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| 肝后下腔静脉破裂修补术应用解剖 | |
| 引用本文： | 刘云建,张韧,栾顺莲,陈强谱,汪谦. 肝后下腔静脉破裂修补术应用解剖[J]. 解剖与临床, 2008, 13(6) |
| 作者姓名： | 刘云建 张韧 栾顺莲 陈强谱 汪谦 |
| 作者单位： | 1. 滨州医学院附属医院肝胆外科,山东滨州,256603 2. 中山医学院解剖学教研室 3. 中山大学附属第一医院肝胆外科 |
| 摘 要： | 目的:为肝后下腔静脉破裂修补术提供解剖学资料.方法:50例成人尸体正常肝标本,从正后方剖开肝后下腔静脉,观测肝静脉入口的大小和位置,第二、三肝门之间的距离,第二肝门上方下腔静脉的长度及第二肝门、第三肝门的长度,第三肝门处静脉回流情况.结果:三条肝静脉主干入口分布于肝后下腔静脉上部,形成第二肝门;肝短静脉汇聚于肝后下腔静脉下部,形成第三肝门,静脉支数大多数在4～8支之间,开口下腔静脉右侧壁及前壁的大部分静脉均来自肝右叶,左侧壁静脉主要来自尾状叶;第二、三肝门之间存在一个稀疏间隙.下腔静脉的上口和最高1条肝静脉入口上缘的间距为(21.2±4.7)mm,第二肝门的高度为(21.4±6.3)mm,第三肝门的高度为(40.6±8.7)mm,第二、三肝门之间的距离为(21.9±5.8)mm.结论:第二、第三肝门组成及分布各有规律,二者之间存在间隙,对临床修补肝后下腔静脉破裂,提高病人抢救成功率具有重要意义. |
| 关 键 词： | 第二肝门 第三肝门 肝静脉 下腔静脉 应用解剖 |
Applied anatomy of repairing retrohepatic inferior vena cava |
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| LIU Yun-jian,ZHANG Ren,LUAN Shun-lian,CHEN Qiang-pu,WANG Qian. Applied anatomy of repairing retrohepatic inferior vena cava[J]. Anatomy and Clinics, 2008, 13(6) | |
| Authors: | LIU Yun-jian ZHANG Ren LUAN Shun-lian CHEN Qiang-pu WANG Qian |
| Affiliation: | LIU Yun-jian,ZHANG Ren,LUAN Shun-lian,CHEN Qiang-pu,WANG Qian.Department of Hepatobiliary Surgery,the Affiliated Hospital of Binzhou Medical College,Binzhou,Sh,ong 256603,China |
| Abstract: | Objective:To provide anatomic data for operations for repairing retrohepatic inferior vena cava. Methods:Fifty adult cadavers were used in this study. The inferior vena cava was incised along its posterior wall in order to expose the ostia of hepatic veins. We measured the size and position of the ostia,the distance between the second hepatic portal and the third one,the height of inferior vena cava above second hepatic portal and the altitudes of the second hepatic portal and the third one. The branches of... |
| Keywords: | The second hepatic portal The third hepatic portal Hepatic veins Inferior vena cava Applied anatomy |
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