肝中静脉解剖与影像三维重建在活体肝移植中的应用

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1、重庆医科大学硕士研究生学位论文ANATOMYANDTHREE．DIMENSIoNALRECoNSTRUCTIoNoFTHEMIDDLEHEPATICVEINFoRAPPLICATIoNINLIVINGDoNoRLIVERTRANSPLANTATIoNABSTRACTobjectiveLivertransplantationistheeffectivetreatmentofterminalstageliverdisease，especiallytheLDLTsolvethecontraryforincreasinglydemandofthedonorliver．Howeve

2、r,thecomplexityandvariabilityinanatomyofliverbloodvessellimitedthedevelopmentofLDLT，especiallyasa"double—edgedsword¨，theanantomyofMHVhasbeenpaidclosedattentionto．ThedonorliverincludingMHVisbeneficialtotheacceptoranddisadvantageoustothedonor，viceversa．Therefore，graspingtheanatomyinformatio

3、nofMHVbeforetheoperation，willbehelpfultoplanthedonorliver’Svolumetocut，localizatethenick,choicethecutprofileoflivers，andre—establishthehepaticveinofdonorandacceptor．ThisresearchstudiedfromclinicalapplicationofLDLTsurgery，usedcomparisonmethodtoresearchgrossanotomyandMSCTimage，observedthemo

4、rphrulesofMHV，tomeantoprovidemorphdataofMHVforLDLT．Materialsandmethods1．50non—illnessadultcadaverichepeticveinwereanatomied，theanatomicformandconstructiontypinginthemaintrunkandbranchofMHVweredeserved，thecorrelateddataweremeasuredandanalyzedstatistically．2．50non—illnessadultliverswerescan

5、nedby64一MSCT,theanatomicformandconstructiontypinginthemaintrunkandbranchoftheMHVweredeserved，thecorrelateddataweremeasuredandanalyzedstatistically,6重庆医科大学硕士研究生学位论文andtheresultwasanalyzedcombiningwiththedataofgrossanatomydissecsandtheMHVwerecarriedoutonthree．dimensionalreconstructionbyGEAD

6、W4．2Imageprocessingsystemandmimicsimageanalysissoftware．ResultsThefirstpartThemorphstudyofMHV·。·—。ThemorphstudyofthemaintrunkinMHVTherewasacommontrunkin80．O％(40／50)ofthecases，andaalonetrunkin20．O％(10／50)ofthecases．ThepositionofMHVopeningtotheinferiorvenacava(IVC)at1：00was77．5％(31／40)in40c

7、ommontrunkcasesandwas90．O％(9／1O)in10alonetrunkcases．ThedistanceofthepositionopeningtotheIVCbetweenMHVandLHVwas(2．00-士1．15)mm，and(12．12：J：4．10)mmbetweenMHVandRHVThelengthofmaintrunkwas(68．32+15．37)mm，theextrahepaticlengthofMHVWas(6．93+2．79)mm，andthesurgicaltrunkWas(8