compared to only 111 for "inferior laryngeal nerve". Both the TA and TNA exclusively recognize "N. laryngeus recurrens", translated as "recurrent laryngeal nerve", as the official designation. The term "inferior laryngeal" in current nomenclatures is reserved for vascular structures, namely the inferior laryngeal artery and vein.
CONCLUSION: The correct and internationally accepted term is "recurrent laryngeal nerve". The consistent use of standardized terminology is crucial for precise communication in education, clinical practice, and research. A thorough understanding of the recurrent laryngeal nerve's anatomical course and variations is essential for minimizing the risk of iatrogenic injury during surgical procedures in the neck, particularly thyroid and parathyroid surgeries.