《外科学》课程PPT教学课件（普外科）肝疾病

肝疾病石河子大学医学院第一附属医院外科学教研室

肝 疾 病 石河子大学医学院第一附属医院 外科学教研室

第一节解剖生理概要肝脏一一人体内最大的实质性器官重量：约1200-1500g左右径：约25cm前后径：约15cm上下径：约6cm

肝脏——人体内最大的实质性器官 重量：约1200-1500g 左右径：约25cm 前后径：约15cm 上下径：约6cm 第一节 解 剖 生 理 概 要

肝脏膈面Surfaces and Bed of LiverAnteriorViewDiaphragm (pulled up)LefttriangularligamentCoronary ligamentRighttriangular ligamentAppendixfibrosaRightlobeLeftlobeof liverofliverInferiormarginofliverCostalFaloiformligamentimpressionsRound ligament(ligamentumteres)of liver(obliteratedumbilical vein)Inferiormarginof liverGiallbladder(fundus)

肝 脏 膈 面

肝脏脏面SurfacesandBedofLiverVisceralSurfaceHepatic veinsInferiorvenacavaCaudateprocessSuprarenalimpressionCoronaryligament,BareareaCoronaryLeRttriangularligamentligamentAppendixRightfibrosatriangularligamentEsophagealimpressionCommonbileductGasticCommonimpressionhepaticductFissureforbgamentum-CysticvenosumductCaudatelobe-RenalimpressionPapillaryprocessProper hepatic arteryDuodenalPortalveinimpressionFissureforligamentumteresFalciformligamentLigamentumteresQuadratelobeGallbladderColicimpressiorPorta@Novartis

肝 脏 脏 面

肝内管道系统SublobularveinsSublobular veinSinusoidsPortaltriadSinusoidsCentralvein,CentralveinPortal triadPortaltriadsprous [Glisson's)capsuleextending intoProperhepaticarteryrtahepatisalongvessels andbileductCommonPortal veinhepatic duct

肝内管道系统

肝动脉Thehepaticarteryright,middle,and left hepatic arteriesepatoduodenal ligamentAbdominalaortathe celiac trunkthe proper hepatic arterycommon hepatic artery

肝动脉 The hepatic artery the celiac trunk common hepatic artery the proper hepatic artery right, middle, and left hepatic arteries hepatoduodenal ligament Abdominal aorta

门静脉---Theportalveinsplenic veinsuperior mesenteric vein@Novartis

门静脉-The portal vein splenic vein superior mesenteric vein

肝脏的血液供应肝动脉25%-30%70%-75%门静脉

肝 脏 的 血 液 供 应 70%-75% 25%-30% 门 静 脉 肝 动 脉

胆管---The bile ductRightandleft hepaticductsLiverCommonhepatic ductRightand lefthepatic arteriesAnteriorlayerof lesserCystic arteryomentum(cutedge)Cystic duct.-Common bile duct--Proper hepatic arterySuperior (1st) partof duodenumPortal veinGallbladderCommonhepaticartery-GastroduodenalarteryTransverse colon (cut)RightgastrioarteryStomachHead of pancreas

胆管-The bile duct

Glisson鞘---GlissoncapsuleA thin fibrous covering that closely envelopes the entireliver deep to the peritoneum and sends thin fibrous septaeintothehepaticparenchyma:The hepatic artery-The portal branch-Thebileduct

▪ The hepatic artery. ▪ The portal branch. ▪ The bile duct. Glisson 鞘- Glisson capsule A thin fibrous covering that closely envelopes the entire liver deep to the peritoneum and sends thin fibrous septae into the hepatic parenchyma