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胰腺的动脉血供:综述。II. 胰十二指肠上后动脉。一项解剖学与放射学研究。

The arterial blood supply of the pancreas: a review. II. The posterior superior pancreaticoduodenal artery. An anatomical and radiological study.

作者信息

Bertelli E, Di Gregorio F, Bertelli L, Civeli L, Mosca S

机构信息

Département d'Anatomie, Université de Montréal, Québec, Canada.

出版信息

Surg Radiol Anat. 1996;18(1):1-9. doi: 10.1007/BF03207753.

DOI:10.1007/BF03207753
PMID:8685804
Abstract

The present paper is the second part of a comprehensive review of the arterial blood supply of the pancreas and deals with the posterior superior pancreaticoduodenal artery. The aim of this review is to summarise the anatomical studies, starting from Haller's reports, and to supply as far as possible, with original material, angiographic evidences for the classic anatomical notions. For this purpose, the overall research was carried out by picking out and studying 1015 selective angiographies (celiac trunk and its branches, superior mesenteric a.) taken from the angiographic archives of the Institutes of Radiology of Siena, Rome (University of Sacro Cuore, Catholic University), and Perugia. Angiographically, many possible different sources of the posterior superior pancreaticoduodenal a. (superior pancreaticoduodenal a., proper hepatic a., right hepatic a., left hepatic a., superior mesenteric a., accessory and replaced right hepatic a. coming from the superior mesenteric a.) have been demonstrated, as have rare variations of the course and a small number of collateral branches (retroduodenal a. and ventral commissural a.). Moreover, the authors underline the discordant opinions still existing regarding the incidence of the different ways the posterior superior pancreaticoduodenal a. arises.

摘要

本文是关于胰腺动脉血供的全面综述的第二部分,论述胰十二指肠上后动脉。本综述的目的是总结自哈勒报告以来的解剖学研究,并尽可能提供原始材料,以作为经典解剖学概念的血管造影证据。为此,通过挑选并研究从锡耶纳、罗马(圣心大学、天主教大学)和佩鲁贾放射学研究所的血管造影档案中获取的1015例选择性血管造影(腹腔干及其分支、肠系膜上动脉)进行了全面研究。在血管造影方面,已证实胰十二指肠上后动脉有许多可能的不同来源(胰十二指肠上动脉、肝固有动脉、右肝动脉、左肝动脉、肠系膜上动脉、来自肠系膜上动脉的副右肝动脉和替代右肝动脉),以及该动脉走行的罕见变异和少量侧支分支(十二指肠后动脉和腹侧连合动脉)。此外,作者强调,关于胰十二指肠上后动脉不同起源方式的发生率,目前仍存在不一致的观点。

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