CAJ | 학술논문

目的：采用多层螺旋CT（MSCT）分析成人腹主动脉的影像学解剖特点。方法收集因各种原因在我院行腹部MSCT增强扫描或腹部CT血管造影检查的213例患者，其中男性118例，女性95例，老年人（≥60岁）109例，非老年人（<60岁）104例，在横断面图像上测量腹主动脉管腔的前后径、左右径。结果共检出213支腹主动脉。男性腹主动脉左右径、前后径均大于女性；老年组腹主动脉左右径、前后径均大于非老年组；腹主动脉前后径大于左右径；上述差异均有统计学意义（P<0.05）。结论 MSCT能够很好地显示腹主动脉血管的解剖情况，可无创性地为外科腹部手术、肝肾移植及介入治疗提供有价值的活体血供解剖学信息，具有临床指导价值。
목적：채용다층라선CT（MSCT）분석성인복주동맥적영상학해부특점。방법수집인각충원인재아원행복부MSCT증강소묘혹복부CT혈관조영검사적213례환자，기중남성118례，녀성95례，노년인（≥60세）109례，비노년인（<60세）104례，재횡단면도상상측량복주동맥관강적전후경、좌우경。결과공검출213지복주동맥。남성복주동맥좌우경、전후경균대우녀성；노년조복주동맥좌우경、전후경균대우비노년조；복주동맥전후경대우좌우경；상술차이균유통계학의의（P<0.05）。결론 MSCT능구흔호지현시복주동맥혈관적해부정황，가무창성지위외과복부수술、간신이식급개입치료제공유개치적활체혈공해부학신식，구유림상지도개치。
Objective To analyze the anatomical features of the abdominal aorta in adults through MSCT (Multi-Slice Spiral Computerized Tomography).Methods Imaging records of 213 patients (118 cases of male patients; 95 cases of female cases; 109 elder patients; 104 young patients) who had undergone abdominal enhanced MSCT or CTA (Computerized Tomography Angiography) in the hospital were collected to measure the anteroposterior and transverse diameter of abdominal aorta in the cross-sectional images. Results Altogether 213 abdominal aortas were revealed, among which the anteroposterior and transverse diameter of abdominal aorta in male patients were larger than those in female cases; those in older patients were greater than young patients; the anteroposterior diameter of abdominal aortas was greater than the transverse diameter with statistically significant differences (P<0.05).Conclusion MSCT demonstrated excellent abilities in display of anatomical features of abdominal aortic dissections, which could provide clinical guidance and significant blood supply anatomical information in vivo in a non-invasive way for surgical abdominal operations, liver or kidney transplantation and interventional treatment.