带血管蒂胆囊瓣修复胆管缺损的应用解剖

Applied Anatomy of Repair of Bile Duct Defect with Vascularized Gallbladder Graft

目的为带血管蒂胆囊瓣修复胆道缺损手术提供应用解剖学资料。方法解剖３０例成人胆道标本，观测胆囊血管走行、分布的规律性及其与胆道的位置关系。结果（１）胆囊动脉多数（６０．６％）在胆囊颈左缘到达胆囊，其在胆囊上主干支起始外径１．１±０．４ｍｍ，长度５６．２±１４．７ｍｍ；（２）胆囊动脉自进入胆囊壁处至左肝管出肝门处距离为２３．３±７．５ｍｍ；至胆总管十二指肠上段最下端距离为２８．６±６．８ｍｍ。

Objective\ To provide applied anatomy for the operation on bile duct defect.\ Methods\ The branchs and distribution of gallbladder vessels and its relation to the bile duct were investigated on 30 adult bile duct specimens.\ Results\ (1)Most of the cystic artery entered the gallbladder from left margin of the neck,the trunk of branchs of cystic artery was 56 2±14 7 mm long and 1 1±0 4 mm in outer diameter (2)The distance from the point where cystic artery entered gallbladder to the point where left hepatic bile duct came out of the liver was 23 3±7 5 mm,and to the superior margin of the duodenum was 28 6±6 8 mm.\ Conclusion\ Designing gallbladder graft and repairing bile duct defect during operation depend on the course and syntropy of cystic artery.