中国临床解剖学杂志 ›› 2019, Vol. 37 ›› Issue (1): 25-29.doi: 10.13418/j.issn.1001-165x.2019.01.006

• 断层影像解剖 • 上一篇    下一篇

肝门静脉左支分支分型的数字化研究及编码分析

刘珂1, 薄开蕊1, 赵睿1, 苑航1, 刘琳1, 周显军2,3, 陈忠恒1   

  1. 1.青岛大学基础医学院人体解剖与组织胚胎学系,  山东   青岛    266071;    2.山东省数字医学与计算机辅助手术
    重点实验室,  山东   青岛   266003;    3. 青岛大学附属医院小儿外科,  山东    青岛    266003
  • 收稿日期:2018-11-08 出版日期:2019-01-25 发布日期:2019-02-20
  • 通讯作者: 陈忠恒,副教授,E-mail:13969734378@139.com
  • 作者简介:刘珂(1997-),山东济南人,青岛大学医学部2015级影像专业学生,Tel:17805421713, E-mail: 243374516@qq.com
  • 基金资助:

    2017年地方高校国家级大学生创新创业训练计划项目(201711065145);青岛大学“临床医学+X”工程教学研究项目(30702010005);山东省高等医学教育研究中心科研规划课题(YJKT201701)

Digital study and code analysis of the left branch of hepatic portal vein 

LIU Ke1, BO Kai-rui1, ZHAO Rui1, YUAN Hang1, LIU Lin1, ZHOU Xian-jun 2,3, CHEN Zhong-heng1   

  1. 1.Department of Human Anatomy and Histoembryology, Medical College of Qingdao University, Qingdao 266071, Shandong Province, China; 2.Shandong Key Laboratory of Digital Medicine and Computer Assisted Surgery, the Affiliated Hospital of Qingdao University, Qingdao 266003,China; 3. Department of Pediatric Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266003, China
  • Received:2018-11-08 Online:2019-01-25 Published:2019-02-20

摘要:

目的 探究肝门静脉左支新的分型和研究方法,为肝数字解剖研究提供数据和参考。  方法 应用Hisense CAS对110例国人上腹部增强CT数据进行肝血管三维重建,准确显示肝门静脉左支的三维图像。分析肝门静脉左支分支的形态特点及分布规律,进行编码并统计分析。   结果 根据门静脉左支走行特点可分为6型:I型61例(55.45%),II型29例(26.36%),Ⅲ型13例(11.82%),IV型4例(3.64%),V型2例(1.82%),VI型1例(0.91%)。   结论 Hisense CAS能够准确地显示肝门静脉三维影像,方便进行肝内管道观察,为肝门静脉分支分型的数字解剖学研究提供了很好的工具;针对较大数据的观测,用编码的方法非常方便统计分析。

关键词: 肝门静脉,  分支分型,  数字解剖,  三维,  编码

Abstract:

Objective To seek the new classification and research methods of the left hepatic portal vein, and to provide data and reference for the digital anatomic research of the liver. Methods Hisense CAS was used to reconstruct the liver vessels on upper abdomen enhanced CT data in 110 cases, and the three-dimensional images of the left branch of the portal vein were accurately displayed. The morphological characteristics and distribution of the left branch of the hepatic portal vein were investigated, and then encoded and statistically analyzed. Results According to the characteristics of the left branch of the portal vein, it can be divided into 6 types of codes: type I in 61 cases (55.45%), type II in 29 cases (26.36%) , type III in 13 cases (11.82%), type IV in 4 cases (3.64%), type V in 2 cases (1.82%), type VI in 1 case (0.91%).  Conclusions Hisense CAS can accurately display the three-dimensional image of the hepatic portal vein, which is convenient for observing intrahepatic ducts. It provides excellent tools for digital anatomic study of hepatic portal vein branching. For large data observation, the coding method is very convenient for statistics analysis.

Key words: Hepatic portal vein,  Branching classification,  Digital anatomy,  Three-dimensional, Coding