本文選題：動(dòng)脈插管造影CTA + CTA　； 參考：《中國(guó)臨床解剖學(xué)雜志》2017年05期

【摘要】：目的探討動(dòng)脈插管造影CTA活體顯影股前外側(cè)穿支皮瓣穿支血管的可行性。方法選取擬定切取股前外側(cè)穿支皮瓣移植患者15例。實(shí)驗(yàn)組運(yùn)用選擇性動(dòng)脈插管技術(shù)將導(dǎo)管置入旋股外側(cè)動(dòng)脈開(kāi)口處,證實(shí)導(dǎo)管達(dá)到預(yù)定位置并固定可靠后將患者轉(zhuǎn)移至CT室。經(jīng)導(dǎo)管注入造影劑20 ml,同時(shí)手動(dòng)觸發(fā)CT掃描。選取普通CTA作為對(duì)照組。將兩組獲得的二維圖像以CT-DICOM輸入到Mimics17.0軟件,收集兩組旋股外側(cè)動(dòng)脈主干及其分支的解剖學(xué)參數(shù)。采用SPSS22.0統(tǒng)計(jì)軟件對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)處理,P值≤0.05認(rèn)為差異有統(tǒng)計(jì)學(xué)意義。結(jié)果本組15例患者中,1例患者導(dǎo)管脫落至股深動(dòng)脈,予以排除。其余14例患者中,旋股外側(cè)動(dòng)脈起源于股動(dòng)脈3例(占21.43%),起源于股深動(dòng)脈11例(占78.57%)。實(shí)驗(yàn)組旋股外側(cè)動(dòng)脈及其分支內(nèi)徑大于對(duì)照組。實(shí)驗(yàn)組升支、橫支及降支長(zhǎng)度均大于對(duì)照組,升支、橫支及降支的末端最小內(nèi)徑均小于對(duì)照組。實(shí)驗(yàn)組顯影穿支數(shù)目多于對(duì)照組。結(jié)論動(dòng)脈插管造影CTA可清楚的顯示旋股外側(cè)動(dòng)脈分支及其穿支,效果優(yōu)于普通CTA。
[Abstract]:Objective to investigate the feasibility of CTA angiography in the perforating branch of anterolateral femoral perforator flap. Methods Fifteen patients with anterolateral femoral perforator flap were selected. In the experimental group, the catheter was placed into the opening of lateral circumflex femoral artery by selective arterial catheterization, and the catheter was confirmed to reach the predetermined position and fixed reliably, then the patient was transferred to the CT room. Contrast agent 20 ml was injected through catheter and CT scan was triggered manually. General CTA was selected as control group. The two groups of 2D images were inputted into Mimics 17.0 software by CT-DICOM to collect the anatomical parameters of the lateral femoral circumflex artery trunk and its branches. SPSS 22.0 statistical software was used to process the data (P 鈮，

本文編號(hào)：2014629