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肝动脉变异:尸体解剖学研究

Variations of hepatic artery: anatomical study on cadavers.

作者信息

Sebben Geraldo Alberto, Rocha Sérgio Luiz, Sebben Marco Aurélio, Parussolo Filho Plácido Roberto, Gonçalves Bruno Henrique Habu

机构信息

Anatomy Department, Pontifical Catholic University of Paraná, Curitiba, Paraná State - PR, Brazil.

出版信息

Rev Col Bras Cir. 2013 May-Jun;40(3):221-6. doi: 10.1590/s0100-69912013000300010.

Abstract

OBJECTIVES

to demonstrate the minutiae of hepatic arterial system, the incidence of anatomical variations and to compare data obtained from the literature, thus contributing with students and professionals working in this area.

METHODS

We prepared 45 corpses at the Department of Anatomy of the Pontifical Catholic University of Paraná, between July 2010 and April 2011, of which group 30 displayed integrity of structures. We analyzed the anatomical variations of the hepatic arteries, their main characteristics, such as origin, course, length and diameter. The overall result was expressed as frequency and percentage of cadavers with anatomic variations of the hepatic arterial system. The estimative of this percentage was done by constructing a confidence interval of 95%.

RESULTS

There was some kind of anatomical variation in 40% (n = 12) of cadavers. We found 02 variations in the common hepatic artery, 03 in the gastroduodenal artery, 03 in the right hepatic artery, 01 in the left hepatic artery, 01 in the right gastric artery, and 02 in cystic artery. As for the celiac artery, there were variations in length, diameter and height in its origin, which was common on the aorta. The variation of right hepatic artery originating from the superior mesenteric artery was found in 10% (n = 3) of the specimens studied and it was considered the most prevalent type of variation in this study.

CONCLUSION

Changes in hepatic arteries are frequently found and in this study their incidence was 40%, similar to the literature. The most significant change, observed in 10% (3 cases), was the right hepatic artery with its origin in the superior mesenteric artery.

摘要

目的

展示肝动脉系统的细节、解剖变异的发生率,并与文献数据进行比较,从而为该领域的学生和专业人员提供帮助。

方法

2010年7月至2011年4月期间,我们在巴拉那州天主教大学解剖学系对45具尸体进行了研究,其中30组结构完整。我们分析了肝动脉的解剖变异、其主要特征,如起源、走行、长度和直径。总体结果以肝动脉系统解剖变异尸体的频率和百分比表示。通过构建95%的置信区间来估计该百分比。

结果

40%(n = 12)的尸体存在某种解剖变异。我们发现肝总动脉有2种变异,胃十二指肠动脉有3种,右肝动脉有3种,左肝动脉有1种,胃右动脉有1种,胆囊动脉有2种。至于腹腔干,其起源处的长度、直径和高度存在变异,这在主动脉上很常见。在10%(n = 3)的研究标本中发现右肝动脉起源于肠系膜上动脉,这被认为是本研究中最常见的变异类型。

结论

肝动脉变异经常被发现,在本研究中其发生率为40%,与文献报道相似。最显著的变异在10%(3例)中观察到,即右肝动脉起源于肠系膜上动脉。

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