肝脾超聲靜教學(xué)課件

Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL第八章肝臟一、正常解剖肝臟(liver肝臟體表投影大部位于右季肋部和上腹部,少部分向左季部延伸上界:鎖骨中線第五前肋上緣。下界:右季肋緣相齊Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL第八章肝臟一、正常解剖冠狀韌帶下腔靜脈肝右葉肝左葉肝圓韌帶膽囊肝臟前面觀肝前面肝臟分膈面和臟面:膈面:光滑圓隆,分前面、上面及右側(cè)面臟面:微凹且不平形態(tài):立體楔形,右端粗大,左端扁薄Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL第八章肝臟一、正常解剖H”兩條縱溝和橫溝SurfacesandBedofliver左三角右縱溝:前部膽囊窩韌帶后部下腔靜脈窩裸區(qū)左縱溝:臍靜脈窩左靜脈韌帶右左縱溝前部有肝圓韌帶,走行于肝鐮狀韌帶游離緣靜脈韌帶內(nèi)向下延伸至臍下第一肝門(mén)橫溝:第一肝門(mén)(肝管門(mén)靜脈、肝固有動(dòng)脈、淋巴管和神經(jīng)出入)Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL第八章肝臟一、正常解剖第一肝門(mén)臟面觀下大釋背臥位c足方向力見(jiàn)大肝排列:肝管位于最下前方,其后為肝固有動(dòng)脈,及門(mén)靜脈。Evaluauononr.chAsposeslidesforNET4odientPalvetonoCreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL第八章肝臟一、正常解剖肝周?chē)g隙肝左上間隙肝上間隙肝右上前間隙膈下間隙肝右上后間隙肝左下前間隙肝下間隙{肝左下后間隙(小網(wǎng)膜囊)肝右下間隙肝-腎隱窩位于肝右下間隙的深處,與肝右上后間隙相通Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL第八章肝臟一、正常解剖肝靜脈右肝靜脈(位于右葉間裂內(nèi),9~12mm)中肝靜脈(肝正中裂內(nèi),8~1mm)>左肝靜脈(位于左段間裂內(nèi),7~9mm)Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL第八章肝臟一、正常解剖肝右靜脈肝中野下貯靜脈肝左靜脈尾狀葉左支狀葉右支右削葉支上段段上段支上段下段支下段上段支冂靜脈肝固有動(dòng)脈下段肝總管左內(nèi)葉右前葉支肝臟的血管分布與分葉分段(前面觀)Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL第八章肝臟一、正常解剖肝中裂右前葉右肝總管右葉間裂左內(nèi)葉左內(nèi)葉支右后葉支下段右段間裂下段上段支下段右后什上段支尾狀葉右支左段間裂肝有動(dòng)脈葉右段門(mén)靜脈下腔靜脈尾狀葉左支肝臟的血管分布與分葉分段(臟面觀)Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL第八章肝臟一、正常解剖肝臟與周?chē)K器的毗鄰關(guān)系度阻陽(yáng)查己圍出達(dá)己屬臟面緊鄰結(jié)腸、膽囊胃、右腎、右腎上腺Evaluauononr.chAsposeslidesfor