АРТЕРИИ ГОЛОВКИ ПОДЖЕЛУДОЧНОЙ ЖЕЛЕЗЫ ЧЕЛОВЕКА

, 2009,
8,
4
.
«
»
.
,
.
55
,
,
,
,
,
.
,
:
(
100%
)
(92,7%),
(98,2%)
(87,3%).
,
:
,
43,6%
21,8% –
14,5% –
.
,
.
:
,
,
,
.
Abstract. A topography of arteries of a head of a pancreas of the person was
characterized by significant variability that it is necessary to consider at surgical
operation.
1
, 2009,
8,
4
On fifty-five human organ complexes of a gastrointestinal tract arteries
anatomy of the head of the pancreas was studied by preparation, polychromy
injections of arteries (painting solutions on gelatin), radiography, morphometry and a
multispiral computer tomography.
It was shown that the main arteries of the head of the pancreas were: a
gastroduodenal artery and a anterior superior pancreaticoduodenal artery (100%), a
posterior superior pancreaticoduodenal artery (92,7% of cases), an anterior inferior
pancreaticoduodenal (98,2% of cases), and an inferior posterior pancreaticoduodenal
artery (87,3% of cases).
Furthermore, additional arteries of blood supply of the head of the pancreas
were: artery of a head and pancreas neck (43,6% of cases), inferior pancreatic artery
and long pancreatic artery in 21,8% and 14,5% of cases respectively.
Thus, in the head of the pancreas of the person it is possible to allocate two
regions of blood supply: hepatic and superior mesenteric, the border between which is
rather conditional because of development degree of anastomosis between arterial
pools of two vessels.
Key words: artery, anatomy, pancreas, anastomosis.
:
, 230009, .
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.
.
,
,
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2
, 2009,
8,
4
[3, 7, 11, 12].
-
,
,
,
[4, 5, 8].
,
:
,
-
[1, 9, 13, 14].
,
[12].
,
,
.
,
:
[7],
[6]
[12];
[7]
[2].
:
.
55
,
22-76
,
.
:
,
,
,
,
(
3
).
, 2009,
8,
4
2003
[10]
(
,
,
)
,
–
,
.
.
;
3,5±0,1
–
2,9±0,21
,
32,0±0,7
.
,
,
.
(85,5%
):
.
9,1%
,
,
5,5% –
.
:
.
.
60
.
.
10,1
.
.
4,3
– 74,2
4
.
,
, 2009,
8,
4
,
,
,
.
,
3,2
21,1
,
.
,
.
3,3
,
– 8,4
(
. 1).
. 1.
60:1–
.
,2–
,5–
,4–
.
,3–
,6–
,7–
,8–
,9–
, 10 –
.
1,9±0,05
:
– 1,8±0,13
).
14,5%
5
, (
, 2009,
8,
4
.
(
19
):
36,8%
,
,
.
71,4%
63,2%
,
,
.
47,4%
15,8% –
.(
. 2.
.
. 2).
(
) 46.
,3–
.
:1–
,2–
,4–
,6–
,5–
.
( 63,2%
)
6
,
, 2009,
8,
4
.
(mentum
«
»),
Nagai, H. [15],
,
«
»
,
,
,
.
.
(96,4%)
,
(
. 4.
. 3).
.
:1–
.
,3–
,2–
,4–
,5–
,6–
,7–
,8–
,9–
, 10 –
, 11 –
,
.
7
, 2009,
8,
4
10,9%
1,8%
.
92,7%
1,8±0,1
,(
:
– 1,3±0,2
.
).
84,3%
,
15,5±1,2
.
,
,
,
37,3%
,
63,2% -
,
26,3% –
10,5% –
.
98,2%
,
1,6±0,1
,(
:
- 1,7±0,1
).
35,2%
,
:
38,9% -
,
22,2% –
3,7% –
.
.
87,3%
.
1,5±0,01
,
32,5±1,9
.
.
:
,
43,8%
31,3% –
25%
.
,
8
6,4%
, 2009,
8,
4
,
– 8,5%
– 2,1%.
.
56,4%
,
.
,
,
(
. 4).
. 4.
.
:1–
.
,3–
,2–
,4–
,5–
,6–
,7–
,8–
,9–
, 10 –
, 11 –
,
.
.
9
, 2009,
8,
4
,
,
,
.
43,6%
(
.
. 4).
1,2±0,1
,
– 4,5±2,1
66,7%
(
)
33,3% –
(
).
,
,
.
(
),
,
.
.
.
14,5%
– 1,6±0,2
,
– 25,9±9,2
. [3].
.
.
62,5%
37,5%
.
,
,
,
,
.
,
-
,
.
10
, 2009,
8,
4
.
62,5%
,
.
.
(37,5%):
,
(
. 5.
. 5).
(
.
).
50,2–
,4–
,6–
:1–
3–
,5–
.
,
.
(37,5%):
,
,
.
(25%):
,
,
,
,
,
,
(
11
. 6).
, 2009,
8,
4
. 6.
.
:1–
,2–
,5–
,7–
4–
.
,3–
,6–
,
,8–
,9–
; 11 –
, 10 –
.
(25%)
,
,
,
,
(
. 6).
(75%)
.
55,6%
,
,
(
.7, 8).
12
, 2009,
8,
4
. 7.
.
:1–
–
,2–
,5–
,7–
.
,3–
,6–
,4
,8–
,9–
, 10 –
. 8.
.
(
.
).
:1–
,3–
,2–
,
13
, 2009,
8,
4
21,8%
,
.
,
.
,
,
,
,
.
,
.
:
(
100%
),
(98,2%),
(92,7%)
(87,3%).
,
:
,
43,6%
21,8% –
14,5% –
.
,
.
1.
,
//
.
.
.
/
. /
. –
. 2:
. – . 83-92.
14
.
, 1959. –
, 2009,
8,
,
.
2.
/
.
[
.];
4
//
3.
.
.
, .
.
/
.
/
.
. –1981. – . 104-106.
//
]. –
: http://www.uroweb.ru/catalog/med
lib/oper atl/chapter 14 02.htm.
4.
,
: 18. 02. 2008.
.
/
: 3
5.
,
.
, 1967 – . 2 – . 205-208.
//
, 1955. –
. –
3. – . 65-69.
,
.
.
. /
//
[
:
.];
.
7.
. . .
,
.–
.
/
., 1974. –
.
. 5. – . 189-268.
//
.
[
.];
.
.
.
.–
. 8. – . 121-155.
8.
,
//
.
.
/
.
.–
9.
/
.
/
, 1969. –
//
.
/
6.
.–
.
.
. /
, 1955. – . 5 – . 90-99.
,
.
/
.
//
,
.
.–
, 1962. – . 361- 369.
10.
2003 ,
:
/
.
424 .
15
.
.–
.: 2003. –
, 2009,
8,
4
11.
/
. .
.–
12.
,
[
.
:
[
.];
.
/
.
, 1972. – 173 .
.
.] //
.
. –
,
[
]. -www.bsmu.edu.ua/files/CAS/CAS-
2003-02-03/CAS-2003-.
13.
//
: 18.02.2008
,
.
.
.
.–
/
.
. /
, 1961. –
. 16:
. – . 29-
33.
14.
,
.
/
.
//
.
.
./
,
1964. – . 1. – . 42-50.
15. Nagai, H. Configurational anatomy of the pancreas: its surgical relevance
from ontogenetic and comparative- anatomical viewpoints. / H. Nagai // J
Hepatobiliary Pancreat Surg. – 2003. –
10. – P. 48-56.
16