胰腺背侧血管配布关系及对胰腺血液供应的解剖研究

发布时间：2018-01-21 12:49

本文关键词： 胰腺背侧区血管配布关系解剖　出处：《吉林大学》2007年硕士论文　论文类型：学位论文

【摘要】： 胰腺位于人体上腹部,毗邻关系复杂:前面借网膜囊与胃相邻,右侧被十二指肠紧密包绕,左侧与脾及左肾相邻,胰头后有胆总管通过。胰腺背侧有许多重要血管配布,如:肠系膜上动静脉、脾动静脉、左肾动静脉、肠系膜下静脉、门静脉、腹主动脉、下腔静脉、胰十二指肠上前和上后动脉、胰十二指肠下前和下后动脉,以及分支供应胰的胰背动脉、胰下动脉、胰大动脉等。其中,除由胰十二指肠上前动脉及胰十二指肠下前动脉组成的前动脉弓位于胰头前方外,其余各血管均位于胰腺背侧区,因此,胰腺背侧区一直是解剖学者及外科医师研究的重点。胰腺背侧区各血管走行变化多样,相互之间的位置关系复杂,变异较大,虽然目前对该区每个血管已有详尽的描述,但对各个血管之间的位置配布关系尚缺乏相关的解剖学资料。目前,临床上胰腺疾病有逐渐增多的趋势,各种治疗手段也层出不穷,其中尤以手术及介入治疗发展迅速,由于胰腺手术大多步骤繁琐、难度高、风险大,一旦出现意外,其并发症多较严重,甚至引起致命的后果,这就要求术者对胰腺的局部解剖知识有较好的掌握,为此我们展开了相关的解剖学研究。本研究通过20具经福尔马林固定的成人尸体标本,对胰腺手术时所涉及的重要血管进行了系统的观测,主要观测了重要血管的起止、走行、分支以及相互之间的位置配布关系,对测得的数据进行科学的统计分析,以期对胰腺手术所涉及的重要血管有一个清晰的、系统的认识,为临床上进行各种胰腺手术提供安全可靠的解剖学依据。
[Abstract]:The pancreas is located in the upper abdomen of the human body, and the adjacent relationship is complex: the anterior omentum sac is adjacent to the stomach, the right side is tightly surrounded by the duodenum, the left side is adjacent to the spleen and the left kidney. There is a common bile duct behind the pancreatic head. There are many important vessels in the dorsal side of the pancreas, such as: superior mesenteric arteriovenous, splenic arteriovenous, left renal arteriovenous, inferior mesenteric vein, portal vein, abdominal aorta, inferior vena cava. The anterior and superior pancreaticoduodenal artery, the anterior and inferior inferior pancreaticoduodenal artery, as well as branches supplying the dorsal pancreatic artery, the inferior pancreatic artery, the great pancreatic artery, etc. Except for the anterior arch of the anterior pancreaticoduodenal artery and the anterior inferior pancreaticoduodenal artery, the other vessels were located in the dorsal region of the pancreas. The dorsal region of pancreas has always been the focus of anatomists and surgeons. There are various changes of the blood vessels in the dorsal region of the pancreas, and the location relationship between them is complicated and the variation is great. Although there is a detailed description of each vessel in this area, there is a lack of anatomical data on the relationship between the location and distribution of each vessel. At present, there is a growing trend of pancreatic diseases in clinic. A variety of treatment methods are also emerging, especially surgery and interventional treatment rapid development, because most of the procedures of pancreatic surgery is cumbersome, difficult, high risk, once there is an accident, its complications are more serious. Even fatal consequences, which requires the operator to have a good understanding of the local anatomy of the pancreas. In this study, 20 formalin-fixed adult cadavers were used to systematically observe the important blood vessels involved in pancreatic surgery. The starting and stopping of important blood vessels, walking, branching and distribution relationship between each other were observed, and the measured data were analyzed scientifically in order to have a clear understanding of the important blood vessels involved in pancreatic surgery. Systematic understanding provides a safe and reliable anatomical basis for clinical pancreatic surgery.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2007
【分类号】：R322

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