| 活体右半肝供者肝脏血管和胆道解剖变异分析 |
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| 引用本文： | 王浩,蒋文涛,朱志军,郑虹,魏林,郭庆军,沈中阳.活体右半肝供者肝脏血管和胆道解剖变异分析[J].天津医药,2011,39(2):118-120. |
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| 作者姓名： | 王浩 蒋文涛 朱志军 郑虹 魏林 郭庆军 沈中阳 |
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| 作者单位： | 天津市第一中心医院东方器官移植中心,天津医科大学一中心临床学院,300192 |
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| 摘 要： | 目的:探讨活体肝移植右半肝供者血管、胆道解剖学特点。方法:依据门静脉分型、肝静脉解剖分型、胆道分型及肝动脉解剖分型,观察90例右半肝活体肝移植供者的肝静脉、门静脉、肝动脉及胆道的解剖学特点。结果:正常门静脉的比例为94.4%(85/90),三叉型门静脉的比例为5.6%(5/90);肝动脉变异率较高;正常胆道的比例为66.7%(60/90),三叉型胆道占20%(18/90),3型胆道的比例为12.2%(11/90),4型胆道占1.1%(1/90);肝中静脉和肝左静脉共干的比例为70.0%(63/90),大于5mm的肝右下静脉出现概率为26.6%(24/90),左内叶上段静脉汇入肝左静脉的比例为68.8%(62/90),共同汇入肝左静脉和肝中静脉的比例为21.1%(19/90),汇入肝中静脉的比例为10.0%(9/90)。结论:肝脏血管和胆道的解剖变异很常见,准确的术前评估对于活体肝移植至关重要。
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| 关 键 词： | 肝移植 活体供者 肝动脉 门静脉 肝静脉 胆道 胰胆管造影术 磁共振 |
Anatomic Variations of Vessels and Biliary Channels in Right Lobe Living Donor Liver |
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| WANG Hao,JIANG Wentao,ZHU Zhijun,ZHENG Hong,WEI Lin,GUO Qingjun,SHEN Zhongyang.Anatomic Variations of Vessels and Biliary Channels in Right Lobe Living Donor Liver[J].Tianjin Medical Journal,2011,39(2):118-120. |
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| Authors: | WANG Hao JIANG Wentao ZHU Zhijun ZHENG Hong WEI Lin GUO Qingjun SHEN Zhongyang |
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| Institution: | WANG Hao,JIANG Wentao,ZHU Zhijun,ZHENG Hong,WEI Lin,GUO Qingjun,SHEN ZhongyangThe First Central Clinical College of Tianjin Medical University,Tianjin 300192,China |
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| Abstract: | Objective:To analyze the anatomical variations of vessels and biliary channels in right lobe living donor liver.Methods:The surgical anatomy of vessels and biliary channel structures were evaluated by reviewing the results of preoperative assessment in 90 right lobe grafts of a single surgical team.The data were analyzed in relation to surgical management of anatomical variations.?Results:There was 94.4% of classic anatomy portal vein (PV),5.6% had a trifurcated PV.The hepatic artery (HA) anatomic variation... |
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| Keywords: | liver transplantation living donors hepatic artery portal vein hepatic veins biliary tract cholangiopancreatography magnetic resonance |
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