Heger L, Eliás P, Vítek J, Michl A, Spitzer D
Radiologická klinika FN Kúnz.
Cesk Radiol. 1990 Mar;44(2):73-84.
The authors review the modern concept of liver anatomy, related to the needs of surgeons in segmental resections. Important anatomical structures are described participating in division of the liver into four basic segments. The ultrasound anatomy of portal system, hepatic veins, hepatic fissures and liver hilus are dealt with in detail. Criteria for perfect examination of the liver by ultrasound are defined and representability of key anatomical structure under optimal conditions is analyzed in a group of 100 patients. The only non-constantly represented structure was fissura interlobaris (44%). Hepatic veins proved to be the most variable structures (17%). The results show that segmental anatomy of the liver may be very well represented by ultrasound. The authors discuss the importance of perfect knowledge of anatomy for quality examination.
作者回顾了与外科医生进行肝段切除术需求相关的现代肝脏解剖学概念。描述了参与将肝脏划分为四个基本肝段的重要解剖结构。详细讨论了门静脉系统、肝静脉、肝裂和肝门的超声解剖学。定义了超声完美检查肝脏的标准,并在一组100例患者中分析了最佳条件下关键解剖结构的可显示性。唯一并非始终能显示的结构是肝叶间裂(44%)。肝静脉被证明是变化最大的结构(17%)。结果表明,肝脏的肝段解剖结构通过超声可以很好地显示。作者讨论了完美掌握解剖学知识对于高质量检查的重要性。