改良Kocher氏切口—右上腹弧形切口的应用解剖  

Applied anatomy of the improved Kocher's incision

作　　者：王炎之[1] 黄群武[1] 张建一[1] 曹启林[1] 易德保 李一忠 沈立荣[4] 

机构地区：[1]湖南医科大学解剖学教研室,长沙410078 [2]湖南邵阳卫校解剖教研室 [3]云南大理卫校解剖教研室 [4]湖南医科大学附属一院外科教研室

出　　处：《中国临床解剖学杂志》1992年第3期184-185,共2页Chinese Journal of Clinical Anatomy

摘　　要：Kocher氏切口为肝胆手术优良切口,但因易损伤第8、9、10肋间神经而应用受限.为探索此切口的改进,对20例成年尸体(男11I、女9)作了以肋间神经走行部位为主的有关解剖学观测,提出了防止损伤肋间神经干的改良切口建议及临床应用要点,并结合临床初步实践,作了简要讨论.The 8th, 9th and 10th intercostal nerves were dissected and measured in 20 cases of adult cadavers (11 males and 9 females). Improvement of Kocher's incision in liver-billiary operation was proposed to prevent the injury of the intercostal nerve trunks. The improved Kocher's incision passes through the following 4 points: xiphoid process, 5cm below xiphoid process on the anterior median line, 6-6.6cm below the costal margin on the semilunar line and 5-5.5cm below the costal margin on the midclavicular line. The advantage of the new incision in clinical practice is briefly discussed.

关 键 词：Kocher`s切口 肋间神经 解剖学 

分 类 号：R602[医药卫生—外科学]