摘要
在30例成人的标本上,对十二指肠第1环状襞、十二指肠纵襞、十二指肠大乳头、肝胰壶腹及其间隔等进行解剖观测.十二指肠第1环状襞高4.86±0.36mm,厚2.85±0.17 mm,距幽门45.80±2.93mm;十二指肠纵襞出现率为76.7%;十二指肠大乳头距幽门、第1环状襞的距离分别为81.14±2.71和41.76±2.11mm,其开口处上下径和横径分别为2.88±0.17mm和2.31±0.19mm.在20例肝胰壶腹切开的标本上见肝胰壶腹间隔部分分隔(16例)和完全分隔(4例)胰胆管,间隔长度 9.30±0.46mm,共同管长度5.53±0.29mm.结果为临床内镜下顺利进行胰、胆总管造影术寻找十二指肠大乳头和插管提供了形态学依据.
The present research was aimed at providing the morphological basis for the intubation and radiography of biliopancreatic ducts under the endoscope. The investigation of the first circular fold of duodenum, major duodenal papilla, hepatompancreatic ampulla and biliopancreatic septum were carried out on 30 adult cadavers. The height and thickness of the first circular fold were 4. 86 ±0. 36 mm and 2. 85±0. 17 mm respectively. The mean distance between the major duodenal papilla and pylorus was 81. 14 ±2. 71 mm. The distance between the major duodenal papilla to the first circalar fold was 41. 76±2. 11 mm. In 20 dissected specimens, we found a common sep-tum in the hepatopancreatic ampalla, which partly (16 cases) and completely (4 cases) separated the biliopancreatic ducts. The length of the common channel in the hepatopancreatic ampulla was 5. 53 ±0. 29 mm. The article also discussed the relative aspect of intubation and rediography of biliopancreatic ducts under the endoscope.
出处
《解剖学杂志》
CAS
CSCD
北大核心
1998年第5期432-434,共3页
Chinese Journal of Anatomy
关键词
十二指肠
十二指肠大乳头
胆总管
胰管
duodenum
major duodenal papilla
hepatopancreatic ampulla
common bile duct
pancreatic duct
