胰背动脉:发生率、形态、起源、走向、分支

N. Pronin
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引用次数: 0

摘要

胰背动脉的手术解剖对胰腺外科医生、移植外科医生和肿瘤学家的工作至关重要。这条动脉向胰腺颈部供血,在绝大多数情况下,胰腺消化道吻合术都是在这一区域进行的。材料和方法。我们使用 PubMed、Embase、CyberLeninka 和 GoogleScholar 文献数据库进行了系统的文献综述。使用了以下关键词及其组合:"颅干"、"肠系膜上动脉"、"脾动脉"、"肝总动脉"、"胰背动脉"、"胰体和胰尾动脉"、"胰峡部供血"、"胰腺解剖段动脉"、"解剖"、"变异"、"动脉吻合 "和 "异常"。结果与讨论根据解剖学调查数据,胰背动脉的出现率为 79%-100%;放射学数据为 64.4%-100%。其主要来源是脾动脉--解剖学家认为从 22.22% 到 80%,放射学专家认为从 13.5% 到 100%;颅干--分别为 3-33.3% 和 8-27.75%;肠系膜上动脉--分别为 1.8-25% 和 3.8%;肝总动脉--12-24%,无论研究方法如何。胰背动脉的走向及其分为末端分支(胰前动脉和胰下动脉)的特点是相对恒定。结论。本综述总结了有关脾动脉及其参与胰体和胰尾血液供应的胰腺分支地形解剖的世界文献数据。在解剖学和放射学材料中寻找胰背动脉应从主干及其分为末端分支的区域开始,然后再到其源头。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dorsal pancreatic artery: incidence, morphometry, origin, course, branches
The surgical anatomy of the dorsal pancreatic artery is of paramount importance in the work of a pancreatic surgeon, transplant surgeon, and oncologist. This artery supplies blood to the pancreatic neck region, the area where, in the vast majority of cases, pancreatodigestive anastomosis is performed. Material and methods. A systematic literature review was conducted using the PubMed, Embase, CyberLeninka, and GoogleScholar bibliographic databases. The following keywords and their combinations were used: «cranial trunk», «superior mesenteric artery», «splenic artery», «common hepatic artery», «dorsal pancreatic artery», «pancreatic body and tail arteries», «pancreatic isthmus blood supply», «pancreatic anatomical segment arteries», «anatomy», «variants», «arterial anastomoses» and «anomalies». Results and discussion. Frequency of dorsal pancreatic artery was 79–100 % according to the data of anatomical investigations; radiological ones – 64.4–100 %. Its main sources were the splenic artery – from 22.22 to 80 % according to anatomists, from 13.5 to 100 % according to radiologists; the cranial trunk – 3–33.3 and 8–27.75 % respectively; the superior mesenteric artery – 1.8–25 and 3.8 % respectively; the common hepatic artery – 12–24 % regardless of the research methods. The course of the dorsal pancreatic artery and its division into the terminal branches (prepancreatic and inferior pancreatic arteries) was characterized by relative constancy. Conclusions. This review summarizes world literature data devoted to the topographic anatomy of the splenic artery and its pancreatic branches involved in the blood supply of the body and tail of the pancreas. The search for dorsal pancreatic artery in anatomical and radiological material should start from the main trunk and the area of its division into terminal branches, and then move to its source.
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