本文選題：膽囊三角 + 膽囊動脈��； 參考：《吉林大學(xué)》2006年碩士論文

【摘要】： 膽囊三角(Calot三角)是指由膽囊管、肝總管和肝的臟面圍成的三角形區(qū)域。近年來腹腔鏡膽囊切除術(shù)(LC laparoscope cholecystectomy)廣泛開展,傳統(tǒng)開腹膽囊切除手術(shù)(OC)已被腹腔鏡膽囊切除手術(shù)所替代。在腹腔鏡下行膽囊切除時,膽囊三角的分離是最關(guān)鍵的。膽囊三角內(nèi)有膽囊動脈通過,膽囊動脈的起始、分支、走行,存在個體性差異,并且該處空間狹小,與周圍組織結(jié)構(gòu)緊密,因此膽囊動脈、膽管的損傷大部分發(fā)生在這里。為了最大限度地避免不必要的并發(fā)癥發(fā)生,就需要熟悉膽囊三角的應(yīng)用解剖及膽囊動脈的變異。本文利用26具防腐成人尸體標(biāo)本,解剖觀察膽囊三角的形態(tài),對重要的結(jié)構(gòu)進(jìn)行量化分析,并對膽囊動脈的起始、分支、走行及膽囊管、肝總管的匯合方式及位置分型的臨床意義等問題做了進(jìn)一步闡述,以期為手術(shù)中防止膽囊動脈、膽囊管的損傷提供解剖學(xué)依據(jù),應(yīng)用于臨床實踐。
[Abstract]:The Calot Triangle of the gallbladder is a triangular region surrounded by the duct of the gallbladder, the common hepatic duct, and the visceral surface of the liver. In recent years, laparoscopic cholecystectomy (LC laparoscope cholecystectomy) has been widely carried out, and traditional open cholecystectomy has been replaced by laparoscopic cholecystectomy. In laparoscopic cholecystectomy, the separation of the gallbladder triangle is the most critical. In the triangle of gallbladder, there are gallbladder arteries passing through, the beginning, branches, and running of the gallbladder arteries, there are individual differences, and the space there is narrow and close to the surrounding tissue structure, so most of the injuries of the cholecystic artery and bile duct occur here. In order to avoid unnecessary complications, it is necessary to know the applied anatomy of gallbladder triangle and the variation of gallbladder artery. In this paper, 26 antiseptic adult cadavers were dissected to observe the shape of the gallbladder triangle, the important structures were quantitatively analyzed, and the origin, branch, running and gallbladder duct of the gallbladder artery were analyzed. The confluence of the common hepatic duct and the clinical significance of the location classification were further expounded in order to provide anatomic basis for preventing the injury of the gallbladder artery and the gallbladder duct during the operation and to apply it to clinical practice.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2006
【分類號】：R322.48

【參考文獻(xiàn)】

相關(guān)期刊論文 前9條

1 郭新慶,梁邦領(lǐng),田荊華,張爭輝,劉勝;膽囊動脈的解剖學(xué)觀察及其臨床意義[J];菏澤醫(yī)學(xué)�？茖W(xué)校學(xué)報;2005年03期

2 孫敏;Calot三角的解剖在腹腔鏡膽囊切除術(shù)中的應(yīng)用[J];中國局解手術(shù)學(xué)雜志;2000年02期

3 孫凌宇,金錫尊,王樹卿;腹腔鏡視野下膽囊三角的解剖特征及臨床意義[J];黑龍江醫(yī)藥科學(xué);2004年02期

4 高俊,陳惠根;腹腔鏡下膽囊三角區(qū)膽囊動脈膽囊管解剖觀察及臨床意義[J];實用臨床醫(yī)學(xué);2005年05期

5 白希文;膽囊動脈與膽囊管異常及其臨床意義[J];實用外科雜志;1982年01期

6 劉劍侖，，王炳煌;腹腔鏡膽囊切除術(shù)并發(fā)癥的防治措施[J];普外臨床;1994年04期

7 黃志強(qiáng);;膽管外科近年來的發(fā)展[J];中華普通外科雜志;1998年03期

8 黃曉強(qiáng),馮玉泉,黃志強(qiáng);腹腔鏡膽囊切除術(shù)的并發(fā)癥(附39238例分析)[J];中華外科雜志;1997年11期

9 馮明,孫善全;與LC術(shù)有關(guān)的膽囊動脈解剖[J];中國臨床解剖學(xué)雜志;1999年01期

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