• 四川大學(xué)華西醫(yī)院普外科(成都610041);

目的 探討腹腔干結(jié)扎的可行性。
方法收集和回顧有關(guān)腹腔干結(jié)扎的相關(guān)文獻(xiàn)。
結(jié)果腹腔干分為肝總動(dòng)脈、脾動(dòng)脈及胃左動(dòng)脈3支，腹腔干分支的變異較多而且與腸系膜上動(dòng)脈之間通過胃十二指腸動(dòng)脈和胰十二指腸動(dòng)脈形成廣泛的側(cè)支吻合。腹腔干損傷、腹腔干動(dòng)脈瘤、上消化道出血、腹腔干周圍腫瘤切除和門靜脈高壓癥的病例中，腹腔干結(jié)扎后不會(huì)有明顯的并發(fā)癥。但是，腹腔干結(jié)扎亦可能導(dǎo)致膽囊壞死、穿孔，肝臟的局限性梗死，甚至比較高的死亡率。
結(jié)論腹腔干結(jié)扎還不是常規(guī)的治療手段，但是在特定的情況下，腹腔干結(jié)扎可能是一種可行和有效的挽救生命的治療手段。

引用本文： 楊健,文天夫. 腹腔干結(jié)扎可行性臨床研究進(jìn)展. 中國(guó)普外基礎(chǔ)與臨床雜志, 2006, 13(3): 362-364. doi: 復(fù)制

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3. [J]. Surg Clin North Am, 1993; 73(4)∶747.
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23. Vandamme JP, Bonte J. The blood supply of the stomach.
24. Brown JR, Derr JW. Arterial blood supply of human stomach.
25. Toni R, Favero L, Mosca S， et al. Quantitative clinical anato my of the pancreatic arteries studied by selective celiac angiography.
26. Kavic SM, Atweh N, Ivy ME, et al. Celiac axis ligation after gunshot wound to the abdomen: case report and literature review [J]. J of TraumaInjury Infection & Critical Care, 2001; 50(4)∶738.
27. Rich NM, Mattox KL, Hirshberg A， Eds. Vascular trauma.
28. Moore EE, Feliciano DV, Mattox KL, Eds. Trauma.
29. Asensio JA, Petrone P, Kimbrell B, et al. Lessons learned in the management of thirteen celiac axis injuries.
30. Rob CG, Owen K. Ligation of both the coeliac axis and superior mesenteric artery with survival of the patient.
31. Miller DW Jr， Royster TS. Celiac artery aneurysm: rationale for celiac axis ligation with excisional treatment.
32. LopezTomassetti Fernandez EM, Herrero Segura A, Gonzalez Hermoso F. Coeliac axis ligation in a unmangageable upper gastrointestinal haemorrhage.
33. Appleby LH. The coeliac axis in the expansion of the operation for gastric carcinoma.
34. Berman JK, Hull JE. Hepatic, splenic, and left gastric arterial ligations in advanced portal cirrhosis.
35. Graham JM, Mattox KL, Beall AC Jr, et al. Injuries to the visceral arteries.
36. Nomura T, Shirai Y, Hatakeyama K, et al. Spontaneous gallbladder perforation without acute inflammation or gallstones.
37. Clark JS. Hepatic necrosis following celiac artery ligation during gastric resection in man.
  1. 1. [J]. Surg Clin North Am, 1997; 77(2)∶289.
  2. 2. [J]. Am J Surg， 1966; 112(9)∶337.
  3. 3. [J]. Surg Clin North Am, 1993; 73(4)∶747.
  4. 4. [J]. Acta Anat, 1988; 131(2)∶89.
  5. 5. [J]. Arch surg, 1952; 64(5)∶616.
  6. 6. [J]. Surg Radiol Anat, 1988; 10(1)∶53.
  7. 7. [M]. 2nd ed. Pennsylvania： Elsevier Saunders, 2004∶304-305.
  8. 8. [M]. 15th ed. New York： McGrayHill, 2004∶762.
  9. 9. [J]. South Med J, 2005; 98(4)∶462.
  10. 10. [J]. Br J Surg, 1956; 44(185)∶247.
  11. 11. [J]. Vasc.
  12. 12. Surg, 1971; 5(1)∶42.
  13. 13. [J]. Scand J Gastroenterol, 2005; 40(4)∶486.
  14. 14. [J].Cancer, 1953; 6(4)∶704.
  15. 15. [J]. Arch Surg, 1952; 65(1)∶37.
  16. 16. [J]. Surgery, 1978; 84(6)∶835.
  17. 17. [J]. Am J Gastroenterol, 1997; 92(5)∶895.
  18. 18. [J]. Arch Surg, 1955; 71(2)∶171.
  19. 19. Rosenblum JD， Boyle CM， Schwartz LB. The mesenteric circulation: anatomy and physiology.
  20. 20. Michels NA. Newer anatomy of the liver and its variant blood supply and collateral circulation.
  21. 21. Mizobata Y， Yokota J, Yajima Y， et al. Two cases of blunt hepatic injury with active bleeding from the right inferior phrenic artery [J]. J of TraumaInjury Infection & Critical Care, 2000; 48(6)∶1153.
  22. 22. Skandalakis PN, Colborn GL, Skandalakis LJ, et al. The surgical anatomy of the spleen.
  23. 23. Vandamme JP, Bonte J. The blood supply of the stomach.
  24. 24. Brown JR, Derr JW. Arterial blood supply of human stomach.
  25. 25. Toni R, Favero L, Mosca S， et al. Quantitative clinical anato my of the pancreatic arteries studied by selective celiac angiography.
  26. 26. Kavic SM, Atweh N, Ivy ME, et al. Celiac axis ligation after gunshot wound to the abdomen: case report and literature review [J]. J of TraumaInjury Infection & Critical Care, 2001; 50(4)∶738.
  27. 27. Rich NM, Mattox KL, Hirshberg A， Eds. Vascular trauma.
  28. 28. Moore EE, Feliciano DV, Mattox KL, Eds. Trauma.
  29. 29. Asensio JA, Petrone P, Kimbrell B, et al. Lessons learned in the management of thirteen celiac axis injuries.
  30. 30. Rob CG, Owen K. Ligation of both the coeliac axis and superior mesenteric artery with survival of the patient.
  31. 31. Miller DW Jr， Royster TS. Celiac artery aneurysm: rationale for celiac axis ligation with excisional treatment.
  32. 32. LopezTomassetti Fernandez EM, Herrero Segura A, Gonzalez Hermoso F. Coeliac axis ligation in a unmangageable upper gastrointestinal haemorrhage.
  33. 33. Appleby LH. The coeliac axis in the expansion of the operation for gastric carcinoma.
  34. 34. Berman JK, Hull JE. Hepatic, splenic, and left gastric arterial ligations in advanced portal cirrhosis.
  35. 35. Graham JM, Mattox KL, Beall AC Jr, et al. Injuries to the visceral arteries.
  36. 36. Nomura T, Shirai Y, Hatakeyama K, et al. Spontaneous gallbladder perforation without acute inflammation or gallstones.
  37. 37. Clark JS. Hepatic necrosis following celiac artery ligation during gastric resection in man.