肺段橫斷層解剖學(xué)和CT課件

肺段及肺內(nèi)管道斷層解剖和CT

溫州醫(yī)學(xué)院陳成春11/16/20221wzmcchenchengchun肺段及肺內(nèi)管道斷層解剖和CT

11/11/20221wzmc肺段及肺內(nèi)管道解剖學(xué)基礎(chǔ)肺段及肺內(nèi)管道連續(xù)橫斷層解剖學(xué)肺段及肺內(nèi)管道連續(xù)橫斷層掃描CT肺段及肺內(nèi)管道斷層解剖和CT

11/16/20222wzmcchenchengchun肺段及肺內(nèi)管道解剖學(xué)基礎(chǔ)肺段及肺內(nèi)管道斷層解剖和CT

11/肺段及肺內(nèi)管道解剖學(xué)基礎(chǔ)肺段及肺內(nèi)管道斷層解剖和CT

11/16/20223wzmcchenchengchun肺段及肺內(nèi)管道解剖學(xué)基礎(chǔ)肺段及肺內(nèi)管道斷層解剖和CT

11/肺段及肺內(nèi)管道斷層解剖難：學(xué)會一生享用過程：大體到斷層基本規(guī)律(特征）簡單到復(fù)雜（容易）先學(xué)會最典型層面、標(biāo)志結(jié)構(gòu)（信心）再研究復(fù)雜、變異和少見案例（成為強者）收獲成功喜悅11/16/20224wzmcchenchengchun肺段及肺內(nèi)管道斷層解剖難：學(xué)會一生享用11/11/202211/16/20225wzmcchenchengchun11/11/20225wzmcchenchengchun11/16/20226wzmcchenchengchun11/11/20226wzmcchenchengchun11/16/20227wzmcchenchengchun11/11/20227wzmcchenchengchun11/16/20228wzmcchenchengchun11/11/20228wzmcchenchengchun11/16/20229wzmcchenchengchun11/11/20229wzmcchenchengchun右支氣管詳細(xì)分支右主支氣管上葉支氣管（B1、B2、B3）中間支氣管中葉支氣管（B4、B5）下葉支氣管（B6、B7B8、B9B10）

（分出B6后又稱基底干支氣管、基底總和基底上下支氣管）11/16/202210wzmcchenchengchun右支氣管詳細(xì)分支右主支氣管11/11/202210wzmc左支氣管詳細(xì)分支左主支氣管上葉支氣管上干（B1+2、B3）下干（舌支氣管干）（B4、B5）下葉支氣管（B6、B7+8、B9B10）

（分出B6后又稱基底干支氣管、基底總和基底上下支氣管）11/16/202211wzmcchenchengchun左支氣管詳細(xì)分支左主支氣管11/11/202211wzmc7+8舌動脈干

goinadverse7891078910

clockwise11/16/202212wzmcchenchengchun7+8舌動脈干goinadverse78910789111/16/202213wzmcchenchengchun11/11/202213wzmcchenchengchu右肺動脈詳細(xì)分支右肺動脈上葉肺動脈（A1、A2、A3）葉間動脈（后升A到S2)中葉動脈（A4、A5）下葉動脈（A6、A7A8、A9A10）（分出A6后又稱基底干動脈、基底總和基底上下動脈）11/16/202214wzmcchenchengchun右肺動脈詳細(xì)分支右肺動脈11/11/202214wzmcc左肺動脈詳細(xì)分支左肺動脈上葉肺動脈（A1+2、A3）葉間動脈舌葉動脈（A4、A5）下葉動脈（A6、A7+8、A9A10）

（分出A6后又稱基底干動脈、基底總和基底上下動脈）11/16/202215wzmcchenchengchun左肺動脈詳細(xì)分支左肺動脈11/11/202215wzmccv1v3v5v4SuplobarvmSuppulmonaryvv6v2infpulmonaryvciLssI11/16/202216wzmcchenchengchunv1v3v5v4SuplobarvmSuppulmonv2V1+2v111/16/202217wzmcchenchengchunv2V1+2v111/11/202217wzmcchen右肺靜脈詳細(xì)分支（肺段分界標(biāo)志）右上肺靜脈上葉靜脈（V1、V2、V3）中葉肺靜脈（V4、V5）右下肺靜脈（V6、V7、V8、V9、V10）右下肺靜脈=V6+基底總V,基底上V+基底下V=基底(底段）總V

