揭开解剖变异的神秘面纱-教育和临床观点

Vivek Mishra, Mrinal Barua, Shelja Sharma, Prerna Chandra
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摘要

科学文献中过多的解剖变异使得像外科医生和介入医生这样的卫生保健专业人员很难在手术过程中记住解剖变异,而且他们在手术过程中发现的变异很有可能总是与已经以某种或其他方式报道的不同。发现与先前报道的变异版本的异同完全取决于干预者的经验和教育。一方面,不断增加的变化增加了我们现有的科学知识,但另一方面,记住所有的变化和不断增加的变化几乎是不切实际和艰巨的任务,这使得区分重要的事实和不那么重要的事实并将这些事实应用于临床实践变得更加困难。基于证据的解剖学可以公正地对待这种情况,但由于我们有大量与解剖学变异相关的病例报告存在许多科学缺陷,因此仍然缺乏与解剖学变异相关的强有力的研究。作为一种学术练习,报告解剖变异可能没问题,但在现实世界中,这样的事情会造成混乱,影响决策。我们必须试着学会划清界限,避免在科学文献中添加胡言乱语,作为我们对科学所宣称的道德责任的延伸。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Demystifying anatomical variations- Education and clinical perspectives
The plethora of anatomical variations in scientific literature has made it very difficult for health care professionals like surgeons and interventionists to remember anatomical variations during the procedure and there are high chances that the variations they are going to find during a procedure will always be different from the one that is already reported in some or the other way. Finding similarities and dissimilarities with previously reported versions of variations entirely depends on experience and education of interventionists. The continuous addition of variations on one side adding to our existing scientific knowledge but on other side It is almost impractical and herculean task to remember all variations and continuous addition making it more difficult to distinguish the significant from not so significant facts and apply these facts in clinical practice. Evidence based Anatomy can do justice to this situation but robust studies related to anatomical variations are still lacking as we have plenty of case reports related to anatomical variations having many scientific flaws. As an academic exercise reporting anatomical variations may be fine but in the real world such things cause confusion and affect decision-making. We must try and learn to draw a line and avoid adding gibberish to scientific literature as an extension of our professed moral duty towards science.
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