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肝变异及其在肝脏中的临床考虑:系统性审查和元分析

Juan Jose Valenzuela-Fuenzalida^1,2, Fernanda Pena-Santibañez¹, Ayline Vergara Salinas¹

¹Departament of Morphology, Faculty of Medicine, Universidad Andres Bello, Santiago 8370071, Chile.

Life (Basel, Switzerland)

|October 26, 2024

概括

肝 (HH) 的解剖变异发生在9%的病例中. 由于潜在的转移风险和对肝脏手术的影响,特别注意肝动脉变异至关重要.

科学领域:

人体解剖学解剖学解剖学
肝病学肝病学是一种肝病学.
手术解剖学手术解剖学

背景情况:

肝 (HH) 是肝脏的一个关键区域,包含肝管,门静脉和肝动脉.
了解肝脏内解剖变异对于肝脏健康和外科手术至关重要.

研究的目的:

审查和综合现有的关于肝 (HH) 解剖变异的文献.
调查HH结构变异与临床肝脏改变之间的关联.

主要方法:

在多个数据库 (Medline,Scopus,Web of Science等) 中进行全面的文献搜索. 在2024年1月之前.
使用AQUA工具进行解剖学研究的方法质量评估.
对其他研究的聚合流行率估计和描述性分析的元分析.

主要成果:

发现肝脏变异的综合流行率为9% (CI = 5%至13%).
确定了特定的高发病率变体,包括米歇尔型III,成分类型III门静脉变体和分类型IIIa胆汁变体.
突出显示肝动脉是需要显著谨慎的结构,因为潜在的转移性影响.

结论:

详细了解肝脏状体的解剖学变体得到了实现.
肝动脉变异可能导致转移过程的风险,原因是血液分布的改变.
建议进行进一步的解剖学和临床研究,以提高对HH变异及其对肝脏疾病和手术的影响的理解.

关键词:

解剖学变体的不同临床解剖学的临床解剖学肝脏的状部分肝脏的 (hillum) 是肝脏的部分.

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