注：紅色段間支;基底上V=V8+V9;基底下V=V10;V7自由11/16/202218wzmcchenchengchun右肺靜脈詳細(xì)分支（肺段分界標(biāo)志）右上肺靜脈11/11/202左肺靜脈詳細(xì)分支（肺段分界標(biāo)志）左上肺靜脈上葉靜脈（V1+2、V3）中葉肺靜脈（V4、V5）右下肺靜脈（V6、V7+8、V9、V10）右下肺靜脈=V6+基底總V,基底上V+基底下V=基底（底段）總V注：紅色段間支，V3下支段間支；基底上V=V7+8+V9;基底下V=V。11/16/202219wzmcchenchengchun左肺靜脈詳細(xì)分支（肺段分界標(biāo)志）左上肺靜脈11/11/20211/16/202220wzmcchenchengchun11/11/202220wzmcchenchengchu11/16/202221wzmcchenchengchun11/11/202221wzmcchenchengchu11/16/202222wzmcchenchengchun11/11/202222wzmcchenchengchu肺段及肺內(nèi)管道連續(xù)橫斷層解剖學(xué)（1）特征肺段及肺內(nèi)管道層面橫斷層（線圖）（2）肺段及肺內(nèi)管道連續(xù)橫斷層解剖學(xué)肺段及肺內(nèi)管道斷層解剖和CT

11/16/202223wzmcchenchengchun肺段及肺內(nèi)管道連續(xù)橫斷層解剖學(xué)肺段及肺內(nèi)管道斷層解剖和CT

Transversesectionthroughaorticarch

V10

S1+2S3S3S2S111/16/202224wzmcchenchengchunTransversesectionthroughaorTransversesectionthroughLPAS3S2S6S311/16/202225wzmcchenchengchunTransversesectionthroughLPA總結(jié)右肺上葉B（左肺A)出現(xiàn),S1消失的標(biāo)志斜裂出現(xiàn),則S6出現(xiàn)11/16/202226wzmcchenchengchun總結(jié)右肺上葉B（左肺A)出現(xiàn),S1消失的標(biāo)志11/11Transversesectionthrough肺A分叉V411/16/202227wzmcchenchengchunTransversesectionthrough肺A分總結(jié)V1,V2和V3靠近右肺門水平裂出現(xiàn),則S4出現(xiàn)（為啥圓形？）S3,S2(S1+2),S611/16/202228wzmcchenchengchun總結(jié)V1,V2和V3靠近右肺門11/11/202228Transversesectionthrough右肺A11/16/202229wzmcchenchengchunTransversesectionthrough右肺總結(jié)V1,V2和V3合成右肺上V(實際右肺上葉V）V3infD（下支）分隔S3和S4A6先出現(xiàn)（B6下一層面）,右肺后升A(S2）S3,S4,S6;S2消失11/16/202230wzmcchenchengchun總結(jié)V1,V2和V3合成右肺上V(實際右肺上葉V）11TransversesectionthroughRSPV11/16/202231wzmcchenchengchunTransversesectionthroughRS總結(jié)V1、V2、V3和V4+5形成由上肺V到右心房舌V(V4)分隔S4和S5右葉間A分成中葉和下葉A右中間B變成中葉和下葉BB6出現(xiàn)于A6下一層面S3,S4,S5,S6?;S4,S5,S6(L)11/16/202232wzmcchenchengchun總結(jié)V1、V2、V3和V4+5形成由上肺V到右心房11/1TransversesectionthroughRMV11/16/202233wzmcchenchengchunTransversesectionthroughRM總結(jié)V4,V5和V6?;V4分隔S4和S5舌V(V4)分隔S4和S5中葉A變成A4和A5;中葉B變成B4和B5下葉B變成B7和B8+9+10下葉A變成A7、底段上和底段下aa,S3,S4,S5,S6?;S4,S5,S6(L)11/16/202234wzmcchenchengchun總結(jié)V4,V5和V6?;V4分隔S4和S511TransversesectionthroughLIPV11/16/202235wzmcchenchengchunTransversesectionthroughLITransversesectionthroughRIPV11/16/202236wzmcchenchengchunTransversesectionthroughRITransversesectionthrough底段總v11/16/202237wzmcchenchengchunTransversesectionthrough底段11/16/202238wzmcchenchengchun11/11/202238wzmcchenchengchuThetransversesectionofpulmonarysegments

