肝脏断层解剖PPT课件

1、.,1,肝脏断层解剖,.,2,right lobe,left lobe,falciform lig.,ligament teres hepatis,coronary lig.,Bare area,gallbladder,.,3,hepatic hilum,proper hepatic a.,L.hepatic duct,hepatic portal v.,fissure for ligamentum teres肝圆韧带裂隙,fissure for ligamentum venosum,gallbladder,R.hepatic duct,ligament teres hepatis肝圆韧带,f

2、ossa of gallbladde,Inf. vena cava下腔静脉,.,4,caudate lobe,quadrate lobe,right lobe,left lobe,.,5,hepatic lobes and hepatic segments,尾状叶Caudate lobe （） 左外叶 L. L. lobe （，） 左内叶 L. M. lobe （） 右前叶R. ant. lobe （，） 右后叶R. pos. lobe （，）,.,6,Couinaud hepatic segments,.,7,Glisson ，system,hepatic portal v.,L. hepa

3、tic duct,proper hepatic A.,R. hepatic duct,R. branch of proper hepatic A.,R. branch of hepatic portal v.,.,8,Hepatic segments I - VIII,.,9,前面观,.,10,后面观,.,11,.,12,.,13,.,14,.,15,hepatic tubing,.,16,hepatic veins left hepatic vein intermediate hepatic vein right hepatic vein,.,17,L.hepatic v.,R. hepat

4、ic v.,intermediate hepatic v.,R.P.I hepatic v.,hepatic v.,左叶间静脉,.,18,.,19,L.hepatic vein,收集左外叶全部及左内叶小部分的静脉血，主干位于左段间裂内。肝左静脉由上、下两根汇合而成，与肝中静脉合干后汇入下腔静脉，上、下根分别引流段和段的静脉血。,.,20,L.hepatic vein (集中型),.,21,收集左内叶大部分和右前叶左半的静脉血，由左、右两根合成，其汇合点多在正中裂中1/3偏下份。肝中间静脉的前壁及两侧壁均有数条属支注入，主要来自左内叶和右前叶上段。,intermediate hepatic ve

5、in,.,22,收集右前叶右半和右后叶大部分静脉血，前、后两根在右叶间裂中1/3 偏上处合成，注入下腔静脉右壁。,R. hepatic vein,.,23,.,24,尾支,.,25,hepatic portal v.,L,R,L. Lat. sup. B.,L. Lat. inf. B.,L. Med. B.,R. Ant. Sup.B.,R. Ant. Inf.B.,R. pos. Sup.B.,R. Pos. inf.B.,.,26,MSCT VR图像,.,27,肝左静脉,肝右静脉,肝中间静脉,左叶间静脉,肝门静脉右支,肝门静脉左支矢状部,.,28,.,29,.,30,肝内管道横断层解剖,

6、.,31,1经第二肝门横断面,肝门静脉右前上支,肝右前叶,肝左内叶,.,32,2经食管裂孔横断面,胸主动脉,15胸导管 16食管 17齐静脉,左叶间静脉,肝门静脉右前上支,肝右后缘上静脉,.,33,3经食管腹部横断面,肝门静脉右前上支,肝左静脉内侧支,肝左静脉,.,34,4经门静脉左支角部的横断面,肝门静脉左支角部,肝左静脉,肝门静脉右前上支,.,35,5肝门静脉左支矢状部横断面,肝中静脉属支,14肝门静脉左外下支 15肝门静脉左支囊部 16肝门静脉左支矢状部,肝左静脉,肝中静脉,肝门静脉右前上支,肝右静脉属支,肝门静脉右后上支,.,36,6经肝门静脉右支横断面,肝右静脉,肝门静脉右前上支,门

7、静脉左外下支,左静脉,肝中静脉属支,肝中静脉,31肝门静脉左支横部 32肝固有动脉 33肝左管 34肝门脉右支 40肝门静脉右前支,肝门静脉右后支,肝门静脉右前上支,.,37,7经胆囊窝上份横断面,胆囊管,门静脉,肝总管,肝固有动脉,肝左静脉下根,肝中静脉右根,门静脉右后下支,肝右静脉前根,肝右静脉后根,.,38,8经腹腔干横断面,肝门右切迹,肝右静脉前根,肝右静脉后跟,.,39,9经幽门横断面,幽门部,肝圆韧带,31幽门括约肌 32十二指肠上部 34肝总管 35胆囊管,肝中静脉右根,肝右静脉前根,门静脉右后下支,.,40,10经肝门静脉起始部横断面,门静脉右后下支,肝右静脉前根,肝中静脉右根,胃幽门部,十二指肠降部,24肠系膜上静脉 25门腔淋巴结 28胆总管 29胰钩突,.,41,.,42,肝段在横断面上的划分,.,43,肝左静脉,肝右静脉,肝中间静脉,左叶间静脉,肝门静脉右支,肝门静脉左支矢状部,.,44,.,45,左叶间静脉,左叶间静脉,左叶间静脉,肝左静脉