腹腔干结扎可行性临床研究进展  

Studies on the Feasibility of Celiac Axis Ligation

作　　者：杨健[1] 文天夫[1] 

机构地区：[1]四川大学华西医院普外科,成都610041

出　　处：《中国普外基础与临床杂志》2006年第3期362-364,368,共4页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的探讨腹腔干结扎的可行性。方法收集和回顾有关腹腔干结扎的相关文献。结果腹腔干分为肝总动脉、脾动脉及胃左动脉3支,腹腔干分支的变异较多而且与肠系膜上动脉之间通过胃十二指肠动脉和胰十二指肠动脉形成广泛的侧支吻合。腹腔干损伤、腹腔干动脉瘤、上消化道出血、腹腔干周围肿瘤切除和门静脉高压症的病例中,腹腔干结扎后不会有明显的并发症。但是,腹腔干结扎亦可能导致胆囊坏死、穿孔,肝脏的局限性梗死,甚至比较高的死亡率。结论腹腔干结扎还不是常规的治疗手段,但是在特定的情况下,腹腔干结扎可能是一种可行和有效的挽救生命的治疗手段。Objective To summarize the study on the feasibility of celiac axis ligation. Methods Literatures about celiac axis ligation were reviewed retrospectively. Results Celiac axis branches included common hepatic artery, splenic artery, left gastric artery which had many variation and collateral flow between celiac and mesenteric vessels by gastroduodenal artery and pancreaticoduodenal artery. Celiac axis could be possibly ligated without obvious complications in patients who had celiac axis injuries, celiac artery aneurysms, upper gastrointestinal haemorrhage, excision of carcinoma around the celiac axis and portal hypertension. However, gallbladder necrosis or perforation, focal infarction of the liver even higher mortality had also been reported. Conclusion Celiac axis ligation should not be performed routinely, but it is surgically possible and may be a life saving approach in certain circumstances.

关 键 词：腹腔干结扎 损伤 动脉瘤 上消化道出血 肿瘤 门静脉高压 

分 类 号：R656[医药卫生—外科学]