论文部分内容阅读
胰内各部动脉供应来源、构筑、分布、吻合各具特点,对胰腺动脉影像识别及胰移植的血管蒂处理均具临床重要性。本文对35例(男32、女3)成年新鲜无病变的胰区标本,采用过氯乙烯灌注动脉及胰管后腐蚀方法获取此两组管道系统的清晰铸型,对其作了观测。结果是:1.胰头:主要由源于胃十二指肠上动脉的胰十二指肠上前、上后动脉和肠系膜上动脉根部的胰十二指肠下前、下后动脉,在胰头分别形成胰前、胰后动脉弓:前弓出现率100%,(单弓27例,双.弓8例)、后弓出现率100%,(单弓32例,双弓3例)。钩突主要由胰十二指肠下动脉分支分布。2.胰颈:此部出现胰背动脉者32例(91.4%,其来源是脾动脉16例(50%)、肠系膜上动脉10例(31.2%)、肝总动脉3例(9%)、腹腔动脉3例(9%),此动脉主干位置靠胰颈左侧21例(65.6%)。右侧者7例(21。9%)、后方者4例(13.5%)。3.胰体。主要由牌动脉胰支供应,为3~9支,平均6支(35例共21O支);胰大动脉出现者21例(60%);胰横弓出现24例(686%);此弓左端与其它胰支缺乏吻合者,作为供胰则血栓形成可能性极大。4.胰尾:主要来自脾动脉末端及胃网膜左动脉分支,有l~4支,平均为2.4支。本文提出了中国人胰内动脉分支模式图,为临床影像学提供参考
The sources, structures, distributions and anastomoses of all the arteries in the pancreas are of clinical significance for the imaging of the pancreas and the pedicle of the pedicle of pancreas transplantation. In this study, 35 cases (male 32, female 3) of adult fresh non-lesion samples of the pancreas, perfusing vinyl chloride after perfused arteries and pancreatic duct after the corrosion method to obtain a clear cast of the two sets of pipeline system was observed. The result is: 1. The head of the pancreas is mainly composed of the anterior and posterior arteries of the pancreatic duodenum which originate from the superior gastroduodenal artery and the superior and inferior posterior arteries and the superior mesenteric artery, Anterior and posterior pancreatic artery bows: The incidence of the anterior arch was 100% (27 in a single arch, 8 in double arch) and 100% in the posterior arch (32 in a single arch and 3 in both bows). Hypothesis mainly by the pancreaticoduodenal artery branch distribution. 2. Pancreatic neck: There were 32 cases (91.4%) of pancreatic dorsal artery in this department, including 16 cases of splenic artery (50%), 10 cases of superior mesenteric artery (31.2%) and 3 cases of common hepatic artery (9% Three cases (9%) of the celiac artery, the main artery of the artery was located on the left side of the pancreas in 21 cases (65.6%), the right side in 7 cases (21.9%) and the rear side in 4 cases (13.5%). The body of the pancreas was mainly supplied by the pancreas arteries, ranging from 3 to 9 with an average of 6 (35 out of 21O), 21 (60%) with the pancreatic aorta, and 24 (686% ); The left side of the bowel and other pancreatic branches lack of anastomosis, as the possibility of thrombosis for the pancreas is great .4. The tail of the tail: mainly from the distal end of the splenic artery and the left gastric artery branch, with 1-4, with an average of 2.4 branch.This paper presents Chinese human pancreatic artery branch pattern map, provide a reference for clinical imaging