中华妇产科杂志
中華婦產科雜誌
중화부산과잡지
CHINESE JOUNAL OF OBSTETRICS AND GYNECOLOGY
2014年
2期
84-88
,共5页
陈春林%段慧%刘萍%钟世镇%唐雷%许乙凯%冯婕%陈兰%李维丽
陳春林%段慧%劉萍%鐘世鎮%唐雷%許乙凱%馮婕%陳蘭%李維麗
진춘림%단혜%류평%종세진%당뢰%허을개%풍첩%진란%리유려
子宫%动脉%体层摄影术,螺旋计算机%血管造影术,数字减影%成像,三维
子宮%動脈%體層攝影術,螺鏇計算機%血管造影術,數字減影%成像,三維
자궁%동맥%체층섭영술,라선계산궤%혈관조영술,수자감영%성상,삼유
Uterus%Arteries%Tomography,spiral computed%Angiography,digital subtraction%Imaging,three-dimensional
目的 应用CT血管成像术(CTA)及数字化三维重建技术,构建20 ~ 26岁健康妇女的在体子宫动脉血管网数字化三维模型,分析子宫动脉的解剖特点及子宫的血液分布特点.方法 2012年8月至12月招募20~26岁健康女性志愿者共25例,行双源多层螺旋CT扫描并采集CTA原始数据集,利用三维重建软件(即Mimics软件)构建其在体子宫动脉血管网数字化三维模型,明确子宫各部分的供血动脉来源,并对子宫动脉血管网模型进行立体切割,分为子宫体、子宫颈动脉血管网,子宫体左侧部、右侧部动脉血管网,以及子宫颈左侧部、右侧部动脉血管网,并计算其血管容积比例.结果 本研究成功构建了25例20~26岁健康妇女的在体子宫动脉血管网数字化三维模型,这些模型清楚地显示了子宫动脉及其各级分支结构.在正常生理状态下,子宫体动脉血管网显影者21例(84%,21/25),双侧动脉血管网均显影,分别由同侧子宫动脉供血,其中双侧供血均衡者18例,一侧供血为主者3例;子宫体左侧部、右侧部血管容积比例分别为0.51 ±0.14、0.44 ±0.13,两者比较,差异无统计学意义(t=1.817,P=0.077);子宫体动脉血管网不显影者4例(16%,4/25).子宫颈动脉血管网显影者仅2例(8%,2/25),双侧子宫颈动脉血管网供血均衡;子宫颈动脉血管网不显影者23例(92%,23/25).结论 本研究成功构建了20 ~ 26岁健康妇女的在体子宫动脉血管网数字化三维模型,证实正常子宫体的动脉血管网分布具有双侧性、同侧供血倾向性及均衡性的特点,而子宫颈动脉血管网显影率低.
目的 應用CT血管成像術(CTA)及數字化三維重建技術,構建20 ~ 26歲健康婦女的在體子宮動脈血管網數字化三維模型,分析子宮動脈的解剖特點及子宮的血液分佈特點.方法 2012年8月至12月招募20~26歲健康女性誌願者共25例,行雙源多層螺鏇CT掃描併採集CTA原始數據集,利用三維重建軟件(即Mimics軟件)構建其在體子宮動脈血管網數字化三維模型,明確子宮各部分的供血動脈來源,併對子宮動脈血管網模型進行立體切割,分為子宮體、子宮頸動脈血管網,子宮體左側部、右側部動脈血管網,以及子宮頸左側部、右側部動脈血管網,併計算其血管容積比例.結果 本研究成功構建瞭25例20~26歲健康婦女的在體子宮動脈血管網數字化三維模型,這些模型清楚地顯示瞭子宮動脈及其各級分支結構.在正常生理狀態下,子宮體動脈血管網顯影者21例(84%,21/25),雙側動脈血管網均顯影,分彆由同側子宮動脈供血,其中雙側供血均衡者18例,一側供血為主者3例;子宮體左側部、右側部血管容積比例分彆為0.51 ±0.14、0.44 ±0.13,兩者比較,差異無統計學意義(t=1.817,P=0.077);子宮體動脈血管網不顯影者4例(16%,4/25).子宮頸動脈血管網顯影者僅2例(8%,2/25),雙側子宮頸動脈血管網供血均衡;子宮頸動脈血管網不顯影者23例(92%,23/25).結論 本研究成功構建瞭20 ~ 26歲健康婦女的在體子宮動脈血管網數字化三維模型,證實正常子宮體的動脈血管網分佈具有雙側性、同側供血傾嚮性及均衡性的特點,而子宮頸動脈血管網顯影率低.
