脐、髂嵴顶点与腹主动脉分叉位置关系的对比影像解剖学研究
发布时间：2019-03-08 15:03
【摘要】：目的:探讨脐、髂嵴顶点在定位体外腹主动脉阻断位置中的价值。方法:CT影像下观测108例患者脐、髂嵴顶点与腹主动脉分叉的位置关系,采用Pearson相关系数分析该位置关系与肥胖和年龄的相关性。结果:腹主动脉分叉以上,脐至腹主动脉分叉的垂直距离(BU)大于髂嵴顶点至腹主动脉分叉的垂直距离(BC)(P0.05);腹主动脉分叉以下,BU和BC比较差异无统计学意义(P0.05)。脐(62.0%)多在腹主动脉分叉以上,髂嵴顶点(65.7%)则多在腹主动脉分叉以下,两者与腹主动脉的位置关系比较差异有统计学意义(P0.01)。BU与腹部脂肪厚度、年龄皆无相关性(P0.05);BC与腹部脂肪厚度无相关性(P0.05),而与年龄呈正相关(P0.01)。结论:相较于髂嵴顶点,脐多位于腹主动脉分叉上方,身体前侧,不易随腹部脂肪厚度和年龄的改变而变化,是进行体外腹主动脉"末端"阻断的重要体表解剖标志。
[Abstract]:Objective: to investigate the value of umbilical and iliac crest vertices in locating the position of abdominal aorta occlusion in vitro. Methods: the relationship between umbilical cord, iliac crest apex and abdominal aorta bifurcation was observed on CT images in 108 patients. Pearson correlation coefficient was used to analyze the correlation between the location and obesity and age. Results: over the bifurcation of abdominal aorta, the vertical distance from umbilical cord to abdominal aorta bifurcation (BU) was higher than that from iliac crest to abdominal aorta bifurcation (BC) (P0.05). There was no significant difference between BU and BC under the bifurcation of abdominal aorta (P0.05). The umbilical cord (62.0%) was above the bifurcation of abdominal aorta and the crest of iliac crest (65.7%) was below the bifurcation of abdominal aorta. There was significant difference between the umbilical cord (62.0%) and abdominal aorta (P0.01). The thickness of BU and abdominal fat was significantly higher than that of abdominal aorta (P0.01). There was no correlation between age and age (P0.05). BC was not correlated with abdominal fat thickness (P0.05), but positively correlated with age (P0.01). Conclusion: compared with the crest of iliac crest, the umbilical cord is located above the bifurcation of the abdominal aorta and the anterior side of the body. It is not easy to change with the changes of abdominal fat thickness and age. It is an important anatomical marker for "end" blocking of the abdominal aorta in vitro.
【作者单位】： 南方医科大学南方医院急诊科;
【基金】：广东省科技计划项目基金资助(编号:2013B010401014,2014A020212192)
【分类号】：R322.1
，
本文编号：2436924
[Abstract]:Objective: to investigate the value of umbilical and iliac crest vertices in locating the position of abdominal aorta occlusion in vitro. Methods: the relationship between umbilical cord, iliac crest apex and abdominal aorta bifurcation was observed on CT images in 108 patients. Pearson correlation coefficient was used to analyze the correlation between the location and obesity and age. Results: over the bifurcation of abdominal aorta, the vertical distance from umbilical cord to abdominal aorta bifurcation (BU) was higher than that from iliac crest to abdominal aorta bifurcation (BC) (P0.05). There was no significant difference between BU and BC under the bifurcation of abdominal aorta (P0.05). The umbilical cord (62.0%) was above the bifurcation of abdominal aorta and the crest of iliac crest (65.7%) was below the bifurcation of abdominal aorta. There was significant difference between the umbilical cord (62.0%) and abdominal aorta (P0.01). The thickness of BU and abdominal fat was significantly higher than that of abdominal aorta (P0.01). There was no correlation between age and age (P0.05). BC was not correlated with abdominal fat thickness (P0.05), but positively correlated with age (P0.01). Conclusion: compared with the crest of iliac crest, the umbilical cord is located above the bifurcation of the abdominal aorta and the anterior side of the body. It is not easy to change with the changes of abdominal fat thickness and age. It is an important anatomical marker for "end" blocking of the abdominal aorta in vitro.
【作者单位】： 南方医科大学南方医院急诊科;
【基金】：广东省科技计划项目基金资助(编号:2013B010401014,2014A020212192)
【分类号】：R322.1
，
本文编号：2436924
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