z肝脏应用解剖课件.pptx

1、Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.肝脏应用解剖成都市第二人民医院肝胆胰外科孙 科T

2、hrough this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.肝脏的位置及体表投影Through this pu

3、blicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.膈面Through this publicity campaign, furt

4、her improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.脏面横沟左纵沟静脉韧带裂右纵沟腔静脉窝胆囊窝第一肝门肝门沟裂肝圆韧带裂Through this publicity cam

5、paign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.Through this publicity campaign, further improve t

6、he sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.第一肝门第一肝门Through this publicity campaign, further improve the sense of busi

7、ness integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.第二肝门第二肝门第三肝门第三肝门Through this publicity campaign, further improve the sense of business int

8、egrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.Through this publicity campaign, further improve the sense of business integrity of tourism enterp

9、rises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.肝动脉的阻滞和结扎 器官外侧支循环：主要由胃大弯动脉弓、小弯动脉弓和胰十二指肠前后动脉弓组成。 器官内侧支循环：由左右肝动脉之间的吻合支组成。Through this publicity campaign, further improve th

10、e sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development. 腹腔动脉胃左动脉胃右动脉肝固有动脉肝动脉肝 脾动脉胃网膜左动脉胃网膜右动脉胃十二指肠动脉肝固有动脉肝动脉肝 肠系膜上动脉胰十二指肠下前、下后动脉胰十

11、二指肠上前、上后动脉胃十二指肠动脉肝固有动脉肝动脉肝结扎肝总动脉后Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Dev

12、elopment. 腹腔动脉胃左动脉胃右动脉肝固有动脉肝动脉肝结扎肝固有动脉(胃右动脉发出以前）Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and

13、coordinated Development.无侧枝途径结扎肝固有动脉（胃右动脉发出以后）Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and co

14、ordinated Development.胆总管的动脉分布胆总管的动脉分布Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinate

15、d Development. 门静脉系的组成：门静脉系的组成： 共有共有7 7条属支：条属支：肠系肠系膜上、下静脉、脾静膜上、下静脉、脾静脉、胃左静脉、胃右脉、胃左静脉、胃右静脉、胆囊静脉、附静脉、胆囊静脉、附脐静脉脐静脉。 门静脉主要由肠系膜门静脉主要由肠系膜上静脉和脾静脉汇合上静脉和脾静脉汇合而成。而成。Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators t

16、o safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitima

17、te rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.肝脏八段分法的影像学解剖示意图肝脏八段分法的影像学解剖示意图Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the le

18、gitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development. 整体观分段整体观分段肝脏断面分段肝脏断面分段CT断面分段断面分段Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safegua

19、rd the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights

20、 and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.正中裂正中裂解解剖剖标标志志右叶间裂右叶间裂左叶间裂左叶间裂Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate

21、rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.解剖标志解剖标志右段间裂右段间裂左段间裂左段间裂背裂背裂Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitim

22、ate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development. CTCT：首先找出肝脏的三大静脉：肝中静脉，肝左：首先找出肝脏的三大静脉：肝中静脉，肝左静脉，肝右静脉，找出门静脉及其分叉部位。门静脉，肝右静脉，找出门静脉及其分叉部位。门静脉分叉部位可以区分上段和下段，即肝静脉分叉部位可以区分上段和下段，即肝S8/S5S8/S5，S7/S6S7/S6，门静脉分叉以上为，门静脉分叉以上为S8S8、S7S7；肝右静脉和；肝右静脉和肝中静脉之间是右前

23、叶，肝右静脉以后是右后叶肝中静脉之间是右前叶，肝右静脉以后是右后叶Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Dev

24、elopment. 一般规律，从一般规律，从CTCT上看，最先看到的是上看，最先看到的是S8S8然后是然后是S2S2、3 3，肝左外叶以肝裂为界，左内叶为肝裂和肝中静，肝左外叶以肝裂为界，左内叶为肝裂和肝中静脉之间的区域，胆囊往下的层次是脉之间的区域，胆囊往下的层次是S5S5，最后的层，最后的层面一般是面一般是S6S6，下腔静脉和门静脉夹着的是尾状叶，下腔静脉和门静脉夹着的是尾状叶，即即S1S1。Through this publicity campaign, further improve the sense of business integrity of tourism enterpri

25、ses to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.肝脏断面分段左：在左门静脉以上水平 右：在左门静脉水平Through this publicity campaign, further improve the sense of business integrity of tourism enter

26、prises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.左：在右门静脉水平 右：在脾静脉水平肝脏断面分段Through this publicity campaign, further improve the sense of business integrity of tourism enter

27、prises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism c

28、onsumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators t

29、o safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitima

30、te rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests,

31、 to ensure that our Citys tourism sustainable, healthy and coordinated Development.Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City

32、s tourism sustainable, healthy and coordinated Development.Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, h

33、ealthy and coordinated Development.Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated D

34、evelopment.Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development. 重要解剖标志：左中右肝静

35、脉，左右门静脉 选择正确层面观察 选择正确的扫描时期（动脉期，门脉期，实质期） 动态连续观察层面Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and

36、coordinated Development.Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.

37、Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.Through this publicity c

38、ampaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.Through this publicity campaign, further improve

39、 the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.Through this publicity campaign, further improve the sense of business i

40、ntegrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.Through this publicity campaign, further improve the sense of business integrity of tourism ente

41、rprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism

42、consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators

43、to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitim

44、ate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests

45、, to ensure that our Citys tourism sustainable, healthy and coordinated Development.Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our Citys tourism sustainable, healthy and coordinated Development.