【摘要】：目的對(duì)腦血管病易發(fā)年齡段健康人群的頸內(nèi)動(dòng)脈的管徑和角度進(jìn)行測(cè)量與分析,為臨床提供重要的參考依據(jù)。 方法選擇191例無(wú)頸內(nèi)動(dòng)脈病變的50歲以上檢查者的顱腦CT增強(qiáng)連續(xù)掃描動(dòng)脈期數(shù)據(jù)集進(jìn)行三維重建,測(cè)量頸內(nèi)動(dòng)脈角度和管徑,并對(duì)結(jié)果進(jìn)行統(tǒng)計(jì)學(xué)分析。 結(jié)果頸內(nèi)動(dòng)脈各分段管徑無(wú)明顯的性別差異(P0.05)。頸內(nèi)動(dòng)脈各段管徑結(jié)果顯示：除C2與C4、C5與C6無(wú)顯著性差異(P0.05)之外,其余各段均有顯著性差異(F=39.037,P0.05)。頸內(nèi)動(dòng)脈相鄰兩段管徑差結(jié)果顯示：頸內(nèi)動(dòng)脈相鄰兩段管徑差距中,海綿竇段與床突段之間差距(C4-C5)最大(F=28.193,P0.05)。角度測(cè)量中,男性頸內(nèi)動(dòng)脈中除虹吸彎與頸動(dòng)脈管內(nèi)曲、海綿竇段彎曲與頸動(dòng)脈管內(nèi)口彎曲、頸段上曲與頸段下曲角度之間差別不顯著(P0.05)之外,其余各角度之間均有顯著性差別(F=30.168,P0.05)；女性頸內(nèi)動(dòng)脈角度結(jié)果顯示：海綿竇段彎曲與頸動(dòng)脈管內(nèi)口彎曲、頸段上曲與頸段下曲角度之間差別不顯著(P0.05)之外,其余各角度之間均有顯著性差別(F=30.168,P0.05)。 結(jié)論頸內(nèi)動(dòng)脈在走行過(guò)程中管徑逐漸變細(xì),其中破裂孔段與海綿竇段之間變化最大,頸內(nèi)動(dòng)脈走行各角度中虹吸彎角度最小,提示該部位為腦動(dòng)脈粥樣硬化的好發(fā)部位。
[Abstract]:Objective to measure and analyze the diameter and angle of the internal carotid artery in the healthy population of cerebrovascular disease prone age, and to provide an important reference for clinical practice. Methods Intra-carotid artery angle and diameter were measured in 191 patients over 50 years of age without internal carotid artery disease, and the results were analyzed statistically. Results there was no significant gender difference in the diameter of the internal carotid artery (P0.05). The diameter of internal carotid artery showed no significant difference except C2 and C4C5 and C6 (P0.05). The results showed that the difference between cavernous sinus segment and clinoid process segment (C4-C5) was the largest (F28.193 P 0.05) in the two adjacent segments of the internal carotid artery. In angle measurement, the male internal carotid artery had no significant difference except siphon curvature and carotid canal curvature, cavernous sinus segment bending and carotid artery internal orifice bending, and superior cervical curvature and inferior cervical curvature angle (P0.05). There were significant differences between the other angles (FF30. 168); The results of angle of female internal carotid artery showed that there was no significant difference between cavernous sinus segment bending and carotid artery internal orifice bending, and there was no significant difference between superior cervical segment curvature and inferior cervical segment angle (P0.05), but there were significant differences among other angles (F _ (30.168), P _ (0.05), P < 0.05). P0.05). Conclusion the diameter of the internal carotid artery gradually becomes thinner during the course of the internal carotid artery, and the siphon angle of the internal carotid artery is the least among all the angles of the internal carotid artery walking, which indicates that the internal carotid artery is the predilection site of atherosclerosis.
【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】：2014
【分類號(hào)】：R743

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