Thesectionalanatomy

ofpulmonarysegments11/16/202239wzmcchenchengchunThesectionalanatomy

ofpul經(jīng)靜脈角的橫斷層EAAATRBVLBV11/16/202240wzmcchenchengchun經(jīng)靜脈角的橫斷層EAAAT

經(jīng)胸鎖關(guān)節(jié)上部橫斷層ELBVAAATRBV11/16/202241wzmcchenchengchun經(jīng)胸鎖關(guān)節(jié)上部橫斷層ELBVAAATRBV1

經(jīng)胸鎖關(guān)節(jié)下部橫斷層EAAATLBVRBV11/16/202242wzmcchenchengchun

經(jīng)第一胸肋關(guān)節(jié)的橫斷層EAAATLBVRBV11/16/202243wzmcchenchengchun經(jīng)第一胸肋關(guān)節(jié)的橫斷層EAAATLBTransversesectionthroughsup.partofaorticarchERBVAAATLBV11/16/202244wzmcchenchengchunTransversesectionthroughsup

主動脈弓前層面1S12avb很細(xì)小3V2和V1+2分隔S3和S2(S1+2)

Thesectionalanatomy

ofpulmonarysegments11/16/202245wzmcchenchengchunThesectionalanatomy

ofpulTransversesectionthroughaorticarchESVCAAT11/16/202246wzmcchenchengchunTransversesectionthroughaor總結(jié)V2;V1+2V2和V1+2分隔S3和S2(S1+2)斜裂出現(xiàn),S6出現(xiàn)，左側(cè)較早11/16/202247wzmcchenchengchun總結(jié)V2;V1+211/11/202247wzmccheTransversesectionthroughaorticopulmonarywindowEAVSVCaaTAT11/16/202248wzmcchenchengchunTransversesectionthroughaor總結(jié)奇V出現(xiàn)其他同上一層面:(1)V2;V1+2(2)V2和V1+2分隔S3和S2(S1+2)(3)斜裂

出現(xiàn),S6出現(xiàn).11/16/202249wzmcchenchengchun總結(jié)奇V出現(xiàn)11/11/202249wzmcchenTransversesectionthroughL.pulmonaryA.LPBESVCaaLPATAAVRPB11/16/202250wzmcchenchengchunTransversesectionthroughL.p總結(jié)LPA首先出現(xiàn)氣管變成左右主支氣管上葉B出現(xiàn),S1消失V1,V2,V3?和V1+2靠近肺門，進入左心房其他同上一層面:(1)V2;V1+2(2)V2和V1+2分隔S3和S2(S1+2)(3)斜裂出現(xiàn),S6出現(xiàn).11/16/202251wzmcchenchengchun總結(jié)LPA首先出現(xiàn)11/11/202251wzmcchTransversesectionthrough肺A分叉ESVCaaLPA右肺ATARPBLBPT11/16/202252wzmcchenchengchunTransversesectionthrough肺A分總結(jié)肺A分叉氣管變成左右主支氣管上葉B出現(xiàn)V1,V2,V3?和V1+2靠近肺門，進入左心房其他同上一層面:(1)V2;V1+2(2)V2和V1+2分隔S3和S2(S1+2)(3)斜裂出現(xiàn),S6出現(xiàn).11/16/202253wzmcchenchengchun總結(jié)肺A分叉11/11/202253wzmcchench

1上葉B之前層面，S12362上葉B之后層面，S1消失3S4先于S5出現(xiàn)4左肺V3下支

5上舌v(V4)

