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山东大学学报(医学版) ›› 2012, Vol. 50 ›› Issue (9): 86-.

• 临床医学 • 上一篇    下一篇

胰腺冠状断层解剖与多层螺旋CT冠状位图像研究

林令博1,熊春梅1,韩梅1,孔祥荣1,王道才2,李建志1,邵江1,林祥涛2,肖连祥2   

  1. 1.济南市传染病医院影像科, 济南 250021; 2.山东省医学影像学研究所, 济南 250021
  • 收稿日期:2012-06-06 出版日期:2012-09-10 发布日期:2012-09-10
  • 通讯作者: 林祥涛(1964- ),男,博士,副教授,主要从事影像诊断学研究。 E-mail:linxt@sdu.edu.cn
  • 作者简介:林令博(1966- ),男,硕士,副主任医师,主要从事影像诊断及相关技术研究

Sectional anatomy of pancreas on the coronal plane
and its correlation with MSCT  images

LIN Ling-bo1, XIONG Chun-mei1, HAN Mei1, KONG Xiang-rong1, WANG Dao-cai2,
LI Jian-zhi1, SHAO Jiang1, LIN Xiang-tao2, XIAO Lian-xiang2   

  1. 1. Department of Radiology, Jinan Infectious Hospital,  Jinan 250021, China;
    2. Shandong Medical Imaging Research Institute, Jinan 250021, China
  • Received:2012-06-06 Online:2012-09-10 Published:2012-09-10

摘要:

目的   为胰腺病变的断层影像诊断和外科治疗提供实用的形态学依据。方法   研究2例成人上腹部连续冠状断层标本和86例健康成人上腹部多层螺旋CT(MSCT)冠状位图像上胰腺的分部、毗邻和大小。结果   胰腺在连续冠状断层上集中出现在下腔静脉后缘前55mm和其后13mm的范围内。标志性层面为:经肠系膜上静脉层面、经肝门静脉主干层面、经下腔静脉前份及左肾静脉层面、经下腔静脉后份和主动脉裂孔层面。相应层面胰颈、胰头、胰体、胰尾的最大上下径和左右径分别为(21.63±3.62)、(11.06±2.33)mm,(47.56±6.47)、(36.55±6.69)mm,(30.13±5.32)、(52.29±10.80)mm,(22.16±2.07)、(35.14±6.06)mm。结论   胰腺MSCT冠状位图像可应用于临床诊断,弥补了横断位CT图像显示病变的局限性。

关键词: 胰腺;断层解剖学;多层螺旋CT;肠系膜上静脉;门静脉

Abstract:

Objective   To  provide practical anatomic data for the imaging diagnosis and surgical treatment of the disease of pancreas. Methods   The division, adjoin and size of pancreas on the coronal plane were investigated on 2 sets of serial coronal sections of superior abdomen of Chinese adult cadavers,  multi-spiral computed tomography(MSCT) imaging of 86 superior abdomen of Chinese adult healthy volunteers. Results   The pancreas was visualized mainly on the serial coronal sections ranging from 55mm to 13mm before and after the posterior margin of inferior vena cava respectively. The representative section was the section through the superior mesenteric vein, the section through the trunk of hepatic portal vein, the section through the anterior part of inferior vena cava and left renal vein, the section through the anterior part of inferior vena cava and left renal vein, the section through the posterior part of inferior vena cava and aortic hiatus. The left and right dimensions of pancreas were (21.63±3.62)mm and (11.06±2.33)mm; (47.56±6.47)mm and (36.55±6.69)mm; (30.13±5.32)mm and (52.29±10.80);(22.16±2.07)mm and (35.14±6.06)mm respectively. Conclusion   Coronary MSCT images can be used for diagnosis, which make up for the Deficiency of transversal CTimages.

Key words: Pancreas; Sectional anatomy; Multispiral Computed Tomograghy; Superior mesenteric vein; Portal vein

中图分类号: 

  • R322.4+91
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