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[胸导管腹部段的外科解剖学]

[Surgical anatomy of the abdominal part of the thoracic duct].

作者信息

Semenov G M

出版信息

Arkh Anat Gistol Embriol. 1988 Oct;95(10):55-9.

PMID:3248039
Abstract

With the aim to determine local orienting points, that facilitate in searching the abdominal part of the thoracic duct, 43 corpses of mature persons have been investigated by means of a complex of anatomical techniques. The distance between the levels, where the superior mesenteric artery and renal arteries get off, can be used for preventing possible complications at certain surgical manipulations. In particular, when the distance from the beginning of the superior mesenteric artery is 37-64 mm, the thoracic duct is mainly situated behind the inferior vena cava; when this distance is 16-34 mm, the duct is situated between the inferior vena cava and the aorta, and when the distance between the superior mesenteric and renal arteries is 6-15 mm, the abdominal part of the thoracic duct should be searched for behind the inferior vena cava.

摘要

为了确定有助于寻找胸导管腹部段的局部定位点,采用一套解剖学技术对43具成年人尸体进行了研究。肠系膜上动脉和肾动脉起始水平之间的距离可用于预防某些外科手术操作中可能出现的并发症。特别是,当肠系膜上动脉起始处的距离为37 - 64毫米时,胸导管主要位于下腔静脉后方;当该距离为16 - 34毫米时,导管位于下腔静脉和主动脉之间;而当肠系膜上动脉和肾动脉之间的距离为6 - 15毫米时,应在下腔静脉后方寻找胸导管的腹部段。

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