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臍、髂嵴頂點(diǎn)與腹主動(dòng)脈分叉位置關(guān)系的對(duì)比影像解剖學(xué)研究

發(fā)布時(shí)間:2019-03-08 15:03
【摘要】:目的:探討臍、髂嵴頂點(diǎn)在定位體外腹主動(dòng)脈阻斷位置中的價(jià)值。方法:CT影像下觀測(cè)108例患者臍、髂嵴頂點(diǎn)與腹主動(dòng)脈分叉的位置關(guān)系,采用Pearson相關(guān)系數(shù)分析該位置關(guān)系與肥胖和年齡的相關(guān)性。結(jié)果:腹主動(dòng)脈分叉以上,臍至腹主動(dòng)脈分叉的垂直距離(BU)大于髂嵴頂點(diǎn)至腹主動(dòng)脈分叉的垂直距離(BC)(P0.05);腹主動(dòng)脈分叉以下,BU和BC比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。臍(62.0%)多在腹主動(dòng)脈分叉以上,髂嵴頂點(diǎn)(65.7%)則多在腹主動(dòng)脈分叉以下,兩者與腹主動(dòng)脈的位置關(guān)系比較差異有統(tǒng)計(jì)學(xué)意義(P0.01)。BU與腹部脂肪厚度、年齡皆無(wú)相關(guān)性(P0.05);BC與腹部脂肪厚度無(wú)相關(guān)性(P0.05),而與年齡呈正相關(guān)(P0.01)。結(jié)論:相較于髂嵴頂點(diǎn),臍多位于腹主動(dòng)脈分叉上方,身體前側(cè),不易隨腹部脂肪厚度和年齡的改變而變化,是進(jìn)行體外腹主動(dòng)脈"末端"阻斷的重要體表解剖標(biāo)志。
[Abstract]:Objective: to investigate the value of umbilical and iliac crest vertices in locating the position of abdominal aorta occlusion in vitro. Methods: the relationship between umbilical cord, iliac crest apex and abdominal aorta bifurcation was observed on CT images in 108 patients. Pearson correlation coefficient was used to analyze the correlation between the location and obesity and age. Results: over the bifurcation of abdominal aorta, the vertical distance from umbilical cord to abdominal aorta bifurcation (BU) was higher than that from iliac crest to abdominal aorta bifurcation (BC) (P0.05). There was no significant difference between BU and BC under the bifurcation of abdominal aorta (P0.05). The umbilical cord (62.0%) was above the bifurcation of abdominal aorta and the crest of iliac crest (65.7%) was below the bifurcation of abdominal aorta. There was significant difference between the umbilical cord (62.0%) and abdominal aorta (P0.01). The thickness of BU and abdominal fat was significantly higher than that of abdominal aorta (P0.01). There was no correlation between age and age (P0.05). BC was not correlated with abdominal fat thickness (P0.05), but positively correlated with age (P0.01). Conclusion: compared with the crest of iliac crest, the umbilical cord is located above the bifurcation of the abdominal aorta and the anterior side of the body. It is not easy to change with the changes of abdominal fat thickness and age. It is an important anatomical marker for "end" blocking of the abdominal aorta in vitro.
【作者單位】: 南方醫(yī)科大學(xué)南方醫(yī)院急診科;
【基金】:廣東省科技計(jì)劃項(xiàng)目基金資助(編號(hào):2013B010401014,2014A020212192)
【分類號(hào)】:R322.1
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本文編號(hào):2436924

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