Thesectionalanatomy

ofpulmonarysegments11/16/202254wzmcchenchengchun1上葉B之前層面，S1236TransversesectionthroughR.pulmonaryA.插入典型圖片111/16/202255wzmcchenchengchunTransversesectionthroughR.p總結(jié)左上肺V,V3下支和左心房V3下支分隔S3和S4右葉間B和葉間A,A6首先出現(xiàn)11/16/202256wzmcchenchengchun總結(jié)左上肺V,V3下支和左心房11/11/202256wTransversesectionthroughR.pulmonaryV.插入典型圖片211/16/202257wzmcchenchengchunTransversesectionthroughR.p總結(jié)左上肺V,舌V(V4)和左心房V4分隔S4和S5右上肺V進入左心房右葉間B變成MB和infB（B6）葉間A變成MA和infA11/16/202258wzmcchenchengchun總結(jié)左上肺V,舌V(V4)和左心房11/11/2022TransversesectionthroughLSPV(L.auricle)ESVCaa右肺ATAIBLBPT11/16/202259wzmcchenchengchunTransversesectionthroughLSP總結(jié)左上肺V首先出現(xiàn)，進入左心房右葉間B和右肺AA6發(fā)自葉間A11/16/202260wzmcchenchengchun總結(jié)左上肺V首先出現(xiàn)，進入左心房11/11/202260TransversesectionthroughR.sup.pulmonaryV.EVVARV左心房SVCaa右肺ARPB11/16/202261wzmcchenchengchunTransversesectionthroughR.Transversesectionthrough左右下肺VETARV左心房aa11/16/202262wzmcchenchengchunTransversesectionthrough左右下Transversesectionthrough主動脈口ERV左心房RAAOTA11/16/202263wzmcchenchengchunTransversesectionthrough主動脈Transversesectionthrough卵圓窩ERVLV左心房RATA11/16/202264wzmcchenchengchunTransversesectionthrough卵圓窩Transversesectionthrough8ththoracicvertebraERVLV左心房RATA11/16/202265wzmcchenchengchunTransversesectionthrough8th經(jīng)冠狀竇的橫斷層EIVCRVLVTA11/16/202266wzmcchenchengchun經(jīng)冠狀竇的橫斷層EIVCRVLVTA11/11/20226Transversesectionthroughsup.partof9ththoracicvertebraEIVCRVLVTA11/16/202267wzmcchenchengchunTransversesectionthroughsup經(jīng)心尖橫斷層EIVCRVTA11/16/202268wzmcchenchengchun經(jīng)心尖橫斷層EIVCRVTA11/11/202268wzm經(jīng)第二肝門橫斷層EIVCRVTA11/16/202269wzmcchenchengchun經(jīng)第二肝門橫斷層EIVCRVTA11/11/202269w胸部橫斷層CT(肺窗)胸部橫斷層11/16/202270wzmcchenchengchun胸部橫斷層CT(肺窗)胸部橫斷層11/11/20227011/16/202271wzmcchenchengchun11/11/202271wzmcchenchengchu11/16/202272wzmcchenchengchun11/11/202272wzmcchenchengchu11/16/202273wzmcchenchengchun11/11/202273wzmcchenchengchu11/16/202274wzmcchenchengchun11/11/202274wzmcchenchengchu11/16/202275wzmcchenchengchun11/11/202275wzmcchenchengchu11/16/202276wzmcchenchengchun11/11/202276wzmcchenchengchu11/16/202277wzmcchenchengchun11/11/202277wzmcchenchengchu11/16/202278wzmcchenchengchun11/11/202278wzmcchenchengchu11/16/202279wzmcchenchengchun11/11/202279wzmcchenchengchu11/16/202280wzmcchenchengchun11/11/202280wzmcchenchengchu11/16/202281wzmcchenchengchun11/11/202281wzmcchenchengchu11/16/202282wzmcchenchengchun11/11/202282wzmcchenchengchu11/16/202283wzmcchenchengchun11/11/202283wzmcchenchengchu11/16/202284wzmcchenchengchun11/11/202284wzmcchenchengchu11/16/202285wzmcchenchengchun11/11/202285wzmcchenchengchu11/16/202286wzmcchenchengchun11/11/202286wzmcchenchengchu11/16/202287wzmcchenchengchun11/11/202287wzmcchenchengchu11/16/202288wzmcchenchengchun11/11/202288wzmcchenchengchu11/16/202289wzmcchenchengchun11/11/202289wzmcchenchengchu11/16/202290wzmcchenchengchun11/11/202290wzmcchenchengchu11/16/202291wzmcchenchengchun11/11/202291wzmcchenchengchu11/16/202292wzmcchenchengchun11/11/202292wzmcchenchengchu11/16/202293wzmcchenchengchun11/11/202293wzmcchenchengchu11/16/202294wzmcchenchengchun11/11/202294wzmcchenchengchu11/16/202295wzmcchenchengchun11/11/202295wzmcchenchengchu11/16/202296wzmcchenchengchun11/11/202296wzmcchenchengchu11/16/202297wzmcchenchengchun11/11/202297wzmcchenchengchu11/16/202298wzmcchenchengchun11/11/202298wzmcchenchengchu11/16/202299wzmcchenchengchun11/11/202299wzmcchenchengchu11/16/2022100wzmcchenchengchun11/11/2022100wzmcchenchengch11/16/2022101wzmcchenchengchun11/11/2022101wzmcchenchengch11/16/2022102wzmcchenchengchun11/11/2022102wzmcchenchengch11/16/2022103wzmcchenchengchun11/11/2022103wzmcchenchengch11/16/2022104wzmcchenchengchun11/11/2022104wzmcchenchengch11/16/2022105wzmcchenchengchun11/11/2022105wzmcchenchengch11/16/2022106wzmcchenchengchun11/11/2022106wzmcchenchengch11/16/2022107wzmcchenchengchun11/11/2022107wzmcchenchengch11/16/2022108wzmcchenchengchun11/11/2022108wzmcchenchengch11/16/2022109wzmcchenchengchun11/11/2022109wzmcchenchengch11/16/2022110wzmcchenchengchun11/11/2022110wzmcchenchengch11/16/2022111wzmcchenchengchun11/11/2022111wzmcchenchengch11/16/2022112wzmcchenchengchun11/11/2022112wzmcchenchengchImaging:aflourihingmedicalfieldThankyou!Imaging:aflouringshingmedicalfield11/16/2022113wzmcchenchengchunImaging:aflourihingmedicalf肺段及肺內(nèi)管道斷層解剖和CT