목적 응용CT혈관성상술(CTA)급수자화삼유중건기술,구건20 ~ 26세건강부녀적재체자궁동맥혈관망수자화삼유모형,분석자궁동맥적해부특점급자궁적혈액분포특점.방법 2012년8월지12월초모20~26세건강녀성지원자공25례,행쌍원다층라선CT소묘병채집CTA원시수거집,이용삼유중건연건(즉Mimics연건)구건기재체자궁동맥혈관망수자화삼유모형,명학자궁각부분적공혈동맥래원,병대자궁동맥혈관망모형진행입체절할,분위자궁체、자궁경동맥혈관망,자궁체좌측부、우측부동맥혈관망,이급자궁경좌측부、우측부동맥혈관망,병계산기혈관용적비례.결과 본연구성공구건료25례20~26세건강부녀적재체자궁동맥혈관망수자화삼유모형,저사모형청초지현시료자궁동맥급기각급분지결구.재정상생리상태하,자궁체동맥혈관망현영자21례(84%,21/25),쌍측동맥혈관망균현영,분별유동측자궁동맥공혈,기중쌍측공혈균형자18례,일측공혈위주자3례;자궁체좌측부、우측부혈관용적비례분별위0.51 ±0.14、0.44 ±0.13,량자비교,차이무통계학의의(t=1.817,P=0.077);자궁체동맥혈관망불현영자4례(16%,4/25).자궁경동맥혈관망현영자부2례(8%,2/25),쌍측자궁경동맥혈관망공혈균형;자궁경동맥혈관망불현영자23례(92%,23/25).결론 본연구성공구건료20 ~ 26세건강부녀적재체자궁동맥혈관망수자화삼유모형,증실정상자궁체적동맥혈관망분포구유쌍측성、동측공혈경향성급균형성적특점,이자궁경동맥혈관망현영솔저.
Objective To analyze the characteristics of anatomy and blood distribution of uterine arterial vascular network in vivo for healthy women aged 20-26 years by reconstructing the digital three-dimensional models based on computerized tomographic angiography (CTA) scanning technology.Methods From August to December 2012,a total of 25 female volunteers aged 20-26 years were recruited.All of them accepted CTA scanning.Their datasets were collected for reconstructing the digital three-dimension models of normal uterine arterial vascular network by using Mimics Version 10.01 software.After recognizing the supply arteries of each part of uterus,the three dimension models were divided into corpus and cervix arterial vascular network,left and right corpus arterial vascular network,left and right cervical artery vasc ular network and then calculated the proportion of vascular volume.Results Digital three-dimension models of normal uterine arterial vascular network of 25 cases were successfully reconstructed,which clearly showed the structure of the uterine artery and its branches at all levels.Under normal physiological conditions,vascular network of corpus developed in 21 cases (84%,21/25).In these cases,bilateral vascular network were developed and supplied by the ipsilateral uterine artery respectively,where the distribution of vascular were bilateral balanced in 18 cases and unilateral predominant in 3 cases.However,4 cases (16%,4/25) of vascular network of corpus were not developed.There were not statistically significant of vascular network volume between both sides of uterine corpus of 25 cases digital three dimension models of normal uterine arterial vascular network (t =1.817,P =0.077).The cervical arterial vascular networks didn't develop in 23 cases (92%,23/25),whereas it developed in 2 cases (8%,2/25).Conclusions This study successfully reconstructed the three dimensional models of uterine arterial vascular network for healthy females aged 20-26 years,confirming that the overall normal uterine vascular network distribution has the characteristics of bilateral,ipsilateral blood tendentious and balanced.But the cervical vascular network is rarely developing.