腹部血管课件.pptVIP

由肝固有A發出的肝右A僅占70-80%，10%發自肝總A，20%來源於腸系膜上A。肝動脈起源變異迷走肝動脈和副肝動脈迷走替代動脈：作為左右A之一而存在迷走副肝動脈：作為附加支而出現肝動脈的變異肝左動脈變異肝左動脈分支變異肝右動脈起源變異起源於腸系膜上a的肝右動脈起源於腹主a的肝右動脈膽囊動脈SplenicarteryStomacharteryPancreaticArtery後面觀腸系膜上胰十二指腸下腹腔幹胰十二指腸上前胰大胰背胰十二指腸上後胰橫動脈胃十二指腸動脈：胰十二指腸前上A、胰十二指腸後A、上胰十二指腸中A腸系膜A：胰十二指腸下A脾A胰支：胰背A、胰橫A、胰大A、分界A、胰尾A肝A分出的小支十二指腸的動脈腹部血管腹部血管解剖腹主動脈下腔靜脈腹腔幹腸系膜上動脈腸系膜下動脈腎上腺動脈腎動脈肝門靜脈肝的血管胰及十二指腸的血管脾的血管胃的血管腎上腺的血管Abdominalaorta腹主動脈ContinuationofthoracicaortaataortichiatusofdiaphragminfrontofT12TerminatesatlowerborderofL4vertebrabydividingintorightandleftcommoniliacarteriesLeftrenalarterycrossanteriortoit.RelationsofabdominalaortaAnteriorly(fromabovedownward)PancreasAscendingpartofduodenumRadixofmesenteryPosteriorlyUpperfourlumbervertebraeOnitsrightInferiorvenacavaOnitsleftLeftsympathetictrunkParietalbranchesInferiorphrenica.膈下動脈(onepair)Lumbara.腰動脈(fourpairsofarteriesthatsupplytheposteriorabdominalwall)Mediansacrala.骶正中動脈VisceralbranchesPairedbranchesMiddlesuprarenalartery腎上腺中動脈Renalartery腎動脈Testicular(ovarian)artery睾丸（卵巢）動脈VisceralbranchesUnpairedbranchesCeliactrunk腹腔幹－ashortthickvesselthatarisesfromthefrontofaorta,atthelevelofT12Superiormesenterica.腸系膜上動脈－arisesfromthefrontofaorta,atthelevelofL1Inferiormesenterica.腸系膜下動脈－arisesfromthefrontofaorta,atlevelofL3肝總a腰a骶中a脾a腎a腸系膜上a腸系膜下aCeliactrunkLeftgastrica.Commonhepatica.Splenica.Gastroduodenala.Properhepatica.Rightgastrica.LeftbranchRightbranchCystica.Shortgastrica.Leftgastrioeploica.Rightgastroepiploica.Superiorpancreaticoduodenala.SplemicbranchesCeliactrunkCeliactrunkSuperiormesenterica.Inf.pancresticodudenala.Jejunalandileala.Ileocolica.Appendiculara.Rightcolica.Middlecolica.SuperiorMesentericv.Superio