带血管蒂肝圆韧带瓣转位修复胆管缺损的应用解剖  

Surgical anatomy for repair of bile duct defect with pedicled hepatic teres ligament

作　　者：应大君[1] 何光篪[1] 张正治[1] 李明华[1] 蔡景修[2] 王敖川[2] 周永碧[2] 杨彤翰 柳风轩[2] 

机构地区：[1]第三军医大学解剖学教研室,重庆630038 [2]第三军医大学西南医院肝胆外科

出　　处：《中国临床解剖学杂志》1992年第2期87-88,共2页Chinese Journal of Clinical Anatomy

基　　金：国家自然科学基金

摘　　要：观察30例成人肝圆韧带标本,肝圆韧带呈纤维条索样,内含少许不规则残腔。肝圆韧带的血液供养主要来自肝右动脉的分支及伴行的附脐静脉。由于肝圆韧带近端紧邻胆管,远端易于游离,提出了带血管蒂的肝圆韧带瓣作为自体生物材料来修复肝外胆管的缺损,并讨论了该术式有关的应用解剖要点。Thirty hepatic teres ligaments were investigated in adult specimens. The ligament represents a fibrous remnant of the left umbilical vein in fetal life and a small irregular lumen still exists in the ligament in adult. The ligament is supplied by branches of right hepatic artery and drained by paraumbilical veins. Since the proximal segment of the hepatic teres liga- ment is close to the bile duct and the distal segment can be easily separated from the abdominal wall, it is recommended to take the vaseularized hepatic teres ligament as a graft in the repair of bile duet defect.

关 键 词：带蒂瓣 肝圆韧带 胆管缺损 

分 类 号：R657.402[医药卫生—外科学]