实用放射学杂志
實用放射學雜誌
실용방사학잡지
JOURNAL OF PRACTICAL RADIOLOGY
2014年
10期
1710-1713
,共4页
陈春林%陈兰%刘萍%唐雷%李鉴轶%段慧%李长树%陈斌%冯婕%钟世镇
陳春林%陳蘭%劉萍%唐雷%李鑒軼%段慧%李長樹%陳斌%馮婕%鐘世鎮
진춘림%진란%류평%당뢰%리감질%단혜%리장수%진빈%풍첩%종세진
动脉扭曲%三维重建%计算机体层成像
動脈扭麯%三維重建%計算機體層成像
동맥뉴곡%삼유중건%계산궤체층성상
artery distort%three-dimensional reconstruction%computed tomography
目的：运用数字化三维重建技术,构建并观察女性腹盆腔大动脉扭曲发生情况对子宫动脉栓塞术介入入路风险进行初步评估。方法收集475例患者的腹盆腔CT血管成像(CTA)数据,11~27岁为 A组(n =40),28~44岁为 B组(n=218),45~61岁为C组(n =197),62~78岁为D组(n =20)。利用 Mimics软件构建腹盆腔血管三维模型,通过旋转观察,记录动脉扭曲的情况,并细分为仅腹主动脉扭曲,仅髂血管扭曲和腹主动脉与髂血管同时扭曲3种情况。计算各个年龄段出现动脉扭曲的例数与该年龄段总人数之比。结果所有患者中髂血管和腹主动脉均未出现动脉扭曲病变的有347例(73.1%),出现动脉扭曲病变的有128例(26.9%)。其中各个年龄段动脉扭曲出现率依次是：2.5%、11.9%、44.7%、65%。Pearson线性相关分析显示动脉扭曲病变的发生率与年龄成正相关关系(r=0.404,P<0.05)。在128例存在腹盆腔大动脉扭曲病变的患者中,仅腹主动脉扭曲9例(1.9%)、仅髂血管扭曲77例(16.2%)、同时存在腹主动脉和髂血管扭曲42例(8.8%)。结论利用数字化三维重建技术构建的3D模型可直观立体地分析腹盆腔大动脉的形态。女性腹盆腔大动脉扭曲病变发生率随着年龄的增加而增高,髂血管出现扭曲病变的概率高于腹主动脉。
目的：運用數字化三維重建技術,構建併觀察女性腹盆腔大動脈扭麯髮生情況對子宮動脈栓塞術介入入路風險進行初步評估。方法收集475例患者的腹盆腔CT血管成像(CTA)數據,11~27歲為 A組(n =40),28~44歲為 B組(n=218),45~61歲為C組(n =197),62~78歲為D組(n =20)。利用 Mimics軟件構建腹盆腔血管三維模型,通過鏇轉觀察,記錄動脈扭麯的情況,併細分為僅腹主動脈扭麯,僅髂血管扭麯和腹主動脈與髂血管同時扭麯3種情況。計算各箇年齡段齣現動脈扭麯的例數與該年齡段總人數之比。結果所有患者中髂血管和腹主動脈均未齣現動脈扭麯病變的有347例(73.1%),齣現動脈扭麯病變的有128例(26.9%)。其中各箇年齡段動脈扭麯齣現率依次是：2.5%、11.9%、44.7%、65%。Pearson線性相關分析顯示動脈扭麯病變的髮生率與年齡成正相關關繫(r=0.404,P<0.05)。在128例存在腹盆腔大動脈扭麯病變的患者中,僅腹主動脈扭麯9例(1.9%)、僅髂血管扭麯77例(16.2%)、同時存在腹主動脈和髂血管扭麯42例(8.8%)。結論利用數字化三維重建技術構建的3D模型可直觀立體地分析腹盆腔大動脈的形態。女性腹盆腔大動脈扭麯病變髮生率隨著年齡的增加而增高,髂血管齣現扭麯病變的概率高于腹主動脈。
목적：운용수자화삼유중건기술,구건병관찰녀성복분강대동맥뉴곡발생정황대자궁동맥전새술개입입로풍험진행초보평고。방법수집475례환자적복분강CT혈관성상(CTA)수거,11~27세위 A조(n =40),28~44세위 B조(n=218),45~61세위C조(n =197),62~78세위D조(n =20)。이용 Mimics연건구건복분강혈관삼유모형,통과선전관찰,기록동맥뉴곡적정황,병세분위부복주동맥뉴곡,부가혈관뉴곡화복주동맥여가혈관동시뉴곡3충정황。계산각개년령단출현동맥뉴곡적례수여해년령단총인수지비。결과소유환자중가혈관화복주동맥균미출현동맥뉴곡병변적유347례(73.1%),출현동맥뉴곡병변적유128례(26.9%)。기중각개년령단동맥뉴곡출현솔의차시：2.5%、11.9%、44.7%、65%。Pearson선성상관분석현시동맥뉴곡병변적발생솔여년령성정상관관계(r=0.404,P<0.05)。재128례존재복분강대동맥뉴곡병변적환자중,부복주동맥뉴곡9례(1.9%)、부가혈관뉴곡77례(16.2%)、동시존재복주동맥화가혈관뉴곡42례(8.8%)。결론이용수자화삼유중건기술구건적3D모형가직관입체지분석복분강대동맥적형태。녀성복분강대동맥뉴곡병변발생솔수착년령적증가이증고,가혈관출현뉴곡병변적개솔고우복주동맥。
Objective To explore the correlation between the incidence of abdominal and pelvic artery distortion and age using dig-ital three-dimensional reconstruction,in order to assess risk in uterine artery embolization surgical approach.Methods Collecting the CTA datasets of 475 patients,group A aged 11-27 (n=40),group B aged 28-44(n=218),group C aged 45-61(n=197), group D aged 62-78(n=20).The 3D model of pelvic arteries was reconstructed by mimics software,and the arterial distortion was recorded by rotating and observing the 3D model,which was further classified into three categories.One was the distortion of the aorta only,the second was the distortion of iliac artery,and the third being distortion of both sturctures.the number of cases appeared arterial distortion in every age group was calculated and the ratio of the total cases to each age group was counted.Results There were 128(26.9%)cases appeared arterial distortion,the last 347(73.1%)were not found distortion in any artery.Of the 128 cases,the occurrence rates of arterial distortion in each age group were 2.5%、11.9%、44.7%、65% for group A,B,C and D respec-tively.Pearson linear correlation analysis showed that the incidence of arterial distortion positively correlated with age (r=0.404,help of three-dimensional reconstruction.The occurrence rate of artery distortion is increased with age and the iliac artery distortion occurrence is higher than that of the aorta artery.
