CAJ | 학술논문

腹腔干是一短而粗的动脉干，约于第一腰椎高度发自腹主动脉前壁。继则分为3支，即胃左动脉、肝动脉及脾动脉，分别供给腹腔上部脏器（胃、肝、脾、胰及十二指肠等）。然而以上3支的起点变化较多，国内外学者根据自己的见解，将腹腔动脉的分支列为若干类型，并相互补充。本文从腹腔干的分支变异类型、分型发展及其意义3方面进行探讨，以期为临床提供参考。作者根据胃左动脉、脾动脉和肝动脉的起源对变异类型进行分类，主要分为肝胃脾干型、肝脾干型、肝胃干型及胃脾干型，其他包括肝脾肠系膜干型、肝胃脾肠系膜干型、肝胃脾结肠干型、肝胃脾胰干型、胃脾干加肝肠系膜干型、肝胃脾肝左干型、肝胃脾胰十二指肠干型和肝胃干加肝脾干型等。从Lipshutz、Adachi、Michels分型及张年甲分型等介绍腹腔干变异分型的发展。
복강간시일단이조적동맥간，약우제일요추고도발자복주동맥전벽。계칙분위3지，즉위좌동맥、간동맥급비동맥，분별공급복강상부장기（위、간、비、이급십이지장등）。연이이상3지적기점변화교다，국내외학자근거자기적견해，장복강동맥적분지렬위약간류형，병상호보충。본문종복강간적분지변이류형、분형발전급기의의3방면진행탐토，이기위림상제공삼고。작자근거위좌동맥、비동맥화간동맥적기원대변이류형진행분류，주요분위간위비간형、간비간형、간위간형급위비간형，기타포괄간비장계막간형、간위비장계막간형、간위비결장간형、간위비이간형、위비간가간장계막간형、간위비간좌간형、간위비이십이지장간형화간위간가간비간형등。종Lipshutz、Adachi、Michels분형급장년갑분형등개소복강간변이분형적발전。
Celiac trunk is a wide and short ventral branch. It originates from the anterior abdominal artery at the level of L1 vertebra, and divides into three branches: the left gastric, common hepatic and splenic arteries, supplying the upper abdominal organs such as stomach, liver, spleen, pancreas, and duodenum. However, there are many types of branches variations. The branches of celiac trunk are classified into several types. We establish a classification of variation type according to the origin of left gastric, common hepatic and splenic arteries, which includes hepatogastrosplenic trunk type, hepatosplenic trunk type, hepatogastric trunk type, gastrosplenic trunk type, and the others include hepatosplenomesentery trunk type, hepatogastrospleno-mesentery trunk type, hepatogastrosplenocolonic trunk type, hepatogastrosplenopancreatic trunk type , gastrospenic trunk plus hepatomesentery trunk type, hepatogastrospl enoic left liver trunk type, hepatogastro-splenopancreatoduodenal trunk type, hepatogastric trunk plus hepatosplenic trunk type. Development of celiac trunk variation type was introduced based on the classification of Lipshutz, Adachi, Michels and Zhang Nianjia. Mastering the types of branches variations is necessary for us to perform the upper abdominal operations safely and effectively.