胸廓內(nèi)動(dòng)脈的超聲應(yīng)用解剖學(xué)研究
本文選題:胸廓內(nèi)動(dòng)脈 + 彩色多普勒 ; 參考:《青島大學(xué)》2005年碩士論文
【摘要】:目的 通過(guò)對(duì)胸廓內(nèi)動(dòng)脈的解剖學(xué)觀測(cè)及與彩色多普勒超聲的對(duì)照研究,旨在為心冠狀動(dòng)脈橋接術(shù)和影像解剖學(xué)提供依據(jù)和解剖學(xué)資料。 方法 選用成人尸體標(biāo)本30例,其中男性20例,女性10例,觀測(cè)其ITA和冠狀動(dòng)脈;選取131例正常成人其中男性78例,女性53例,平均年齡50.4±6.7歲;采用實(shí)驗(yàn)儀器為GE彩色超聲儀(美國(guó)GE公司制造),設(shè)置儀器于血管條件,探頭頻率為10~12MHz,彩色多普勒頻率2~4MHz;檢查方法:于胸骨旁和鎖骨上窩測(cè)量ITA的內(nèi)徑和血流參數(shù),包括Vmax,Vmin,Vd,TAMAX,RI,PI,統(tǒng)計(jì)分析:采用SPSS11.5版統(tǒng)計(jì)軟件,各測(cè)量數(shù)據(jù)采用均數(shù)±標(biāo)準(zhǔn)差表示。各組之間的比較用t檢驗(yàn)。 結(jié)果 解剖學(xué)研究表明:胸廓內(nèi)動(dòng)脈自起點(diǎn)至終端長(zhǎng)度均值為16.04cm;左側(cè)胸廓內(nèi)動(dòng)脈外徑在起始處、第二段、第三段和終端處均值分別為2.8mm、2.4mm、2.2mm和2.0mm,右側(cè)胸廓內(nèi)動(dòng)脈外徑在起始處、第二段、第三段和終端處均值分別為2.7mm、2.3mm、2.1mm和1.9mm;冠狀動(dòng)脈前室間支、旋支、左緣支、對(duì)角支、右冠狀動(dòng)脈、后室間支外徑均值分別為3.5mm、3.0mm、1.9mm、2.0mm、3.5mm和2.1mm。彩色多普勒超聲顯示:左右側(cè)ITA各段內(nèi)徑、Vmax、Vmin、Vd、TAMAX、
[Abstract]:Objective to provide basis and anatomical data for coronary artery bridging and image anatomy by observing the anatomy of internal thoracic artery and comparing it with color Doppler ultrasound. Methods the ITA and coronary arteries were observed in 30 adult cadavers (20 males and 10 females) and 131 normal adults (78 males and 53 females, mean age: 50.4 鹵6.7 years). GE color ultrasound instrument (made by GE Company of USA) was used to set up the instrument in vascular condition, the probe frequency was 10 ~ 12 MHz, and the color Doppler frequency was 2 ~ (4) MHz. Methods: the diameter and blood flow parameters of ITA were measured near sternum and supraclavicular fossa, and the blood flow parameters of ITA were measured in the sternum and supraclavicular fossa. The statistical analysis: SPSS 11.5 software was used, and the measured data were expressed as mean 鹵standard deviation. T test was used to compare each group. Results Anatomical studies showed that the mean length of the internal thoracic artery was 16.04 cm, the external diameter of the left internal thoracic artery was 2.8mm, 2.4mm 2.2mm and 2.0mm respectively at the beginning, and the external diameter of the right internal thoracic artery was at the beginning. The mean values of the second, third and terminal segments were 2.7mm / 2.3mm / 2.1mm and 1.9mm, respectively, and the external diameters of anterior interventricular branch, circumflex branch, left marginal branch, diagonal branch, right coronary artery and posterior interventricular branch were 3.5mm ~ 3.0mm ~ 1.9mm ~ 2.0mm ~ 3.5mm and 2.1 mm respectively. Color Doppler Ultrasonography: the diameter of the left and right sections of ITA: Vmaxus Vmin VdTMAX,
【學(xué)位授予單位】:青島大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2005
【分類號(hào)】:R323.3;R445.1
【參考文獻(xiàn)】
相關(guān)期刊論文 前10條
1 王浩,柳楓,劉延玲,李建蓉,吳信;經(jīng)胸多普勒超聲心動(dòng)圖觀察及評(píng)價(jià)冠狀動(dòng)脈搭橋術(shù)后乳內(nèi)動(dòng)脈血管橋及其通暢性的研究[J];中國(guó)超聲診斷雜志;2002年06期
2 李溫仁;王元貴;;有關(guān)冠狀動(dòng)脈搭橋術(shù)的幾個(gè)問題[J];福建醫(yī)藥雜志;1986年05期
3 林卡莉,李凱麗;胃網(wǎng)膜右動(dòng)脈與胸廓內(nèi)動(dòng)脈在冠狀動(dòng)脈旁路術(shù)中應(yīng)用的比較研究[J];解剖學(xué)雜志;1998年03期
4 王茂強(qiáng),張金山;胸廓內(nèi)動(dòng)脈參與肝臟腫瘤供血的影像表現(xiàn)與介入治療(附6例報(bào)告)[J];臨床放射學(xué)雜志;1998年01期
5 李軍;雙側(cè)胸廓內(nèi)動(dòng)脈搭橋在冠心病心肌再血管化中的應(yīng)用[J];臨床心血管病雜志;1998年04期
6 趙強(qiáng);胸廓內(nèi)動(dòng)脈的應(yīng)用解剖與提取[J];中國(guó)臨床醫(yī)學(xué)雜志;1998年04期
7 佘永華,許仕全;胸廓內(nèi)動(dòng)脈與冠狀動(dòng)脈旁路搭橋術(shù)的應(yīng)用解剖[J];川北醫(yī)學(xué)院學(xué)報(bào);1999年03期
8 蘇應(yīng)衡,楊愛民,周云芝,陳景寒,宋惠民;主動(dòng)脈、冠狀動(dòng)脈路旁移植術(shù)一例報(bào)告[J];山東醫(yī)藥;1983年02期
9 姬尚義,陳長(zhǎng)春;二維多普勒定量評(píng)價(jià)架橋前后乳內(nèi)動(dòng)脈血流特性變化[J];實(shí)用醫(yī)學(xué)雜志;2000年10期
10 袁定華;乳內(nèi)動(dòng)脈的超聲探查及其臨床應(yīng)用[J];中國(guó)超聲醫(yī)學(xué)雜志;1994年06期
,本文編號(hào):2070471
本文鏈接:http://sikaile.net/yixuelunwen/binglixuelunwen/2070471.html