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肝动脉是终末动脉吗?

Are hepatic arteries end-arteries?

作者信息

Mays E T, Mays E T

出版信息

J Anat. 1983 Dec;137 ( Pt 4)(Pt 4):637-44.

Abstract

Studies of intrahepatic arteries in vivo and after death give dramatically different results concerning the human hepatic circulation. Corrosion casts of human liver vasculature support the existing belief that hepatic arteries are end-arteries. However, in vivo studies using angiographic techniques after ligation of either the left or the right ramus of the hepatic artery demonstrate intrahepatic translobar collateral arteries capable of perfusing the entire occluded arterial system. There is no intermediate filling of sinusoids nor of portal venules. Traditional statements that hepatic arteries are end-arteries cannot be supported by the present findings.

摘要

对肝内动脉的活体研究和死后研究得出了关于人体肝循环的截然不同的结果。人体肝脏脉管系统的铸型标本支持了现有的观点,即肝动脉是终末动脉。然而,在肝动脉左支或右支结扎后使用血管造影技术进行的活体研究表明,肝内存在能够灌注整个闭塞动脉系统的跨叶侧支动脉。肝血窦和门静脉小分支均无中间充盈情况。目前的研究结果无法支持肝动脉是终末动脉这一传统说法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a893/1171866/341615a2f9eb/janat00208-0005-a.jpg

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