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为食管成形术对结肠血供的血管造影研究(作者译)

[Angiographic research on the blood supply of the colon with a view to oesophagoplasty (author's transl)].

作者信息

Popovici Z

出版信息

J Chir (Paris). 1977;113(5-6):517-26.

PMID:885939
Abstract

The author presents an angiographic study of 34 cadavers concerning the colonic vessels, and draws up an original classification of colonic vessels which arise from the inferior mesenteric artery. He found 16 variants of the left colonic artery which he groups into 5 main types, the classical type being only encountered in 22.6 p. cent of cases. In 32 p. cent, the ascending and descending branches of the left colonic artery had a separate origin from the inferior mesenteric artery. The variants of the sigmoid arteries and of the left colonic veins were also identified. In one case, the inferior mesenteric vein was absent, being supplanted by the marginal vein. As for colo-oesophagoplasty, the isoperistaltic transverse colon was found to be better than the ileo-colon in 64 p. cent of cases and equivalent in 20 p. cent. In 16 p. cent the ileo-colon was preferable. The site of the arterial sections in colo-oesophagoplasty according to the colonic vascular type is discussed.

摘要

作者对34具尸体的结肠血管进行了血管造影研究,并对源自肠系膜下动脉的结肠血管制定了一种原创分类。他发现了16种左结肠动脉变异,并将其分为5种主要类型,经典类型仅在22.6%的病例中出现。在32%的病例中,左结肠动脉的升支和降支分别起源于肠系膜下动脉。还确定了乙状结肠动脉和左结肠静脉的变异。在1例中,肠系膜下静脉缺如,由边缘静脉替代。至于结肠-食管成形术,发现64%的病例中,等蠕动横结肠优于回结肠,20%的病例中两者相当。在16%的病例中,回结肠更可取。文中讨论了根据结肠血管类型在结肠-食管成形术中动脉切断的部位。

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