基于64-MSCTA左半肝肝动脉的应用解剖
郑登儒, 周庭永, 钱学华, 张慧, 徐伟, 李林宏, 刘智华, 吕发金
中国临床解剖学杂志 ›› 2012, Vol. 30 ›› Issue (1) : 56-60.
基于64-MSCTA左半肝肝动脉的应用解剖
The applied anatomy of left hepatic artery under 64-MSCTA
Objective To investigate intrahepatic distribution of the left hepatic artery using 64-multi-slice computed tomography angiography(64-MSCTA), and provide morphological data for treating liver diseases. Methods CT images of 120 volunteers were collected and dealt with volume rendering techniques (VRT).The data of left hepatic artery were measured and analyzed statistically. Results The length of the left hepatic arterial trunk was about (42.37±26.58)mm;the inner diameter of its beginning, midpoint and distal end were(3.06±0.70 ),(2.82±0.68), and(2.78±0.65)mm, separately. The frequency of the single trunk, dimidiate branchees, trichotomous branches and quadripartite branches were 4.2%, 63.3%, 28.3%, 2.5% respectively. The angle between endite branch and exite branch of left hepatic artery was about(80.21±23.36)°,While the length and the inner diameter of the starting point of exite branch were(42.80±29.11)mm and (2.25±0.70)mm, as well that of endite branch were (42.90±22.70)mm, and(1.66±0.64)mm, respectively. The frequency of left hepatic artery dispersed to segment Ⅱ, Ⅲ, Ⅳ or segment Ⅱ, Ⅲ were 64.1% and 28.3%,and the aberrant left hepatic artery distributed to segment Ⅱ, Ⅲ,Ⅱor Ⅱ, or Ⅲ, Ⅳ were 5.0%, 3.3%,0.8%, respectively. Conclusions 64-MSCTA is feasible to provide accurate morphological information for the liver. The intrahepatic distribution of the left hepatic artery was complex, and the dimidiate branch of the left hepatic artery is common. The left hepatic artery chiefly distributes to segment Ⅱ, Ⅲ and Ⅳ.
64-MSCTA / The left half liver / Hepatic artery / Applied anatomy
[1] 王建华.肝癌综合介入治疗的现状
[J].中华肝脏病杂志,2005,l3(l0):721-723.
[2] Thomas S, Martin B, Felix L, et al. The role of complex hepatic artery reconstruction in orthotopic liver transplantation
[J].Liver Transplantation,2003,9(9):970-975.
[3] Siraj S, Jean-Yves M, Vincent G, et al. Anatomical variations of the hepatic artery:study of 932 cases in liver transplantation
[J]. Surg Radiol Anat, 2006, 28(5):468-473.
[4] Andujar RL, Moya A, Montalva E, et al. Lessons learned from anatomic variants of hepatic artery in 1081 transplantationed livers
[J]. Liver Transplantation, 2007, 13(10): 1401-1404.
[5] Michels Nicholas A.New anatomy of the liver and its variant blood supply and collateral circulation
[J].Am J Surg,1966,112(3):112-337.
[6] 陈文华,黄庆娟,徐青.MSCT血管成像在活体肝移植供体评价中的应用
[J].肝胆外科杂志,2005,13(3):177-180.
[7] 郭冬梅,边杰,张秀丽.肝移植术前MSCT评估
[J].中国临床医学影像杂志,2006,17(6):307-310.
[8] Koops A, Wojciechowski B, Broering D, et al. Anatomy variations of the hepatic arteries in 604 selective celiac and superior mesenteric angiographies
[J].Surg Radiolo Anat, 2004,26(3):239-244.
[9] Jones RM, Hardy KJ. The hepatic artery :a reminder of surgical anatomy
[J].JR Coll Surg Edinb, 2001,46(3):168-170.
[10] Anne M,Covey MD,Lynn A,et al.Variant hepatic artery anatomy revisited:digital subtraction angiography performed in 600 patients
[J]. Radiology, 2002, 224(2):542-547.
[11] Okano S, Sawai K, Taniguchi H, et al. Aberrant left hepatic artery arising from the left gastric artery and liver function artery radical gastrectomy for gastric cancer
[J].World J Surg,1993,17(1):70-73.
[12] 郑登儒,周庭永,钱学华, 等.肝动脉的影像解剖及临床应用
[J].解剖学杂志,2011 ,34(2):249-252.
/
〈 |
|
〉 |