溫州醫(yī)學(xué)院陳成春11/16/2022114wzmcchenchengchun肺段及肺內(nèi)管道斷層解剖和CT

11/11/20221wzmc肺段及肺內(nèi)管道解剖學(xué)基礎(chǔ)肺段及肺內(nèi)管道連續(xù)橫斷層解剖學(xué)肺段及肺內(nèi)管道連續(xù)橫斷層掃描CT肺段及肺內(nèi)管道斷層解剖和CT

11/16/2022115wzmcchenchengchun肺段及肺內(nèi)管道解剖學(xué)基礎(chǔ)肺段及肺內(nèi)管道斷層解剖和CT

11/肺段及肺內(nèi)管道解剖學(xué)基礎(chǔ)肺段及肺內(nèi)管道斷層解剖和CT

11/16/2022116wzmcchenchengchun肺段及肺內(nèi)管道解剖學(xué)基礎(chǔ)肺段及肺內(nèi)管道斷層解剖和CT

11/肺段及肺內(nèi)管道斷層解剖難：學(xué)會一生享用過程：大體到斷層基本規(guī)律(特征）簡單到復(fù)雜（容易）先學(xué)會最典型層面、標(biāo)志結(jié)構(gòu)（信心）再研究復(fù)雜、變異和少見案例（成為強者）收獲成功喜悅11/16/2022117wzmcchenchengchun肺段及肺內(nèi)管道斷層解剖難：學(xué)會一生享用11/11/202211/16/2022118wzmcchenchengchun11/11/20225wzmcchenchengchun11/16/2022119wzmcchenchengchun11/11/20226wzmcchenchengchun11/16/2022120wzmcchenchengchun11/11/20227wzmcchenchengchun11/16/2022121wzmcchenchengchun11/11/20228wzmcchenchengchun11/16/2022122wzmcchenchengchun11/11/20229wzmcchenchengchun右支氣管詳細(xì)分支右主支氣管上葉支氣管（B1、B2、B3）中間支氣管中葉支氣管（B4、B5）下葉支氣管（B6、B7B8、B9B10）

（分出B6后又稱基底干支氣管、基底總和基底上下支氣管）11/16/2022123wzmcchenchengchun右支氣管詳細(xì)分支右主支氣管11/11/202210wzmc左支氣管詳細(xì)分支左主支氣管上葉支氣管上干（B1+2、B3）下干（舌支氣管干）（B4、B5）下葉支氣管（B6、B7+8、B9B10）

