摘要
为探讨肝右叶胆管手术的入肝途径和新的手术方法，解剖观察了４０例成人肝剥制标体和３例肝铸型标本的Ｇｌｉｓｓｏｎ系统。观测肝在管汇合类型及变异；肝右叶Ⅰ～Ⅲ级胆管的长度、管径及与主干夹角；Ｇｌｉｓｓｏｎ系统三结构的位置关系。以胆囊切迹中点力基点对肝右叶内Ⅰ～Ⅲ级胆管始端作了肝的脏面、膈面三维投影定位。结果表明：行肝右叶胆管手术经脏面入路优于膈面；经投影点定位、穿刺、剖肝、找管的手术方法，具有定位准确、直现到达、操作简便、肝组织损伤小等优点。同时还讨论了其它临床问题。
he confluent types and variations of the right
hepatic duct,the lengths and diameters of its branches,the angles
between the right hepatic duct and it’s Ⅰto Ⅲ class branches,and
the mor-phological structure of the Glisson svstem were observed and
measured on 40 adult livers and 3 cast specimens with ABS injection
to detect the approach to the intrahepatic ducts in
operation.Projections of the right I to Ⅲclass intrahepatic ducts on
both visceral and diaphragmatic as-pects were marked relating to the
middle point of gallbladder notch respectively.It was showed that the
visceral approach to the right intrahepatic ducts is better than that
through the diaphrag-matic surface,with the metris accurate of
location,direct vision and less tissue damage.
出处
《中国临床解剖学杂志》
CSCD
北大核心
1995年第2期120-123,共4页
Chinese Journal of Clinical Anatomy
