本文關(guān)鍵詞： 腹壁下動(dòng)脈 腹壁下動(dòng)脈穿支 超聲檢查 彩色多普勒超聲檢查 血管測(cè)量　出處：《山東醫(yī)藥》2015年15期 　論文類型：期刊論文

【摘要】：目的采用彩色多普勒超聲檢查觀察健康志愿者腹壁下動(dòng)脈的血管走行及血流動(dòng)力學(xué)參數(shù),探討彩色多普勒超聲檢查在腹壁下動(dòng)脈穿支皮瓣移植術(shù)術(shù)前皮瓣定位及設(shè)計(jì)中的應(yīng)用價(jià)值。方法健康志愿者150例,根據(jù)年齡分為20~29歲組、30~39歲組、40~49歲組、50~59歲組、60~69歲組,每組各30例(60條血管)。采用彩色多普勒超聲檢查觀察腹壁下動(dòng)脈血管走行和發(fā)出穿支情況,測(cè)量主干長(zhǎng)度(L)、起始處管徑D1、臍水平處管徑D2及收縮期峰值流速(PSV)、舒張期流速(EDV)、搏動(dòng)指數(shù)(PI)、阻力指數(shù)(RI)。結(jié)果 150例受檢者的300條腹壁下動(dòng)脈均在彩色多普勒超聲圖像中清晰顯示。283條腹壁下動(dòng)脈起自髂外動(dòng)脈,17條發(fā)自股動(dòng)脈。腹壁下動(dòng)脈發(fā)出后自腹股溝韌帶中點(diǎn)處向內(nèi)上行,在腹直肌外緣后方穿腹橫筋膜恥骨聯(lián)合上方入腹直肌鞘內(nèi),于腹直肌與腹直肌后鞘間上升至臍上方,在臍上一個(gè)腱劃水平與腹壁上動(dòng)脈形成終末吻合支。腹壁下動(dòng)脈走行過程中測(cè)及穿支(3.85±0.87)支,設(shè)定血管口徑≥0.5 mm為可用穿支,每位受檢者每側(cè)可用穿支為(1.96±0.91)支。各年齡組間腹壁下動(dòng)脈L、D1、D2、PSV、PI相比,P均0.05。結(jié)論彩色多普勒超聲檢查可獲得正常人腹壁下動(dòng)脈及其穿支血管走行情況和血流動(dòng)力學(xué)參數(shù),為腹壁下動(dòng)脈穿支皮瓣移植術(shù)術(shù)前皮瓣定位及設(shè)計(jì)提供參考。
[Abstract]:Objective to observe the blood flow and hemodynamic parameters of the inferior abdominal artery in healthy volunteers by color Doppler ultrasound (CDFI). To evaluate the value of color Doppler ultrasonography in the localization and design of the skin flap before transplantation of the perforating branch of the inferior abdominal artery. Methods 150 healthy volunteers were divided into 20: 29 years old group, 30 ~ 39 years old group, 40 ~ 49 years old group, 50 ~ 59 years old group, 60 ~ 69 years old group. In each group, there were 30 cases with 60 vessels in each group. The blood vessels of inferior abdominal artery were observed by color Doppler ultrasound, and the perforating branches of the inferior abdominal artery were observed. The length of the main trunk was measured, the diameter D _ 1 at the beginning, the diameter D _ 2 at the level of the umbilical cord and the peak systolic velocity of PSV, the diastolic velocity of EDV, the pulsatility index (Pi), the resistance index (RI). Results the 300 inferior abdominal arteries of 150 subjects were all in color Doppler ultrasound. The images clearly showed that .283 inferior abdominal arteries originated from 17 femoral arteries from the external iliac artery. The inferior abdominal artery ascended inward from the midpoint of the inguinal ligament. After the external margin of the rectus abdominis, the inferior symphysis of the ventral transverse fascia entered into the sheath of the rectus abdominis and rose to the top of the umbilical cord between the rectus abdominis and the posterior sheath of the rectus abdominis. The inferior abdominal artery was measured and perforated by 3.85 鹵0.87 branches. The perforating branch was set as the perforating branch with diameter 鈮，

本文編號(hào)：1504918