（分出B6后又稱基底干支氣管、基底總和基底上下支氣管）11/16/2022124wzmcchenchengchun左支氣管詳細(xì)分支左主支氣管11/11/202211wzmc7+8舌動脈干

goinadverse7891078910

clockwise11/16/2022125wzmcchenchengchun7+8舌動脈干goinadverse78910789111/16/2022126wzmcchenchengchun11/11/202213wzmcchenchengchu右肺動脈詳細(xì)分支右肺動脈上葉肺動脈（A1、A2、A3）葉間動脈（后升A到S2)中葉動脈（A4、A5）下葉動脈（A6、A7A8、A9A10）（分出A6后又稱基底干動脈、基底總和基底上下動脈）11/16/2022127wzmcchenchengchun右肺動脈詳細(xì)分支右肺動脈11/11/202214wzmcc左肺動脈詳細(xì)分支左肺動脈上葉肺動脈（A1+2、A3）葉間動脈舌葉動脈（A4、A5）下葉動脈（A6、A7+8、A9A10）

（分出A6后又稱基底干動脈、基底總和基底上下動脈）11/16/2022128wzmcchenchengchun左肺動脈詳細(xì)分支左肺動脈11/11/202215wzmccv1v3v5v4SuplobarvmSuppulmonaryvv6v2infpulmonaryvciLssI11/16/2022129wzmcchenchengchunv1v3v5v4SuplobarvmSuppulmonv2V1+2v111/16/2022130wzmcchenchengchunv2V1+2v111/11/202217wzmcchen右肺靜脈詳細(xì)分支（肺段分界標(biāo)志）右上肺靜脈上葉靜脈（V1、V2、V3）中葉肺靜脈（V4、V5）右下肺靜脈（V6、V7、V8、V9、V10）右下肺靜脈=V6+基底總V,基底上V+基底下V=基底(底段）總V

注：紅色段間支;基底上V=V8+V9;基底下V=V10;V7自由11/16/2022131wzmcchenchengchun右肺靜脈詳細(xì)分支（肺段分界標(biāo)志）右上肺靜脈11/11/202左肺靜脈詳細(xì)分支（肺段分界標(biāo)志）左上肺靜脈上葉靜脈（V1+2、V3）中葉肺靜脈（V4、V5）右下肺靜脈（V6、V7+8、V9、V10）右下肺靜脈=V6+基底總V,基底上V+基底下V=基底（底段）總V注：紅色段間支，V3下支段間支；基底上V=V7+8+V9;基底下V=V。11/16/2022132wzmcchenchengchun左肺靜脈詳細(xì)分支（肺段分界標(biāo)志）左上肺靜脈11/11/20211/16/2022133wzmcchenchengchun11/11/202220wzmcchenchengchu11/16/2022134wzmcchenchengchun11/11/202221wzmcchenchengchu11/16/2022135wzmcchenchengchun11/11/202222wzmcchenchengchu肺段及肺內(nèi)管道連續(xù)橫斷層解剖學(xué)（1）特征肺段及肺內(nèi)管道層面橫斷層（線圖）（2）肺段及肺內(nèi)管道連續(xù)橫斷層解剖學(xué)肺段及肺內(nèi)管道斷層解剖和CT

