胎肝的解剖造影及移植应用价值  

ANATOMY AND PHLEBOGRAPHY OF THE FETAL LIVER AND ITS APPLIED VALUE IN TRANSPLANTATION

作　　者：赵军 秦兆寅 李笃山 纪宗正 苏清华 黎一鸣 

机构地区：[1]西安第二附属医院普外科

出　　处：《西安医科大学学报》1994年第3期270-273,共4页Journal of Xi'an Medical University(Chinese)

摘　　要：对４０例胎龄６～１０月死胎肝脏进行了原位解剖，１０例胎肝进行引了门、脐静脉造影，并测定了２０例新生儿脐静脉压。结果表明：①胎龄８月以上的胎肝作为０～２岁婴幼儿原位肝移植供体和成人辅助性异位肝移植供体，在解剖学上是可行的。②在胎肝移植中重建门静脉血供选择脐静脉较优越，但需结扎静脉导管。③在胎肝取材经门静脉或脐静脉灌洗时，压力不宜超过３．９２ｋＰａ。④根据正常胎儿脐静脉压推测，胎肝可以耐受肝硬化门脉高压症病人的门脉压力。In this study, 40 cases of died fetal livers were anatomized in situ, the fetal ages were 6～10 months pregnancy. The umbilical and portal vein phlebography was performed on 10 cases of fetal livers. The pressure of umbilical vein of 20 cas68 of the normal newborns was measured.The result showed:①the fetal livers of more than 8months gestation might be used for orthotopic liver transplantation in 0～2 years old children and auxiliary heterotopic liver transplantation in adults;②itwas better that umbilical vein was used for reconstruction of portal vein blood-supply in the fetal liver transplantation,but venous duct should be ligatd;③when irrigating portal and umbilical veins in preparation of donor liver, the pressure of irrigation should not be over 3. 92 kPa ;④according to the pressure of fetal umbilical vein, the fetal liver might tolerate the pressure of portal vein of the patient with portal hypertention.

关 键 词：胎肝移植 应用解剖 静脉造影 人 

分 类 号：R322.47[医药卫生—人体解剖和组织胚胎学] R657.3[医药卫生—基础医学]