腹腔干解剖变异及其临床联系  

Anatomic variations of celiac axis and their clinical connections

作　　者：邓圣军[1] 陈伟[2] 周承汇 刘畅[1] 张宇[1] 曾志军[1] 吴畏[1] 

机构地区：[1]中南大学湘雅医院老年外科,湖南长沙410008 [2]中南大学湘雅医院放射科,湖南长沙410008

出　　处：《中国普通外科杂志》2017年第5期636-642,共7页China Journal of General Surgery

摘　　要：目的:总结观察腹腔干(CA)各分支解剖变异情况,为临床实践提供依据和指导。方法:回顾性分析2016年4月—2016年8月行腹部多层螺旋CT扫描血管成像患者的影像资料,观察CA及其分支起源及走行情况,并进行分类统计。结果:共纳入425例患者,其中男280例,女145例。将CA分为5大类型,I型共240例(56.5%),其中Ia型168例,Ib型有67例,Ic型5例;II型159例(37.4%);III型23例(5.4%),包括IIIa型9例,IIIb型14例;IV型2例(0.5%),男、女各1例;V型1例(0.2%)。结论:CA变异率较高,掌握其变异情况,对临床医生具有十分重要的意义。Objective： To extract and summarize the anatomic variations of the celiac axis （CA）, so as to provide evidence and guidance for clinical practice. Methods： The imaging data of patients who underwent abdominal multislice spiral CT angiography from April 2016 to August 2016 were retrospectively analyzed. The origins and patterns of the running course of CA and its branches were observed, and then were categorized and counted. Results： A total of 425 patients were enrolled, including 280 males and 145 females. CA was classified into 5 main types. Two hundred and forW patients （56.5%） were identified as type I that included type Ia in 168 cases, type Ib in 67 cases and type Ic in 5 cases; 159 patients （37.4%） belonged to type Ⅱ; type Ⅲ was found in 23 patients （5.4%）, of whom, 9 cases were type Ⅲa and 14 cases were type Ⅲb; 2 patients （0.5%） were categorized as type IV, with 1 male and I female each; type Vwas diagnosed in 1 patent （0.2%）. Conclusion： CA has high variation rate, and knowledge of its variations is especially important for surgeons and radiologists.

关 键 词：腹腔动脉 解剖变异 分类法 

分 类 号：R322.1[医药卫生—人体解剖和组织胚胎学]