目的 探讨腹部CT影像胰周筋膜及胰周的筋膜间隙与新鲜成人尸体标本胰周筋膜与筋膜间隙相互对应关系，从而对微创胰腺外科相关的手术提供指导意义。 方法 本研究选取惠东县人民医院经临床确诊的急性胰腺炎病例156例，对其腹部CT扫描的胰周影像特点进行归纳总结。同时选取南方医科大学解剖教研室提供的5具新鲜成人尸体标本进行解剖，明确腹部CT影像胰周筋膜及筋膜间隙与尸体标本的对应关系。 结果 在少数急性胰腺炎患者腹部CT扫描影像上和新鲜成人尸体标本上可同时观察到胰腺前筋膜、胰腺后筋膜、肾前筋膜，左右肾前筋膜是相互延续的。胰前间隙位于胰腺实质和其前方的胰腺前筋膜之间，胰后间隙位于胰腺实质和其后方的胰腺后筋膜之间，胰腺后融合筋膜间隙位于胰腺后筋膜和肾前筋膜之间。 结论 少数急性胰腺炎患者的腹部CT扫描影像上能观察到胰周筋膜与胰周的筋膜间隙，与新鲜成人尸体标本存在着相互对应关系。
Abstract
Objective To explore the correlation between peripancreatic fascia, fascia space in abdominal CT images and peripancreatic fascia in fresh adult cadaver specimens and to provide guidance for minimally invasive pancreatic surgery. Methods One hundred and fifty-six patients with acute pancreatitis in Huidong County People's Hospital were selected in this study. The characteristics of the peripancreatic CT scan images of their abdomen were summarized. At the same time, 5 fresh adult cadaver specimens provided by the department of anatomy at Southern Medical University were selected for dissection to explore the corresponding relationship between abdominal CT images of peripancreatic fascia and fascia space and the cadaver specimens. Results The anterior fascia and posterior fascia of pancreas and anterior renal fascia could be observed simultaneously in a small number of patients with acute pancreatitis on abdominal CT scan image and fresh adult cadaver specimens. The prepancreatic space was between the pancreatic parenchyma and the anterior pancreatic fascia. The retropancreatic space was between the pancreatic parenchyma and the posterior pancreatic fascia. The retropancreatic fusion fascia space was between the posterior pancreatic fascia of posterior pancreas and the anterior renal fascia. Conclusions In a few patients with acute pancreatitis, the peripancreatic fascia and fascia space can be observed on the CT scan images, which corresponds to fresh adult cadaver specimens.
关键词
胰周筋膜 /
筋膜间隙 /
CT /
解剖学
Key words
/
Peripancreatic fascia /
Fascia space /
Computed tomography /
Anatomy
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参考文献
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基金
惠州市科技计划项目项目编号（2018Y339）
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