右叶部分肝移植肝静脉的临床应用解剖

目的：为右叶部分肝移植提供肝静脉的解剖学基础。方法：观测52个铸型标本中肝静脉的走行、分布、分型，肝中静脉肝左静脉合干比率，肝短静脉的数量，大小，及其在肝静脉的各类型中的出现率。结果：肝静脉的分型中A型、B型、C型分别为65．4％、26．9％、7．7％。肝中静脉肝左静脉合干机率67．3％。肝短静脉出现率为32．6％，肝右静脉汇入下腔静脉处与肝中静脉汇入肝左静脉或下腔静脉处的距离2．Ocm以内者占80．7％。结论：本文结果为右叶部分肝移植提供了肝静脉的解剖学基础，提示中国人肝静脉的结构似乎较适合右叶部分肝移植。

Applied anatomy of hepatic veins for right lobe partial transplantation

Objective: To provide anatomic data of hepatic veins for right lobe partial transplantation. Methods: The courses, distribution and typing of hepatic veins were observed on 52 corrosion casts, The rate of forming a common trunk both the left hepatic vein and the right hepatic vein, the number, the dim ension of short hepatic veins and the relationship of them with type of the righ t hepatic vein were also explored. Results: The rates of type A, type B and type C of hepatic veins were 65.4%, 26.9%, and 7.7% respectively. There was a common trunk in 67.3% of the cases. The occurrence rate of short hepatic veins was 32. 6%. The distance from the point of the right hepatic vein opening into inferior vena cava to the point of middle hepatic vein opening into inferior vena cava or the left hepatic vein was no longer than 2.0 cm in 80.7% of cases. Conclusions : The results provide hepatic veins anatomy for right lobe partial liver transpl antation. It may be more suitable for Chinese to employ right lobe partial liver transplantation.