摘要
为确定正常人肝静脉是否存在肝内侧支吻合的问题，作者对１３例正常成年男性新鲜离体尸肝进行了研究，其中６例尸肝在国内外首次进行了肝静脉分支灌注造影，１例行门静脉造影，并对６例尸肝行肝中静脉墨汁灌注染色及组织切片观察。结果表明：（１）肝静脉存在肝内侧支吻合，吻合支主要位于近肝包膜的第四、五级属支。（２）肝中静脉与肝短静脉间存在侧支吻合。（３）肝静脉与门静脉之间存在短路。以上发现，为非规则性肝切除提供了解剖学依据。
The purpose of this study is to identify the existence of hepatovenous intrahepatic anastomosis in normal men.A total of thirteen livers were investigated during the early autopsies of normal men who died in accidents.Perfusion venography of branches of hepatic veins using meglucamine diatrizoate was done in six cases;this method we used had not been reported in the literature.In one case,portal venography was performed.And in the other six cases,liver substance staining was done by injecting the ink through the middle hepatic vein,and such staining of the liver was observed by light microscope.The results show:(1)there are intrahepatic anastomoses between the hepatic veins within the liver;(2)there are anastomoses between the middle hepatic vein and the accessory hepatic veins;and (3) shunts exist between portal veins and hepatic veins.The above findings provide an anatomical basis for the performance of irregular hepatectomy and the rationale for one or two hepatic veins ligation should such veins were traumatized or invaded by liver cancer.
出处
《华西医科大学学报》
CSCD
1996年第3期270-274,共5页
Journal of West China University of Medical Sciences
关键词
肝静脉
吻合支
非规则性
肝切除术
解剖学
Hepatic vein Portal vein Anastomosis Shunt Irregular hepatectomy Hepatic vein ligation
