肝总动脉起源变异的MSCTA和超声表现  

MSCTA and ultrasound manifestations of variation in the origin of the common hepatic artery

作　　者：朱玲玲 杨琳 杨忠现 刘艳艳 吴烁华 戴慧勇 延根 吴仁华[2] ZHU Lingling;YANG Lin;YANG Zhongxian;LIU Yanyan;WU Shuohua;DAI Huiyong;YAN Gen;WU Renhua(Department of Ultrasound,the 928 Hospital of PLA,Haikou 570100,China;Department of Radiology,the Second Affiliated Hospital,Medical College of Shantou University,Shantou 515041,China;Medical Imaging Center,Shenzhen Hospital,Southern Medical University,Shenzhen 518100,China;Department of Ultrasound,Shenzhen Bao'an Maternity&Child Healthcare Hospital,Shenzhen 518100,China;Department of Radiology,the Second Affiliated Hospital of Xiamen Medical College,Xiamen 361022,China)

机构地区：[1]中国人民解放军联勤保障部队第九二八医院超声科,海南海口570100 [2]汕头大学医学院第二附属医院影像科,广东汕头515041 [3]南方医科大学附属深圳医院影像科,广东深圳518100 [4]广东省深圳市宝安区妇幼保健院超声科,广东深圳518100 [5]厦门医学院第二附属医院影像科,福建厦门361022

出　　处：《医学影像学杂志》2024年第3期70-73,共4页Journal of Medical Imaging

基　　金：国家自然科学基金资助项目(编号:31870981)。

摘　　要：目的 利用MSCTA和CDFI观察肝总动脉起源变异的发生率及影像表现,为临床腹部疾病的诊治提供参考依据。方法 选取287例患者腹部MSCTA及部分CDFI影像资料,观察肝总动脉起源情况,记录相关数据并分析。结果 符合纳入标准的230例患者中肝总动脉起源变异共计15例,占总体的6.50%。肝总动脉变异分为六种类型:Ⅰ型(肝总动脉起自肠系膜上动脉)9例;Ⅱ型(肝总动脉起自腹主动脉)2例;Ⅲ型(肝总动脉、胃左动脉和脾动脉均起自腹主动脉)1例;Ⅳ型(腹腔干与肠系膜上动脉共干)1例;Ⅴ型(肝总动脉和脾动脉共干起自肠系膜上动脉,)1例;Ⅵ型(肝总动脉缺失)1例。结论 肝总动脉变异影像学表现具有特征性,MSCTA结合超声可多角度反映血管变异情况,对临床诊断有重要指导意义。Objective MSCTA and CDFI were used to observe the incidence and imaging performance of variants in the origin of the common hepatic artery to provide a clinical reference for the diagnosis and management of upper abdominal disease.Methods Retrospective analysis of 287 abdominal MSCTA and some CDFI images was performed to observe the origin of the common hepatic artery,and relevant data were recorded and analyzed.Results Among the 230 cases that met the inclusion criteria,a total of 15 cases had variants in the origin of the common hepatic artery,accounting for 6.50% of the total.There were six types of common hepatic artery variants:type I(common hepatic artery from the superior mesenteric artery)in 9 cases;type II(common hepatic artery from the abdominal aorta)in 2 cases;type III(common hepatic artery,left gastric artery,and splenic artery from the abdominal aorta)in 1 case;type IV(celiac axis and superior mesenteric artery coaptation)in 1 case;type V(common hepatic artery and splenic artery with common trunk from superior mesenteric artery)in 1 case;and Type VI(absence of common hepatic artery)found in 1 case.Conclusion The imaging manifestation of common hepatic artery variation is characteristic,and MSCTA combined with ultrasound can reflect the vascular variation in many aspects,which is an important guide for clinical diagnosis.

关 键 词：肝总动脉 解剖变异 多层螺旋CT血管成像 超声成像 

分 类 号：R543[医药卫生—心血管疾病] R445[医药卫生—内科学]