摘要
在３０具成人尸体标本上对急性坏死性胰腺炎的腹膜后引流途径进行了解剖学观测。探查直从第１２肋下１～１．５ｃｍ做横切口深入腹膜后间隙。壁腹膜与肾前筋膜间无肉眼可见的小血管，易分离。胰床内门静脉等管道性结构、肠系膜下静脉、十二指肠空肠曲、降部、胆总管、胰十二抬肠后静脉弓的１～３条小静脉为左右探查时易损伤之结构，应注意保护。左右肾旁前间隙可经肠系膜上动脉与睾丸或卵巢动脉根之间的腹主动脉前方互相连通。腹膜后引流具有不进入腹膜腔，减少并发症等优点，符合低位、捷径、大口的原则，是一条理想的引流途径。
he
retroperitoneal drainage pathway applied in acute necrotizing
pancreatitis was investigat-ed on 30 adult cadavers. To reach the
retroperitoneal space. the transverse incision should be made1 to 1.5
cm below the 12th rib.No small blood vessels were observed running
between the poste-rior parietal peritoneum and the renal fascia.
However. some tubular structures in the pancreas-bed. such as portal
vein. inferior mesenteric vein. dudenojejunal flexure. the descending
part ofduodenum. common bile duct and 1 to 3 veinlets of the
posterior pancreaticoduodenal veinal arch. were thought to be subject
to damage. In front of aorta. the left and right anterior pararenal
spacecommunicated between superior mesenteric artery and testicular
or ovarian arteries. Drainagethrough retroperitoneal pathway have
the advantages of keeping from entering the abdominal cav-ity and
reinducing the complications. which is in a good accordance with the
drainage principles oflower site. and larger drainage opening.
出处
《中国临床解剖学杂志》
CSCD
北大核心
1995年第4期277-279,共3页
Chinese Journal of Clinical Anatomy
关键词
坏死性
胰腺炎
腹膜
引流术
应用解剖
acute necrotizing pancreatitis. retroperitoneal drainage.
pararenal anterior spaces.pancreasbed