11/16/2022136wzmcchenchengchun肺段及肺內(nèi)管道連續(xù)橫斷層解剖學(xué)肺段及肺內(nèi)管道斷層解剖和CT

Transversesectionthroughaorticarch

V10

S1+2S3S3S2S111/16/2022137wzmcchenchengchunTransversesectionthroughaorTransversesectionthroughLPAS3S2S6S311/16/2022138wzmcchenchengchunTransversesectionthroughLPA總結(jié)右肺上葉B（左肺A)出現(xiàn),S1消失的標(biāo)志斜裂出現(xiàn),則S6出現(xiàn)11/16/2022139wzmcchenchengchun總結(jié)右肺上葉B（左肺A)出現(xiàn),S1消失的標(biāo)志11/11Transversesectionthrough肺A分叉V411/16/2022140wzmcchenchengchunTransversesectionthrough肺A分總結(jié)V1,V2和V3靠近右肺門水平裂出現(xiàn),則S4出現(xiàn)（為啥圓形？）S3,S2(S1+2),S611/16/2022141wzmcchenchengchun總結(jié)V1,V2和V3靠近右肺門11/11/202228Transversesectionthrough右肺A11/16/2022142wzmcchenchengchunTransversesectionthrough右肺總結(jié)V1,V2和V3合成右肺上V(實際右肺上葉V）V3infD（下支）分隔S3和S4A6先出現(xiàn)（B6下一層面）,右肺后升A(S2）S3,S4,S6;S2消失11/16/2022143wzmcchenchengchun總結(jié)V1,V2和V3合成右肺上V(實際右肺上葉V）11TransversesectionthroughRSPV11/16/2022144wzmcchenchengchunTransversesectionthroughRS總結(jié)V1、V2、V3和V4+5形成由上肺V到右心房舌V(V4)分隔S4和S5右葉間A分成中葉和下葉A右中間B變成中葉和下葉BB6出現(xiàn)于A6下一層面S3,S4,S5,S6?;S4,S5,S6(L)11/16/2022145wzmcchenchengchun總結(jié)V1、V2、V3和V4+5形成由上肺V到右心房11/1TransversesectionthroughRMV11/16/2022146wzmcchenchengchunTransversesectionthroughRM總結(jié)V4,V5和V6?;V4分隔S4和S5舌V(V4)分隔S4和S5中葉A變成A4和A5;中葉B變成B4和B5下葉B變成B7和B8+9+10下葉A變成A7、底段上和底段下aa,S3,S4,S5,S6?;S4,S5,S6(L)11/16/2022147wzmcchenchengchun總結(jié)V4,V5和V6?;V4分隔S4和S511TransversesectionthroughLIPV11/16/2022148wzmcchenchengchunTransversesectionthroughLITransversesectionthroughRIPV11/16/2022149wzmcchenchengchunTransversesectionthroughRITransversesectionthrough底段總v11/16/2022150wzmcchenchengchunTransversesectionthrough底段11/16/2022151wzmcchenchengchun11/11/202238wzmcchenchengchuThetransversesectionofpulmonarysegments

Thesectionalanatomy

ofpulmonarysegments11/16/2022152wzmcchenchengchunThesectionalanatomy

ofpul經(jīng)靜脈角的橫斷層EAAATRBVLBV11/16/2022153wzmcchenchengchun經(jīng)靜脈角的橫斷層EAAAT

經(jīng)胸鎖關(guān)節(jié)上部橫斷層ELBVAAATRBV11/16/2022154wzmcchenchengchun經(jīng)胸鎖關(guān)節(jié)上部橫斷層ELBVAAATRBV1

經(jīng)胸鎖關(guān)節(jié)下部橫斷層EAAATLBVRBV11/16/2022155wzmcchenchengchun

經(jīng)第一胸肋關(guān)節(jié)的橫斷層EAAATLBVRBV11/16/2022156wzmcchenchengchun經(jīng)第一胸肋關(guān)節(jié)的橫斷層EAAATLBTransversesectionthroughsup.partofaorticarchERBVAAATLBV11/16/2022157wzmcchenchengchunTransversesectionthroughsup

主動脈弓前層面1S12avb很細(xì)小3V2和V1+2分隔S3和S2(S1+2)

Thesectionalanatomy

ofpulmonarysegments11/16/2022158wzmcchenchengchunThesectionalanatomy

ofpulTransversesectionthroughaorticarchESVCAAT11/16/2022159wzmcchenchengchunTransversesectionthroughaor總結(jié)V2;V1+2V2和V1+2分隔S3和S2(S1+2)斜裂出現(xiàn),S6出現(xiàn)，左側(cè)較早11/16/2022160wzmcchenchengchun總結(jié)V2;V1+211/11/202247wzmccheTransversesectionthroughaorticopulmonarywindowEAVSVCaaTAT11/16/2022161wzmcchenchengchunTransversesectionthroughaor總結(jié)奇V出現(xiàn)其他同上一層面:(1)V2;V1+2(2)V2和V1+2分隔S3和S2(S1+2)(3)斜裂

出現(xiàn),S6出現(xiàn).11/16/2022162wzmcchenchengchun總結(jié)奇V出現(xiàn)11/11/202249wzmcchenTransversesectionthroughL.pulmonaryA.LPBESVCaaLPATAAVRPB11/16/2022163wzmcchenchengchunTransversesectionthroughL.p總結(jié)LPA首先出現(xiàn)氣管變成左右主支氣管上葉B出現(xiàn),S1消失V1,V2,V3?和V1+2靠近肺門，進入左心房其他同上一層面:(1)V2;V1+2(2)V2和V1+2分隔S3和S2(S1+2)(3)斜裂出現(xiàn),S6出現(xiàn).11/16/2022164wzmcchenchengchun總結(jié)LPA首先出現(xiàn)11/11/202251wzmcchTransversesectionthrough肺A分叉ESVCaaLPA右肺ATARPBLBPT11/16/2022165wzmcchenchengchunTransversesectionthrough肺A分總結(jié)肺A分叉氣管變成左右主支氣管上葉B出現(xiàn)V1,V2,V3?和V1+2靠近肺門，進入左心房其他同上一層面:(1)V2;V1+2(2)V2和V1+2分隔S3和S2(S1+2)(3)斜裂出現(xiàn),S6出現(xiàn).11/16/2022166wzmcchenchengchun總結(jié)肺A分叉11/11/202253wzmcchench

