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犬门静脉和肝动脉分支的大体解剖:铸型腐蚀研究

Gross anatomy of the portal vein and hepatic artery ramifications in dogs: corrosion cast study.

作者信息

Ursic M, Ravnik D, Hribernik M, Pecar J, Butinar J, Fazarinc G

机构信息

Veterinary Faculty, Institute for Anatomy, Histology and Embryology, University of Ljubljana, Gerbiceva 60, Slovenia.

出版信息

Anat Histol Embryol. 2007 Apr;36(2):83-7. doi: 10.1111/j.1439-0264.2006.00719.x.

Abstract

The anatomical variations of the portal vein and the hepatic artery ramifications were analysed on liver corrosion casts in 20 dogs as a possible aid in the surgical management of the organ. The portal vein ramified similarly in all dogs. It divided into the smaller right portal branch from which vessels for the caudate process and both right lobes arose and the substantial left portal branch, which supplied the remaining liver portions and in 12 cases also the dorsal part of the right lateral lobe. Right lateral, right medial and left branches are the major arteries originating from the hepatic artery; however, their origin and course varied among individual animals. In 10 livers, the right lateral and the left branches originated from the hepatic artery, while the right medial branch arose from the left branch and usually supplied the right medial lobe solely. In nine livers, the right medial branch arose directly from the hepatic artery and supplied quadrate lobe and gallbladder as well, while in one liver the common artery, which subsequently divided into lobar branches, branched away from the hepatic artery. An additional branch for the caudate process, originating directly from the hepatic artery, was observed in 10 livers. Certain liver portions received the arterial blood from two major branches, which was particularly characteristic for the right medial lobe (six livers) and caudate process (10 livers). The course of the major arterial branches was also variable, although they proceeded in close anatomical relationship with the portal vein branches. The left arterial branch accompanied the left portal branch on its dorsal aspect (15 cases) or crossed it from the caudal aspect (five cases). The right lateral branch crossed the initial parts of the left and right portal branches either from cranial (12 cases) or caudal aspects (eight cases), while the right medial branch always crossed the left portal branch from its caudal aspect.

摘要

对20只狗的肝脏铸型进行分析,以研究门静脉和肝动脉分支的解剖变异情况,为肝脏手术管理提供可能的帮助。所有狗的门静脉分支情况相似。它分为较小的右门静脉分支,尾状突和两个右叶的血管由此发出,以及较大的左门静脉分支,该分支供应肝脏其余部分,在12例中还供应右外侧叶的背侧部分。右外侧、右内侧和左分支是起源于肝动脉的主要动脉;然而,它们的起源和走行在个体动物之间有所不同。在10个肝脏中,右外侧和左分支起源于肝动脉,而右内侧分支起源于左分支,通常仅供应右内侧叶。在9个肝脏中,右内侧分支直接起源于肝动脉,还供应方叶和胆囊,而在1个肝脏中,共同动脉随后分为叶分支,从肝动脉分出。在10个肝脏中观察到直接起源于肝动脉的尾状突额外分支。某些肝脏部分从两个主要分支接受动脉血,这在右内侧叶(6个肝脏)和尾状突(10个肝脏)中尤为明显。主要动脉分支的走行也各不相同,尽管它们与门静脉分支在解剖学上关系密切。左动脉分支在其背侧伴行左门静脉分支(15例)或从尾侧交叉(5例)。右外侧分支从颅侧(12例)或尾侧(8例)交叉左、右门静脉分支的起始部分,而右内侧分支总是从尾侧交叉左门静脉分支。

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