CAJ | 학술논문

目的观察回肠血供，验证相应的手术对策，解决回肠造袋-肛管吻合术后肠道张力过高问题。方法解剖和观察45例回肠血管弓，从解剖学角度了解回肠血供机理及“延长”小肠的方法。结果血管弓2列者2例(4％)，血管弓3列者35例(78％)，四列者5例(11％)，五列者3例(7％)。结论在右结肠动脉平面下，离断肠系膜上动静脉，松解了小肠长度50～60 cm，尚有2～5列血管弓提供血液，可以避免回肠袋-肛管吻合术后肠管张力高和回肠缺血。
목적 관찰회장혈공，험증상응적수술대책，해결회장조대-항관문합술후장도장력과고문제。방법해부화관찰45례회장혈관궁，종해부학각도료해회장혈공궤리급“연장”소장적방법。결과혈관궁2렬자2례(4％)，혈관궁3렬자35례(78％)，사렬자5례(11％)，오렬자3례(7％)。결론재우결장동맥평면하，리단장계막상동정맥，송해료소장장도50～60 cm，상유2～5렬혈관궁제공혈액，가이피면회장대-항관문합술후장관장력고화회장결혈。
Objective To observe anatomy of the blood vessel arches and their blood circulation in the ileum and further establish surgical strategy for preventing excessive tonicity and ischemia of the ileum after anastomosis of the ileum pouch and the anal canal.Methods The blood vessel arches were dissected in the ileum of 45 corpses and their blood circulation routes were observed.Results The 2-tier blood vessel arches were found in 2 cases (4％), the 3-tier blood vessel arches in 35 cases (78％), the 4-tier blood vessel arches in 5 cases (11％), and the 5-tier blood vessel arches in 3 cases (7％).Conclusions Under the right colic artery, curing the superior mesenteric artery and vein can release the length of the small intestines, prevent tonicity and ischemia of the ileum after anastomosis of the ileum pouch and the anal canal, and supply enough blood to the ileum by the 2 -5 tier blood vessels.