华南地区国人成人腹腔干分型变异的临床应用研究

Clinical application of celiac trunk typing variants in adults of South China

目的研究成人腹腔干的分型及其解剖变异特点,为临床手术提供参考依据。方法对44具经防腐处理的尸体进行了腹腔干解剖。观察腹腔干各分支的走形,根据Panagouli分型法以及其起源椎体水平对其进行进一步量化和描述。结果成人腹腔干标本存在5种分型:83%(36例)拥有典型的腹腔干解剖结构(分型Ⅰ),18%(8例)有解剖变异,其中11%(5例)为分型Ⅲ,2%(1例)为分型Ⅳ,2%(1例)为分型Ⅴ,2%(1例)为分型Ⅸ。结论成人腹腔干变异较多,术前需结合影像学做好充分评估,避免损伤。

Objective To explore the classification and anatomical variation characteristics of adult abdominal trunk through the dissection of the recorded population samples,which providing reference for clinical surgery.Methods Abdominal stem dissections were performed on 44 embalmed cadavers.The shape of the branches of the celiac trunk was observed,and they were further quantified and described according to the Panagouli typing method and at the level of the vertebral body of origin.Results There were 5 types of celiac trunk in the anatomical specimens of our institute according to the Panagouli classification method.36 cases(83%) had typical anatomical structure of the celiac trunk(type Ⅰ),and 8 cases(17%) had anatomical variations,of which 5 cases(11%) were classified as type Ⅲ,1 case(2%) was classified as type IV,1 case(2%) was classified as type Ⅴ,and 1 case(2%) was classified as type Ⅸ.Conclusions There are many variations in the celiac trunk in adults,so it is necessary to fully evaluate them in combination with imaging before surgery to avoid injury.