1上葉B之前層面，S12362上葉B之后層面，S1消失3S4先于S5出現(xiàn)4左肺V3下支

5上舌v(V4)

Thesectionalanatomy

ofpulmonarysegments11/16/2022167wzmcchenchengchun1上葉B之前層面，S1236TransversesectionthroughR.pulmonaryA.插入典型圖片111/16/2022168wzmcchenchengchunTransversesectionthroughR.p總結(jié)左上肺V,V3下支和左心房V3下支分隔S3和S4右葉間B和葉間A,A6首先出現(xiàn)11/16/2022169wzmcchenchengchun總結(jié)左上肺V,V3下支和左心房11/11/202256wTransversesectionthroughR.pulmonaryV.插入典型圖片211/16/2022170wzmcchenchengchunTransversesectionthroughR.p總結(jié)左上肺V,舌V(V4)和左心房V4分隔S4和S5右上肺V進入左心房右葉間B變成MB和infB（B6）葉間A變成MA和infA11/16/2022171wzmcchenchengchun總結(jié)左上肺V,舌V(V4)和左心房11/11/2022TransversesectionthroughLSPV(L.auricle)ESVCaa右肺ATAIBLBPT11/16/2022172wzmcchenchengchunTransversesectionthroughLSP總結(jié)左上肺V首先出現(xiàn)，進入左心房右葉間B和右肺AA6發(fā)自葉間A11/16/2022173wzmcchenchengchun總結(jié)左上肺V首先出現(xiàn)，進入左心房11/11/202260TransversesectionthroughR.sup.pulmonaryV.EVVARV左心房SVCaa右肺ARPB11/16/2022174wzmcchenchengchunTransversesectionthroughR.Transversesectionthrough左右下肺VETARV左心房aa11/16/2022175wzmcchenchengchunTransversesectionthrough左右下Transversesectionthrough主動脈口ERV左心房RAAOTA11/16/2022176wzmcchenchengchunTransversesectionthrough主動脈Transversesectionthrough卵圓窩ERVLV左心房RATA11/16/2022177wzmcchenchengchunTransversesectionthrough卵圓窩Transversesectionthrough8ththoracicvertebraERVLV左心房RATA11/16/2022178wzmcchenchengchunTransversesectionthrough8th經(jīng)冠狀竇的橫斷層EIVCRVLVTA11/16/2022179wzmcchenchengchun經(jīng)冠狀竇的橫斷層EIVCRVLVTA11/11/20226Transversesectionthroughsup.partof9ththoracicvertebraEIVCRVLVTA11/16/2022180wzmcchenchengchunTransversesectionthroughsup經(jīng)心尖橫斷層EIVCRVTA11/16/2022181wzmcchenchengchun經(jīng)心尖橫斷層EIVCRVTA11/11/202268wzm經(jīng)第二肝門橫斷層EIVCRVTA11/16/2022182wzmcchenchengchun經(jīng)第二肝門橫斷層EIVCRVTA11/11/202269w胸部橫斷層CT(肺窗)胸部橫斷層11/16/2022183wzmcchenchengchun胸部橫斷層CT(肺窗)胸部橫斷層11/11/20227011/16/2022184wzmcchenchengchun11/11/202271wzmcchenchengchu11/16/2022185wzmcchenchengchun11/11/202272wzmcchenchengchu11/16/2022186wzmcchenchengchun11/11/202273wzmcchenchengchu11/16/2022187wzmcchenchengchun11/11/202274wzmcchenchengchu11/16/2022188wzmcchenchengchun11/11/202275wzmcchenchengchu11/16/2022189wzmcchenchengchun11/11/202276wzmcchenchengchu11/16/2022190wzmcchenchengchun11/11/202277wzmcchenchengchu11/16/2022191wzmcchenchengchun11/11/202278wzmcchenchengchu11/16/202