腹腔动脉和肠系膜上动脉分支解剖变异在埃及人中的流行情况。

IF 1.4 Q3 ANATOMY & MORPHOLOGY Anatomy & Cell Biology Pub Date : 2024-09-30 Epub Date: 2024-06-25 DOI:10.5115/acb.23.316
Abdelrazek Abdelhady Sheta
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引用次数: 0

摘要

腹腔干和肠系膜上动脉(SMA)是肝脏和胰腺的主要供血动脉。这些动脉或其分支的解剖变异数据在临床和手术中都非常重要。本研究的目的是通过对大量埃及人的血管造影检查来描述这些动脉的不同变异。这项研究对腹腔动脉、其分支和 SMA 进行了 389 次选择性血管造影。对接受过内脏血管造影术的人的目标动脉解剖进行了审查并记录了数据。在所有可获得的血管造影中,286 名患者(73.52%)的腹腔干和肠系膜上动脉解剖结构符合标准,103 名患者(26.47%)的解剖结构存在单根或多根血管变异。2.05% 的患者的膈下动脉起源于腹腔干,而只有 0.51% 的患者腹腔干出现四叉。也有 0.51% 的患者发现腹腔干缺失。0.51%的患者的胃左动脉显示出异常,起源于脾动脉。还发现肝总动脉四叉。9.51%的患者出现肝左动脉(LHA)解剖结构变异,而肝右动脉(RHA)的变异率为14.13%。由于肝动脉的起源不同,胃十二指肠动脉要么来自肝左动脉(2.82%),要么来自肝右动脉(2.31%),甚至来自腹腔干(1.79%)。
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Prevalence of anatomical variants in the branches of celiac and superior mesenteric arteries among Egyptians.

Celiac trunk and superior mesenteric artery (SMA) are the main blood supply to the liver and pancreas. The data of anatomical variations in these arteries or their branches are very important clinically and surgically. The aim of this study was to describe the different variants in these arteries through the examination of the angiographs of a large series of Egyptian individuals. This research involved 389 selective angiographies to celiac artery, its branches, and the SMA. Anatomy of the target arteries of people who experienced visceral angiograph was reviewed and the data were recorded. From the total available angiograms in this work, 286 patients (73.52%) had the standard anatomy of celiac trunk and superior mesenteric arteries, and 103 patients (26.47%) had a single or multiple vessel variation. The inferior phrenic artery originates from celiac trunk in 2.05% of patients, while quadrifurcation of the celiac trunk was noticed in only 0.51% of patients. Absence of celiac trunk is also found in 0.51% of patients. Left gastric artery showed an abnormal origin from the splenic artery in 0.51% of patients. Quadrifurcation of common hepatic artery was also noticed. Variant anatomy of the left hepatic artery (LHA) was seen in 9.51% of patients, while variations of the right hepatic artery (RHA) were 14.13%. With the different origin of hepatic arteries, the gastroduodenal artery arose either from the LHA (2.82%), RHA (2.31%) or even from the celiac trunk (1.79%).

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来源期刊
Anatomy & Cell Biology
Anatomy & Cell Biology ANATOMY & MORPHOLOGY-
CiteScore
1.80
自引率
9.10%
发文量
75
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