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  本文關(guān)鍵詞：腹主動脈的應(yīng)用解剖學(xué)研究　出處：《四川大學(xué)》2007年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 腹主動脈 腎動脈 解剖

【摘要】： 目的通過收集成人尸體標(biāo)本和螺旋增強CT影像學(xué)腹主動脈資料對腎動脈下腹主動脈至雙側(cè)股動脈進(jìn)行應(yīng)用解剖學(xué)研究，了解腎動脈下腹主動脈、雙側(cè)髂總動脈、股動脈的長度和直徑的解剖學(xué)資料，以及腎動脈下腹主動脈至股動脈分叉部長度與身高的關(guān)系，為補充腹主動脈體質(zhì)資料和指導(dǎo)腹主動脈疾病的治療提供依據(jù)。 方法采用50具健康成人尸體標(biāo)本(男性33例，女性17例)，，測量身高，解剖左右腎動脈、腎動脈下腹主動脈、左右髂總動脈及股動脈分叉部，分別測量腎動脈下腹主動脈至左右股動脈分叉部的長度，測量左右髂總動脈長度，測量腎動脈平面腹主動脈的直徑，比較左右腎動脈位置的高低。對215例接受腹部增強螺旋CT的非血管疾病病人直接在電腦上通過標(biāo)尺測量腎動脈平面的腹主動脈的前后徑及左右徑，測量左右髂總動脈在分為髂內(nèi)外動脈上方的直徑。將所測數(shù)據(jù)用SPSS11．5統(tǒng)計分析軟件進(jìn)行相應(yīng)的統(tǒng)計學(xué)分析。 結(jié)果腎動脈下腹主動脈的長度為90．1±8．32mm，。腎動脈下腹主動脈的直徑為17．89±3．25mm，不同性別成人的身高與腎動脈下腹主動脈長度有直線回歸和較強的相關(guān)關(guān)系，回歸方程為：成人男性的腎動脈下腹主動脈至分叉部長度=0．064×身高—1．159厘米，成人女性的腎動脈下腹主動脈至分叉部長度=0．084×身高—3．734厘米，回歸系數(shù)的T檢驗和方差分析等價(P＜0．05)，相關(guān)系數(shù)r均大于0．6。同樣的身高也與腎動脈下腹主動脈至雙側(cè)股動脈分叉部的長度有直線回歸和較強的相關(guān)關(guān)系，回歸方程為：成人男性的腎動脈下腹主動脈至左股動脈分叉部長度=0．192×身高—2．706厘米，成人男性的腎動脈下腹主動脈至右股動脈分叉部長度=0．200×身高—3．581厘米，成人女性的腎動脈下腹主動脈至左股動脈分叉部長度=0．224×身高—7．414厘米，成人女性的腎動脈下腹主動脈至右股動脈分叉部長度=0．314×身高—20．9厘米，回歸系數(shù)的T檢驗和方差分析等價(P＜0．05)，相關(guān)系數(shù)r均大于0．6。而身高與腹主動脈直徑無直線回歸和相關(guān)關(guān)系(P＞0．05)。 根據(jù)影像學(xué)資料得到的數(shù)據(jù)分析得出：腎動脈下腹主動脈的前后徑為15．53±2．39mm，左右徑為15．03±2．09mm；左髂總動脈終端的直徑為8．47±1．05mm，右髂總動脈終端的直徑為8．59±1．17 mm。 結(jié)論準(zhǔn)確了解腎動脈下腹主動脈的應(yīng)用解剖學(xué)資料豐富了國內(nèi)腹主動脈的體質(zhì)解剖資料，同時對破裂腹主動脈瘤的急診腔內(nèi)修復(fù)治療及開腹手術(shù)有重要指導(dǎo)意義。
[Abstract]:Objective to study the anatomy of abdominal aorta from inferior renal artery to bilateral femoral artery by collecting adult cadavers and spiral enhanced CT images of abdominal aorta. The length and diameter of bilateral common iliac artery and femoral artery, and the relationship between the length of the inferior abdominal aorta to the femoral artery and the height of the bilateral common iliac artery and femoral artery. To supplement the data of abdominal aorta constitution and guide the treatment of abdominal aortic disease. Methods Fifty healthy adult cadavers (33 males and 17 females) were measured their height, left and right renal arteries, inferior abdominal aorta, left and right common iliac artery and femoral artery bifurcation were dissected. The length of the inferior abdominal aorta to the bifurcation of the left and right femoral arteries, the length of the left and right common iliac arteries and the diameter of the planar abdominal aorta of the renal artery were measured. To compare the position of left and right renal arteries, the anteroposterior and left diameter of abdominal aorta in renal artery plane was measured directly on the computer in 215 patients with non-vascular diseases undergoing abdominal enhanced spiral CT. The diameter of left and right common iliac arteries was measured above the internal and external iliac arteries. The measured data were statistically analyzed by SPSS11.5 software. Results the length of inferior abdominal aorta of renal artery was 90.1 鹵8.32 mm and the diameter of inferior abdominal aorta of renal artery was 17.89 鹵3.25 mm. There was a linear regression and a strong correlation between height and the length of the inferior abdominal aorta of the renal artery in adults of different genders. The regression equation was as follows: the length from the inferior aorta to the bifurcation part of the renal artery in adult males was 0.064 脳 height -1.159 cm. The length of the inferior abdominal aorta to the bifurcation part of the renal artery was 0.084 脳 -3.734 cm in adult female. The regression coefficient was equivalent to the analysis of variance (P < 0.05). The correlation coefficient r was greater than 0.6. There was a linear regression and strong correlation between the height of the same height and the length of the inferior abdominal aorta to the bifurcation part of the bilateral femoral artery. The regression equation was as follows: the length of the bifurcation of the inferior abdominal aorta of the renal artery to the left femoral artery was 0.192 脳 -2.706 cm in adult males. The length of the bifurcation from the inferior aorta of the renal artery to the right femoral artery was 0.200 脳 -3.581 cm in adult males. The length of the bifurcation part of the inferior abdominal aorta to the left femoral artery in adult women was 0.224 脳 -7.414 cm in height. The length of the bifurcation part of the inferior abdominal aorta to the right femoral artery in adult women was 0.314 脳 -20.9 cm, and the regression coefficient was equivalent to T test and ANOVA (P < 0.05). The correlation coefficient r was more than 0.6. There was no linear regression between height and diameter of abdominal aorta (P > 0.05). The anterior and posterior diameter of the inferior abdominal aorta of renal artery was 15.53 鹵2.39 mm, the diameter of left and right was 15.03 鹵2.09 mm. The diameter of left common iliac artery and right common iliac artery was 8.47 鹵1.05mm and 8.59 鹵1.17mm. Conclusion accurate understanding of the applied anatomical data of the inferior abdominal aorta of renal artery enriches the physical anatomy data of the abdominal aorta in China. At the same time, it has important guiding significance for emergency endovascular repair and open operation of ruptured abdominal aortic aneurysm.
【學(xué)位授予單位】：四川大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2007
【分類號】：R322

【參考文獻(xiàn)】

相關(guān)期刊論文 前2條

1 趙紀(jì)春;馬玉奎;羅艷麗;汪靜;;破裂腹主動脈瘤的外科治療[J];中華普通外科雜志;2006年07期

2 趙紀(jì)春;;破裂腹主動脈瘤的診斷和外科治療[J];中國普外基礎(chǔ)與臨床雜志;2006年06期

本文編號：1392656