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脾切除后易患感染已众所周知,为保存脾脏功能,发展了各种外科技术。最近的研究提示部分脾切除可使机体避免发生肺炎双球菌性败血症。尽管如此,这类手术仍相当少,主要原因是脾脏是一易碎、血管丰富的器宫,一旦出血,处理困难。深入了解脾脏血管解剖将会促进保留脾脏的保守治疗的开展。作者研究了127例脾标本,其中50例为新鲜标本,其余77例为解剖室内标本。先肉眼解剖出脾血管及段血管,然后插管注入造影剂(conray hypaque)摄片。造影完毕用生理盐水冲洗,再经此导管注入Batson解剖腐蚀复合物17,不同段血管用不同的颜色,然后将导管夹住置标本于水中。12~24 h后铸型物质变硬再
It is well-known that predisposing patients after splenectomy have developed a variety of surgical techniques for the preservation of spleen function. Recent research suggests that partial splenectomy may prevent the body from producing pneumococcal septicemia. In spite of this, there are still quite a few such surgeries. The main reason is that the spleen is a delicate and blood vessel-rich organ, which is difficult to handle once it bleeds. A deeper understanding of spleen vascular anatomy will promote the preservation of the conservative treatment of the spleen. The authors studied 127 spleen specimens, of which 50 were fresh specimens and the remaining 77 were dissected indoor specimens. First dissect the splenic blood vessels and segmental vessels with the naked eye, and then intubate the conray hypaque radiographs. Radiography was completed with saline flush, and then through the catheter into the anatomical Batson Corrosion Complex 17, different sections of the blood vessels with different colors, and then the catheter clamp the specimen placed in the water. After 12 ~ 24 h mold material harden again