胰头动脉分布解剖学研究及其临床意义

姜文浩; 赵玲辉

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胰头动脉分布解剖学研究及其临床意义

论著 | 更新时间：2026-01-09

- 胰头动脉分布解剖学研究及其临床意义
- Arterial supply for head of pancreas and its clinical significance
- 陆军军医大学学报 2009年31卷第16期页码：1581-1584
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  中图分类号： R322.121;R322.491;R324
- 纸质出版：2009
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姜文浩,赵玲辉.胰头动脉分布解剖学研究及其临床意义[J].陆军军医大学学报(原第三军医大学学报),2009,31(16):1581-1584.

　JIANG Wen-hao,ZHAO Ling-hui.Arterial supply for head of pancreas and its clinical significance[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(16):1581-1584.
姜文浩,赵玲辉.胰头动脉分布解剖学研究及其临床意义[J].陆军军医大学学报(原第三军医大学学报),2009,31(16):1581-1584. DOI：

　JIANG Wen-hao,ZHAO Ling-hui.Arterial supply for head of pancreas and its clinical significance[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(16):1581-1584. DOI：

摘要

目的观察胰头动脉的分布及血液供应，并对胰头的血管分布规律及临床意义进行阐述。方法 24例成人尸体标本和4例儿童尸体标本采用甲醛固定、动脉乳胶灌注、ABS动脉铸型3种方法，22例临床血管造影检查者采用数字减影血管造影技术(DSA)系统地对胰头动脉分布和血液供应进行解剖学观察。结果胰十二指肠上前动脉出现率为100%，起源于胃十二指肠动脉，发出分支到十二指肠和胰头供应血液；胰十二指肠上后动脉出现率为98%，起源于胃十二指肠动脉者占96%。供血范围与胰十二指肠上前动脉基本一致。在走行过程中与胆总管之间有着螺旋盘绕关系；胰十二指肠下前动脉和胰十二指肠下后动脉出现率均为100%，起源于肠系膜上动脉、空肠动脉，起点变异较大。血液供应至胰头下1/3部分和邻近的十二指肠。结论胰十二指肠上后动脉血供丰富，且与胆总管螺旋盘绕，临床手术中应加以注意；胰十二指肠下前、后动脉单独或共干起源于空肠动脉应在其进入胰头前，于钩突的左缘处结扎，避免误扎空肠动脉。

Abstract

Objective To clarify the arterial supply and distribution and the anatomic characteristics of the head of pancreas

and provide definitive data of those arteries for the operation on pancreas and duodenum

as well as for arterial intubation and infusion therapy. Methods The head of pancreas from 24 adult cadavers and 4 children specimen were dissected and observed by 3 methods

including formalin fixation

arterial emulsion perfusion and artery casting with ABS (a copolymer of allyl cyanide

butadiene and styrolene). Another 22 patients were photographed by digital signature algorithmy (DSA). These obtained data were analyzed to recognize the arterial distribution of the head of pancreas and blood supply. Results The results obtained from 4 methods were as follow. The incidence of anterior superior pancreaticoduodenal artery was 100%

which were from the gastroduodenal artery and provided blood supply to the duodenum and the head of pancreas by branches. The incidence of posterior superior pancreaticoduodenal artery was 98%. The arteries derived from gastroduodenal artery occupied 96%

with the region of blood supply similar to that of the anterior superior pancreaticoduodenal artery supporting. The main characteristic was that they coiled with the common bile duct during the locomotion. The incidence of both anterior inferior pancreaticoduodenal artery and posterior inferior pancreaticoduodenal were 100% derived from arteria mesenterica superior and jejunal arteries with variation. They provided blood supply to inferior 1/3 part of the head of pancreas and jejunal arteries. Conclusion Posterior superior pancreaticoduodenal arteries play an essential role in blood supply for the pancreas and the duodenum. Moreover

they are paralleled with the common bile duct in a coiled coil way. Surgeons should pay more attention to this in clinical surgery. The anterior and posterior inferior pancreaticoduodenal artery should be ligated at the left border of uncinate process before its entrying into the head of pancreas

in order to avoid ligating the jejunal artery by mistaken.

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