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題 名 | Normal and Variant Anatomy of Hepatic Arteries: Angiographic Experience=肝動脈之正常解剖及變異型--血管攝影之經驗 |
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作 者 | 陳家媛; 李潤川; 曾修山; 姜仁惠; 黃振義; 鄧木火; | 書刊名 | 中華醫學雜誌 |
卷 期 | 61:1 1998.01[民87.01] |
頁 次 | 頁17-23 |
分類號 | 416.246 |
關鍵詞 | 解剖; 血管攝影; 肝動脈; Anatomy; Angiography; Hepatic artery; |
語 文 | 英文(English) |
中文摘要 | 背景:隨著上腹部手術技術之精進,肝臟移植術之發展,以及經肝血管化學栓塞術(TACE)應用在國人常見之肝細胞癌和轉移性肝腫瘤的日斬普遍,術前對於肝動脈解剖之變異型式的充份了解,愈顯重要。 方法:根據隨機取樣之三百八十一位患者的血管攝影,評估肝動脈之解剖及變異,並根據鈴木(Suzuki)分類法加以歸類。由肝門處肝動脈之數目,分成三大組,再根據肝動脈之源起處,次分為腹軸動脈型、腸繫膜動脈型及複合型。各型下之亞型並詳加記錄,與其他文獻資料,作一比較。 結果:一條肝動脈組共261例,佔68.5%。其中腹軸動脈型257型、腸繫膜動脈型4例。二條肝動脈組共105例,佔27.6%。其中腹軸動脈型、腸繫膜動脈型及複合型各為75、3及27例。三條肝動脈組共15例,佔3.9%。其中腹軸動脈型及腸繫膜動脈型各為10及6例。全部共發現20種亞型。 結論:本研究結果提供本地有關肝動脈血管及變異型之基本資料,期可作為上腹部手術、肝臟血管攝影診斷及栓塞術之參考。 |
英文摘要 | Background: Anatomic variation of hepatic arteries is reported to occur in, 25-50% of the general population. Knowledge of the existing variations is important in planning and conducting surgical or radiologic procedures in the upper abdomen, such as liver transplantation and transarterial chemo-embolization (TACE). Methods: Based on data from 321 patients undergoing upper abdominal arteriography, hepatic artery anatomy was analyzed and classified into three groups (single, double and multiple hepatic arteries at hepatic hilum) according to Suzuki's classification. Each group was subdivided into three types (celiac, mesenteric and mixed types) according to the origin of the hepatic arteries. The variations within each type were recorded. Results: Two hundred and sixty one patients (68.%) had single hepatic arteries. One hundred and five patients (27.6%) had double hepatic arteries and only fifteen patients had multiple hepatic arteries. All of these variants, including twenty subtypes, were identified. Conclusions: This study, based on Suzuki's classification, provides basic data for the anatomic variations of hepatic arteries for the Chinese population in Taiwan. |
本系統中英文摘要資訊取自各篇刊載內容。