摘要
目的 探讨肝管的长度、直径及其与周围结构的毗邻关系 ,为临床肝脏手术提供解剖学资料。 方法 用游标卡尺测量60例成人尸体肝脏的肝左、右肝管及肝总管的长度、直径和汇合角度 :用ABS(丙烯腈 -丁二烯 -苯乙烯树脂)对10例新鲜肝脏进行血管灌注铸型。同时观测副肝管的数目、来源、注入部位和毗邻关系。结果 与右肝管相比 ,左肝管粗、短、直 ;副肝管的出现率为15.7 %(11/70)。结论 左、右肝管在长度、直径方面存在差异(p<0.01) ;副肝管的出现率高(15.7%) ,在胆道外科手术时应注意副肝管与周围的胆道和血管的关系 。
Objective To observe the variation of length and diameter of the hepatic ducts and find out it's relationship with the adjacent structures. Methods Measurements were made on the length, diameter and converging angel of the hepatic duct in 60 corpses. ABS(Acrylonitrile- Butadiene- styrene vinyl) infusion was made on 10 specimens to reveal the accessory hepatic duct. Results Compared with right hepatic duct, the left hepatic duct was much larger, shorter and verticalin position. The incidence of the accessory hepatic duct was 15.7%(11/70). Conclusions the right hepatic ducts and left hepatic ducts showed significant difference on the length and diameter (p<0.01). High incidence of the accessory hepatic duct was observed(15.7%). Attention should be paid to the bile ducts to avoid the injury of the accessory hepatic duct or hepatic arteries in the surgery operation.
出处
《浙江临床医学》
2003年第4期244-245,共2页
Zhejiang Clinical Medical Journal
