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[腹腔干分支的变异及研究进展]

[Variation and research progress of celiac trunk branch].

作者信息

Bao Tao, Liang Han, Deng Jingyu, Jiao Xuguang

机构信息

Department of Gastric Cancer, Tianjin Cancer Hospital, Key Laboratory of Cancer Prevention and Treatment of Tianjin City, Tianjin Medical University, Tianjing 300060, China.

出版信息

Zhonghua Wei Chang Wai Ke Za Zhi. 2014 Aug;17(8):848-50.

Abstract

Celiac trunk is a wide and short ventral branch. It originates from the anterior abdominal artery at the level of L1 vertebra, and divides into three branches: the left gastric, common hepatic and splenic arteries, supplying the upper abdominal organs such as stomach, liver, spleen, pancreas, and duodenum. However, there are many types of branches variations. The branches of celiac trunk are classified into several types. We establish a classification of variation type according to the origin of left gastric, common hepatic and splenic arteries, which includes hepatogastrosplenic trunk type, hepatosplenic trunk type, hepatogastric trunk type, gastrosplenic trunk type, and the others include hepatosplenomesentery trunk type, hepatogastrospleno-mesentery trunk type, hepatogastrosplenocolonic trunk type, hepatogastrosplenopancreatic trunk type, gastrospenic trunk plus hepatomesentery trunk type, hepatogastrosplenoic left liver trunk type, hepatogastro-splenopancreatoduodenal trunk type, hepatogastric trunk plus hepatosplenic trunk type. Development of celiac trunk variation type was introduced based on the classification of Lipshutz, Adachi, Michels and Zhang Nianjia. Mastering the types of branches variations is necessary for us to perform the upper abdominal operations safely and effectively.

摘要

腹腔干是一条粗短的腹侧分支。它在第1腰椎水平发自腹主动脉,分为三支:胃左动脉、肝总动脉和脾动脉,供应上腹部器官,如胃、肝、脾、胰腺和十二指肠。然而,其分支存在多种变异类型。腹腔干的分支可分为几种类型。我们根据胃左动脉、肝总动脉和脾动脉的起源建立了变异类型分类,包括肝胃脾干型、肝脾干型、肝胃干型、胃脾干型,其他还包括肝脾肠系膜干型、肝胃脾肠系膜干型、肝胃脾结肠干型、肝胃脾胰干型、胃脾干加肝肠系膜干型、肝胃脾左肝干型、肝胃脾胰十二指肠干型、肝胃干加肝脾干型。基于利普舒茨、足立、米歇尔斯和张年家的分类介绍了腹腔干变异类型的发育情况。掌握分支变异类型对我们安全有效地进行上腹部手术很有必要。

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