Min P Q, Yang Z G, Lei Q F, Gao X H, Long W S, Jiang S M, Zhou D M
Department of Radiology, First Teaching Hospital, West China University of Medical Sciences, Chengdu, Sichuan.
Radiology. 1992 Feb;182(2):553-7. doi: 10.1148/radiology.182.2.1732980.
To clarify the anatomy of the peritoneal reflections of the left perihepatic region, the authors examined 95 cadavers. Thirty-eight were studied radiographically, 37 with sagittal dissection, and 20 with transverse dissection. In over 80% of the cadavers, the left triangular ligament of the liver separated the left suprahepatic space into anterior and posterior sections. The lesser omentum extended to the diaphragm, where its anterior layer reflected and continued as the posterior layer of the left triangular ligament. Thus, the posterior left suprahepatic space and the lesser sac were clearly separated by the lesser omentum and the stomach and over-lapped each other in three dimensions. The posterior left suprahepatic space was located anterosuperior to the lesser sac and in turn was continuous with the gastrohepatic space inferiorly. Carefully researched diagrams of both the midline sagittal and left parasagittal perihepatic spaces were developed. This information has clinical value when the radiologist is called on to drain a left perihepatic abscess.
为阐明肝左周区域腹膜反折的解剖结构，作者检查了95具尸体。其中38具进行了影像学研究，37具进行了矢状面解剖，20具进行了横断面解剖。在超过80%的尸体中，肝左三角韧带将肝左上间隙分为前后两部分。小网膜延伸至膈肌，其前层反折并延续为肝左三角韧带的后层。因此，肝左上后间隙和网膜囊被小网膜和胃清晰分隔，且在三维空间上相互重叠。肝左上后间隙位于网膜囊的前上方，向下与肝胃间隙相连。精心绘制了肝周间隙的中线矢状面和左旁矢状面的研究图。当放射科医生被要求引流肝左周脓肿时，这些信息具有临床价值。
