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  本文選題：脾葉動脈 + DSA��； 參考：《山東大學(xué)》2005年碩士論文

【摘要】：目的:通過對脾葉動脈DSA影像解剖及脾葉動脈相關(guān)的腹腔鏡下解剖觀察,對脾葉動脈影像解剖進行歸納描述,積累脾葉動脈詳實影像學(xué)解剖資料;以其為基礎(chǔ),結(jié)合脾葉動脈相關(guān)的腹腔鏡下解剖觀察,研究腹腔鏡脾切除術(shù)時脾蒂血管的最佳處理方式,并探討腹腔鏡治療需行部分性脾栓塞術(shù)脾臟疾病的可行性。 方法:選擇非脾臟疾病患者52例,采用Seldinger技術(shù),經(jīng)股動脈途徑插管行脾動脈造影,采集脾動脈正位DSA資料。進行脾動脈在脾門處分支類型、脾葉動脈分支類型的歸納;脾動脈末段內(nèi)徑、脾葉動脈內(nèi)徑、脾葉動脈長度的測量。另選擇完全腹腔鏡脾切除30例,術(shù)時對脾切跡分布、脾葉動脈阻斷后脾供血界面變化、脾葉動脈處理方式進行觀察并做相關(guān)分析。 結(jié)果:本組52例脾動脈正位DSA資料中,脾動脈在脾門處分支類型:分散型46例,占88.5%;集中型6例,占11.5%;其他0例,以分散型占優(yōu)勢,與傳統(tǒng)資料相比較無統(tǒng)計學(xué)差異(P0.05)。脾動脈末段內(nèi)徑最大7.8mm,最小4.8mm,平均6.37±0.59mm,遠小于大號鈦夾夾閉范圍(12.5mm)。脾上葉動脈內(nèi)徑最大4.7mm,最小2.9mm,平均3.96±0.41mm;脾下葉動脈內(nèi)徑最大4.2mm,最小2.3mm,平均3.23±0.44mm,遠小于中號鈦夾夾閉范圍(8.8mm)。脾葉動脈最長66.2mm,最短21.5mm,平均44.7±9.64mm,因此術(shù)中易于分出20～40mm血管結(jié)扎、夾閉。脾葉動脈分支類型:一支型0例;二支型42例,占80.8%;三支型10例,占19.2%;多支型0例。30例LS觀察脾切跡分布:脾
[Abstract]:Objective: to summarize and describe the image anatomy of splenic lobe artery by DSA image anatomy and laparoscopic anatomic observation of splenic lobe artery, and to accumulate detailed anatomical data of splenic lobe artery. Combined with laparoscopic anatomical observation related to splenic lobe artery, the optimal management of splenic pedicle vessels during laparoscopic splenectomy was studied, and the feasibility of laparoscopic treatment of splenic diseases requiring partial splenic embolization was discussed. Methods: 52 cases of non-splenic diseases were selected. Splenic arteriography was performed through femoral artery intubation with Seldinger technique. The positive position DSA data of splenic artery were collected. The types of branches of splenic artery at splenic hilum and branches of splenic lobe artery were summarized, and the internal diameter of splenic artery at the end of splenic artery, the internal diameter of splenic lobe artery and the length of splenic lobe artery were measured. In addition, 30 cases of total laparoscopic splenectomy were selected. The distribution of splenic incisors, the changes of splenic blood supply interface after splenic artery occlusion, and the treatment of splenic lobe artery were observed and analyzed. Results: in 52 cases of splenic artery, the branch type of splenic artery in the splenic porta was divided into 46 cases (88.5%), 6 cases (11.5%), and 0 cases (0 cases), with no statistical difference compared with the traditional data (P 0.05). The internal diameter of the splenic artery was 7.8mm and 4.8mm, with an average of 6.37 鹵0.59mm, which was much smaller than that of the large titanium clamping area (12.5mm-1). The internal diameter of superior splenic lobe artery was 4.7mm, the smallest was 2.9mm, the average was 3.96 鹵0.41mm, and that of inferior lobe artery was 4.2mm, 2.3mm and 3.23 鹵0.44mm, which was much smaller than that of medium titanium clip. The longest 66.2 mm, the shortest 21.5 mm, the average 44.7 鹵9.64 mm of splenic lobe artery, so it is easy to separate out the 20~40mm blood vessel ligation, clipping. The type of branches of splenic lobe artery: one branch in 0 cases; two branch type in 42 cases (80.8%); three branch type in 10 cases (19.2%); multiple branch type in 0 cases (.30 cases) LS was used to observe the distribution of splenic notch:
【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2005
【分類號】：R657.6;R322

【參考文獻】

相關(guān)期刊論文 前10條

1 孫成耘,金平,龔治林,何德林;電視腹腔鏡下行脾損傷的保脾治療30例分析[J];腹部外科;2001年04期

2 張振弘;廖亞平;鄺國璧;楊永宓;;人脾動脈在脾內(nèi)的節(jié)段性分布[J];解剖學(xué)報;1984年01期

3 徐文香,欒銘箴;人脾血管吻合的研究[J];解剖學(xué)雜志;1994年02期

4 梅雀林,李彥豪,魯恩潔;部分性脾栓塞術(shù)相關(guān)的血管造影解剖[J];臨床放射學(xué)雜志;2000年04期

5 馬彥文,馮克儉,王羽,劉躍光,劉曉霓,何春波,韓雪山,吳峰;脾動脈的應(yīng)用解剖觀察[J];牡丹江醫(yī)學(xué)院學(xué)報;1997年02期

6 楊彤翰,馬宏敏,王敖川,孫清榮;脾動脈造影自然形態(tài)觀察與臨床意義[J];實用放射學(xué)雜志;1991年04期

7 王莉,吳元佐,彭林,董廷江;脾動脈的X線解剖研究與探討[J];現(xiàn)代醫(yī)用影像學(xué);1995年01期

8 楊順生,鄧道鈞;脾動脈的外科解剖學(xué)[J];安醫(yī)學(xué)報;1979年06期

9 應(yīng)福明,馮雪峰;二級脾蒂離斷法在腹腔鏡切除術(shù)中的應(yīng)用[J];中國內(nèi)鏡雜志;2004年07期

10 彭淑牖,彭承宏,陳力,吳育連,鄭放,蔡秀軍,牟一平,沈宏偉,劉穎斌,虞志剛;避免損傷胰尾的巨脾切除術(shù)—二級脾蒂離斷法[J];中國實用外科雜志;1999年12期

，

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