摘要
目的：探讨下肢动脉从髂总动脉到股动脉段CT造影在冠状位及矢状位最大密度投影中的解剖特点分析,指导下肢动脉疾病介入治疗时患者正确的投照体位及超选择下肢血管的插管方法,以提高介入插管的准确率及成功率。方法：（1）分析56例正常成人髂总动脉至股动脉段CT造影资料,测量冠状位测量髂总动脉间成角。（2）在矢状位和冠状位测双侧髂内动脉开口位置高低,髂总动脉的长度。（3）在横断位观测两侧股深动脉开口位置。结果：（1）正常成年男性双侧髂总动脉间成角均值小于正常成年女性,男女均值间差异有统计学意义。（2）左侧髂总动脉长于右侧髂总动脉,右侧髂内动脉开口高于左侧髂内动脉开口。（3）股深动脉开口起始部位81%起自于股动脉后侧。结论：（1）在髂内动脉介入手术操作时,成年男性股动脉穿刺对侧髂内动脉插管应用成袢技术,成年女性应采用直接插管技术。（2）病变在右侧动脉的介入操作的难度明显高于左侧。对不同患者应根据其髂内动脉的解剖特点实行个体化介入手术操作。（3）在动脉造影时,若发现股浅、股深动脉显影有重叠,则将患者臀部抬高25~°30,°或将X线球管旋转25~°30°（即斜位）,这样可明显弥补前后位时的不足,使大部分肢体的股深动脉开口及其第1段清楚显示。
Objective：To evaluate the anatomical features of the lower extremity arteries from the iliac artery to the femoral artery section CT angiography in the coronal and sagittal maximum intensity projection and guide the patient right projection position in the interventional treatment of lower extremity arterial disease and select the lower extremity vascular intubation to improve the accuracy of interventional catheterization and the success rate.Methods：（1） CT angiography of 56 cases of normal adult iliac artery to femoral artery section was analyzed and the coronal position and the angle between the iliac arteries were measured.（2） The sagittal and coronal measurements of bilateral internal iliac artery open position high or low and the common iliac artery length were carried out.（3） The transverse open position on both sides of the deep femoral artery was observed.Results：（1） The angle between the bilateral iliac arteries in normal adult male was less than that of normal adult female,with a significant difference.（2） The left side of the iliac artery iliac artery was longer than the right side of the iliac artery iliac artery,and the right internal iliac artery opening was higher than the left internal iliac artery opening.（3） The starting site of the deep femoral artery opening from the posterior femoral artery accounted for 81%.Conclusion：（1） In the internal iliac artery interventional operation the loop catheterization is used in puncture from the femoral artery into contralateral internal iliac artery in adult males and the direct intubation technique is used in adult females.（2） The interventional procedures are more difficult in the lesions in the right artery than those in the left side.The interventional procedures should be implemented based on the anatomical characteristics of the internal iliac artery of different patients.（3） In arteriography,when the imaging overlap of superficial femoral and deep femoral artery takes place,the patient hip will be raised by 25 to 30°,or the X-ray tube will be rotated by 25 to 30°（i.e.oblique）,which makes the deep femoral artery openings of the limbs clear.
出处
《黑龙江医药科学》
2010年第5期16-17,共2页
Heilongjiang Medicine and Pharmacy
作者简介
全亚洲（1976～）男，陕西西安人，佳木斯大学2008级大士研究生。
