微血管铸型法对肝外胆管血液供应的研究

首都医科大学学报 ›› 2010, Vol. 31 ›› Issue (6): 789-791.

微血管铸型法对肝外胆管血液供应的研究

戴洁¹, 陈亚亮², 刘国贞¹, 宋一志², 吴晓峰³, 李宁³

1. 首都医科大学临床病理中心;2. 首都医科大学基础医学院解剖学系;3. 首都医科大学附属北京佑安医院肝胆外科

收稿日期:2010-06-07 修回日期:1900-01-01 出版日期:2010-12-24 发布日期:2010-12-24
通讯作者: 李宁

Study on the Blood Supply to the Extrahepatic Bile Ducts with Microvascular Casting Mould

DAI Jie¹, CHEN Ya-liang², LIU Guo-zhen¹, SONG Yi-zhi², WU Xiao-feng³, LI Ning³

1. Centre for Clinical Pathology, Capital Medical University;2. Department of Anatomy, School of Basic Medical Sciences, Capital Medical University;3. Department of Hepatobiliary Surgery, Beijing Youan Hospital, Capital Medical University

Received:2010-06-07 Revised:1900-01-01 Online:2010-12-24 Published:2010-12-24

摘要/Abstract

摘要： 目的为肝移植术后胆道合并症的发生机制提供胆管血液供应理论及应用解剖学依据。方法应用改良乳胶血管内注射技术对遗体捐献的尸体,进行肝外胆道系统血管铸型。结果肝外胆管的血供来源主要有:胃十二指肠动脉,肝固有动脉及胆囊动脉等,并形成上下相连的纵向吻合支,其中9.6%(3/31)的铸型标本中段存在明显的血管缺如区域。结论肝移植合并症与肝外胆道的血液供应有非常重要的联系。

关键词: 乳胶血管铸型, 肝外胆管, 动脉供血, 肝移植, 胆道合并症

Abstract: Objective To provide applied anatomic evidence for the blood supply to the bile ducts in the complication relating to the bile ducts in the liver transplantation.Methods A latex casting mould was developed for the blood supplying to extrahepatic bile duct system in the cadavers.Results The main blood supply to the extrahepatic bile ducts were from the following sources:gastroduodenal artery,the proper hepatic artery and cystic artery.A longitudinal anastomotic chain was found,but 9.6%(3/31) of the casting moulds showed that blood vessels were absent in the middle segments.Conclusion There may be an important relationship between the blood supply to the bile ducts and the complication of the liver transplantation.

Key words: latex casting mould, extrahepatic bile duct, arterial supply, liver transplantation, the bile duct complication

中图分类号:

戴洁;陈亚亮;刘国贞;宋一志;吴晓峰;李宁. 微血管铸型法对肝外胆管血液供应的研究[J]. 首都医科大学学报, 2010, 31(6): 789-791.

DAI Jie;CHEN Ya-liang;LIU Guo-zhen;SONG Yi-zhi;WU Xiao-feng;LI Ning. Study on the Blood Supply to the Extrahepatic Bile Ducts with Microvascular Casting Mould[J]. Journal of Capital Medical University, 2010, 31(6): 789-791.

[1]	孙熙木, 王华光, 赵昕, 吕少诚, 贺强, 刘丽宏. 肝移植患者术后巨细胞病毒感染的危险因素分析[J]. 首都医科大学学报, 2021, 42(4): 664-671.
[2]	张菊霞, 吴安石. 背驮式与经典非转流式肝移植围术期临床疗效的研究[J]. 首都医科大学学报, 2020, 41(6): 954-959.
[3]	岳竹, 李昂, 刘培, 白静, 庄海舟, 段美丽. 肝移植术后急性肾损伤的发生率及危险因素[J]. 首都医科大学学报, 2018, 39(1): 14-20.
[4]	沈伟, 刘岩. 放射性支架治疗肝外胆管癌的临床研究[J]. 首都医科大学学报, 2016, 37(5): 593-596.
[5]	赖威;刘源;卢实春;黎官印;李传云;武聚山;段斌炜;代传宙;曾道炳. 肝移植术中异体髂动脉架桥重建肝动脉的临床效果观察[J]. 首都医科大学学报, 2012, 33(1): 55-58.
[6]	林栋栋;卢实春;李宁. 小肝移植物与小肝综合征[J]. 首都医科大学学报, 2011, 32(3): 356-360.
[7]	王宇. 门静脉高压症的外科治疗[J]. 首都医科大学学报, 2007, 28(1): 35-38.
[8]	夏仁品;武聚山;吴娟;卢实春;郭庆良;黄建文;赵春惠;Terry B Strom. 大鼠原位肝移植后肿瘤坏死因子-α与供肝损伤的关系[J]. 首都医科大学学报, 2005, 26(4): 489-491.