本文選題：體層攝影技術(shù) + X線計(jì)算機(jī)　； 參考：《佳木斯大學(xué)》2013年碩士論文

【摘要】：目的： 探討胸廓內(nèi)動(dòng)脈（nternal Thoracic Artery，ITA）在多層螺旋CT血管造影(MSCTA)的影像學(xué)顯示情況及解剖變異情況，為臨床相關(guān)疾病的治療提供可靠的影像學(xué)依據(jù)。 方法： 正常組：正常受檢者80例（男40例，女40例）經(jīng)過胸部多層螺旋CT增強(qiáng)掃描，分別測(cè)量胸廓內(nèi)動(dòng)脈主干的長度（lITA）及其內(nèi)徑（dITA）、胸廓內(nèi)動(dòng)脈與鎖骨下動(dòng)脈(subclavian artery，SA)近側(cè)端的夾角（aITA/SA）、胸廓內(nèi)動(dòng)脈起點(diǎn)距主動(dòng)脈的長度（l（A-I））。 變異組：回顧性研究18例完成胸部增強(qiáng)掃描后發(fā)現(xiàn)的ITA解剖變異患者（男11例，女7例），并分析其變異的臨床意義。 結(jié)果： 1.98例受檢者ITA主干均能清晰顯示，顯示率為100%（100／100），其中18例發(fā)生變異，變異率為18.37％（18／98），其中， ITA與其他動(dòng)脈共干發(fā)出者共10例（左側(cè)6例，右側(cè)4例），ITA呈波浪狀走行的共8例（左側(cè)3例，右側(cè)2例，雙側(cè)3例）。 2.相關(guān)影像學(xué)指標(biāo)（lITA、dITA、l（A-I）、ITA/SA）顯示清晰，，并且對(duì)指標(biāo)進(jìn)行精確的測(cè)量后經(jīng)統(tǒng)計(jì)學(xué)分析：①lITA在性別間差異有統(tǒng)計(jì)學(xué)意義（p＜0.05），在不同側(cè)間差異無統(tǒng)計(jì)學(xué)意義（p＞0.05）；②dITA及l(fā)（A-I）在側(cè)別間差異有統(tǒng)計(jì)學(xué)意義（p＜0.05），在性別間差異均無統(tǒng)計(jì)學(xué)意義（p＞0.05）；③aITA/SA在不同性別、不同側(cè)間差別均無統(tǒng)計(jì)學(xué)意義（p＞0.05）。 結(jié)論： 1、多層螺旋CTA技術(shù)能很好的觀察胸廓內(nèi)動(dòng)脈的正常解剖，并能準(zhǔn)確測(cè)量雙側(cè)胸廓內(nèi)動(dòng)脈的相關(guān)解剖學(xué)數(shù)據(jù)。 2、胸廓內(nèi)動(dòng)脈的起始位置及解剖變異類型表現(xiàn)多樣化，多層螺旋CTA技術(shù)可以確切地顯示其變異情況。 3、多層螺旋CTA技術(shù)能夠較好的為胸腹部手術(shù)、ITA-冠脈搭橋術(shù)及ITA相關(guān)介入手術(shù)做好術(shù)前評(píng)估，為治療方案的確定提供完善的臨床資料。
[Abstract]:Objective: To investigate the imaging manifestation and anatomic variation of internal thoracic artery Thoracic Arteryitas in multislice spiral CT angiography (MSCTA), and to provide reliable imaging evidence for the treatment of clinically related diseases. Methods: In the normal group, 80 normal subjects (40 males and 40 females) underwent multi-slice spiral CT enhanced chest scanning. The length of the main trunk of the internal thoracic artery and its internal diameter were measured respectively. The angle between the internal thoracic artery and the subclavian artery of the subclavian artery was measured. The length of the internal thoracic artery from the origin of the internal thoracic artery to the aorta was measured. Mutation group: 18 patients (11 males and 7 females) with anatomic variation of ITA found after chest enhanced scanning were retrospectively studied and their clinical significance was analyzed. Results: 1.The trunk of ITA was clearly displayed in 98 subjects, and the display rate was 100% / 100%, of which 18 cases were mutated, and the variation rate was 18.37% / 98%. Among them, there were 10 cases (6 cases on the left) of ITA and other arterial trunk. There were 8 cases (3 left, 2 right and 3 bilateral) of Ita in the right (4 cases) with a wave-like pattern (3 cases on the left side, 2 cases on the right side and 3 cases on the bilateral side). 2. The relevant imaging indicators, lITAA / IIA / SAA, were clear. And after the accurate measurement of the index, the statistical analysis showed that there was significant difference between the two sexes (p < 0.05), but there was no significant difference between the two sides (p > 0.05) and the difference between the two sides was statistically significant (p < 0.05), and the difference between the two sexes was significant (P < 0.05). There was no significant difference between the two groups (P > 0.05) and 3aITAP / SA in different sex. There was no significant difference between the two sides (p > 0.05). Conclusion: 1. Multilayer spiral CTA technique can observe the normal anatomy of the internal thoracic artery and accurately measure the anatomical data of the bilateral internal thoracic artery. 2. The origin and anatomic variation of the internal thoracic artery are varied. Multilayer spiral CTA technique can accurately show the variation of the internal thoracic artery. 3. The multilayer spiral CTA technique can provide a good preoperative evaluation for the thoracoabdominal surgery and ITA related interventional surgery, and provide perfect clinical data for the determination of the treatment plan.
【學(xué)位授予單位】：佳木斯大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R816.4

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 武志兵;劉學(xué)敏;李德明;李建斌;李富德;;女性乳房的應(yīng)用解剖[J];解剖學(xué)研究;2010年05期

2 李高忠;陸建常;周立新;劉曉庚;;多層螺旋CT血管成像在胸廓內(nèi)動(dòng)脈顯示中的價(jià)值[J];廣西醫(yī)學(xué);2006年07期

3 朱繼明;陳問潭;;國人胸廓內(nèi)血管的應(yīng)用解剖研究[J];解剖學(xué)通報(bào);1983年02期

4 許傳斌;王安龍;楊絮;李萍;;多層螺旋CT觀察正常腸系膜上動(dòng)脈[J];中國介入影像與治療學(xué);2010年05期

5 雷鳴;盧川;;膈下動(dòng)脈解剖變異的影像學(xué)研究進(jìn)展[J];中國介入影像與治療學(xué);2010年05期

6 江森;朱曉華;孫兮文;支文祥;虞棟;彭剛;尤正千;馬駿;;胸廓內(nèi)動(dòng)脈栓塞在肺咯血?jiǎng)用}栓塞治療中的應(yīng)用[J];臨床放射學(xué)雜志;2007年05期

7 趙強(qiáng);胸廓內(nèi)動(dòng)脈的應(yīng)用解剖與提取[J];中國臨床醫(yī)學(xué)雜志;1998年04期

8 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

9 任宏;阮建江;章士正;林偉;沈國惠;;腹腔動(dòng)脈螺旋CT與磁共振血管成像的對(duì)照研究[J];中國醫(yī)學(xué)計(jì)算機(jī)成像雜志;2008年02期

10 孫應(yīng)實(shí),韓銘鈞,黎庶,衛(wèi)宏江,邵尉;多層螺旋CT增強(qiáng)掃描對(duì)支氣管動(dòng)脈的顯示及其檢測(cè)能力評(píng)價(jià)[J];中華放射學(xué)雜志;2003年12期

本文編號(hào)：1828546