CAJ | 학술논문

目的：分析胆囊切除术中的动脉变异情况。方法2010年1月～2013年12月灵宝市第一人民医院完成胆囊手术528例，异变28例，进行分析。结果胆囊动脉变异临床常见，包括起源、分型、走行及进入胆囊部位等。起源变异：来自右肝动脉18例，胃十二指肠动脉8例，肝固有动脉2例。胆囊动脉分型及走行变异：主干单支型胆囊动脉10例；分支型胆囊动脉18例。胆囊动脉进入胆囊部位亦有胆囊管左侧、右侧，胆囊体多种进入方式。如不妥善处理变异胆囊的动脉会造成术中大出血，危及患者生命及造成胆总管损伤。结论认识胆囊动脉变异的重要性，基层医院胆囊切除术中对胆囊动脉变异的重视及处理更为重要。
목적：분석담낭절제술중적동맥변이정황。방법2010년1월～2013년12월령보시제일인민의원완성담낭수술528례，이변28례，진행분석。결과담낭동맥변이림상상견，포괄기원、분형、주행급진입담낭부위등。기원변이：래자우간동맥18례，위십이지장동맥8례，간고유동맥2례。담낭동맥분형급주행변이：주간단지형담낭동맥10례；분지형담낭동맥18례。담낭동맥진입담낭부위역유담낭관좌측、우측，담낭체다충진입방식。여불타선처리변이담낭적동맥회조성술중대출혈，위급환자생명급조성담총관손상。결론인식담낭동맥변이적중요성，기층의원담낭절제술중대담낭동맥변이적중시급처리경위중요。
Objective To analyze gallbladder artery variation in cholecystectomy. Methods From January 2010 to December 2013 in ifrst people's hospital of Lingbao 528 cases of gallbladder surgery were completed. Variation of 28 cases were analyzed. Results The clinical common cystic artery variation included the origin, classiifcation, and into the gallbladder parts, etc. The origin of variation:18 cases originated from right hepatic artery, 6 cases from gastroduodenal artery, proper hepatic artery in 2 cases, 2 cases from gastroduodenal artery. Cystic artery type and line variation:main single type was in 10 cases of cystic artery;18 cases were cystic artery branch type. Ways of cystic artery into the gallbladder parts also had in the left, right, into the gall bladder body. If not properly deal with the variation of gallbladder artery, it could cause intraoperative bleeding risk, endangered the patient's life and common bile duct damage. Conclusion We should know the importance of the cystic artery variation and pay more attention of the cystic artery variation and dispose is more important in cholecystectomy in basic-level hospitals.