肝脏解剖分段ppt课件.pptxVIP

SectionalAnatomyandSegmentationofLiver1精选课件

Segmentationoftheliver2精选课件TwocategoriesCouinaud’ssystem(“segment”)(S1–S8,Couinaud,1989;S9,Couinaud,1994)andtheso-calledAmericansystem(“sector”)(thelateral,medialorparamedian,anteriorandposteriorsegmentsorsectors,andthecaudatelobe;Williams,1995)

ConceptofCouinaud’ssegmentclassificationsystem3精选课件Theliverwasdividedintofoursegmentsbythreeverticalplanes,andeachsegmentwasfurthersubdividedintotwosubsegmentsbyatransversescissure.Eachsegmenthadabranch(oragroupofbranches)oftheportalveinatitscenterandatributaryofahepaticveinatitsperiphery

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正中裂portalfissure5精选课件

Couinaud’ssystem6精选课件

Couinaud’ssystemBasement：DistributionofGlissonsystemandhepaticveins?左半?右半?左外扇区左内扇区右前扇区右后扇区左外上段（II）左外下段(III)IV右前下段（V）右前上段（VIII）右后下段（VI）右后上段（VII）?背扇区主?IIX左外叶左内叶右前叶右后叶7精选课件

PortalVein8精选课件

PortalVein门脉脐部9精选课件

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HepaticVeinMiddleVein11精选课件

肝段的划分方法12精选课件正中裂 ： 肝中静脉-胆囊窝中点 ，分肝为左右半肝背 裂 ： 弧形线，分出尾状叶左叶间裂：门脉左支脐部，肝圆韧带，分出左内叶与左外叶左段间裂：肝左静脉，分出左外上段（II段）与 左外下段（III段）右叶间裂：肝右静脉，分出右前叶与右后叶右段间裂：又称横裂,肝门脉右支，分右半肝为上下段

ConceptofCantlie’sline13精选课件Cantlie’sline(theprincipalborderormainlobarfissure)isgenerallybelievedtobealongthehilarbifurcationoftheportalvein,thefossaforthegallbladder,theleftmarginorthemidlineoftheIVCandtheterminalportionoftheMHVoralineslightlyrightoftheMHV

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Sectional Anatomy ofCadaveric LiverComputed tomography15精选课件

VIIIIIIII精选课件LevelofHVsintoIVCLHVMHVIVVIIRHV胃肺16

IIIIIIVVIIIVIII17精选课件

VIIVIIIIVIII18精选课件III脾

IIIIVVIIIVIIIII19精选课件

IIIIVIVIVAdrenalleftPVR20精选课件

IIIVIIVVgallbladderCBDPVDuodAdreR21精选课件SpleenV

IVVVI22精选课件

VI23精选课件IVV

IVVVI24精选课件

VI25精选课件V

VVI26精选课件

ComputedTomography27精选课件

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IntroductionofMeVisFunctionalsegmentationandvolumeanalysis34精选课件

VIII35精选课件

VIII36精选课件IVb

VIII37精选课件IVbVII

VIIIIIIIVaIIVIIMVIRVLV38精选课件

VII39精选课件IVaIIIIILVM