回盲部肠管代胃术的应用解剖  

Applied anatomy of ileocecal interpositional graft as grastric replacement

作　　者：苏海茜[1] 侯宝华[2] 陈学和[1] 向宇燕[3] 何戈[1] 原林[2] 

机构地区：[1]首都医科大学顺义分校,北京顺义101300 [2]第一军医大学解剖学教研室,广东广州510515 [3]南华大学基础医学院,湖南衡阳421001

出　　处：《中国临床解剖学杂志》2003年第3期229-231,240,共4页Chinese Journal of Clinical Anatomy

摘　　要：目的 :为回盲部肠管代胃重建消化道术式提供解剖学基础。方法 :在 2 0具乳胶灌注尸体标本和 14具新鲜尸体铸型标本上对回肠末端、右半结肠营养血管的来源、分支点及分布类型、各分支间吻合 ,极其肠管长度与血管分支的关系进行观测。结果 :①可分割型血管分布切取肠段长度根据乳胶灌注标本观察可达 13～ 16cm ,根据铸型标本观察可达 10～ 15cm ;②不可分割型血管分布根据铸型标本观察可利用肠段切取总长度达 12～ 13cm。结论 :无论属于那一类型的血管分布 ,可切取肠段的长度都能满足再造胃的需要。Objective: To provide anatomical data for ileocecal interpositional graft as grastric replacement to reconstruct digestive tract. Methods: The relation of ileocecal blood vessels and the relation between the length of ileocolon and the blood vessels were observed on 20 embalmed and 14 fresh cadaveric specimens. Results: In specimens whose vascularity of intestines could be divided, the length of excision is 13～16 cm in the latex injected specimens and 10～15 cm in the vascular cast specimens; and in specimens whose vascularity of intestines could not be divided, the intestinal length of excision is 12～13 cm. Conclusion: In all of the specimens, the length which the intestines could be resected is sufficient for ileocecal interpositional graft as gastric replacement.

关 键 词：回盲部 代胃术 消化道重建 应用解剖 

分 类 号：R323.1[医药卫生—人体解剖和组织胚胎学]