[1]吕维富,张爱武,周春泽,等. 子宫动脉的三维DSA表现及其最佳显示体位探讨[J].介入放射学杂志,2011,(11):853-856.
 LV Wei-fu,ZHANG Ai-wu,ZHOU Chun-ze,et al.3D-DSA findings of uterine artery and its optimal projection position[J].journal interventional radiology,2011,(11):853-856.
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 子宫动脉的三维DSA表现及其最佳显示体位探讨()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2011年11期
页码:
853-856
栏目:
血管介入
出版日期:
2011-11-25

文章信息/Info

Title:
3D-DSA findings of uterine artery and its optimal projection position

作者:
 吕维富 张爱武 周春泽 鲁 东 肖景坤 王伟昱 张行明 张正峰 侯昌龙
230001 合肥 安徽省立医院影像科
Author(s):
LV Wei-fu ZHANG Ai-wu ZHOU Chun-ze LU Dong XIAO Jing-kun WANG Wei-yu ZHANG Xing-ming ZHANG Zheng-feng HOU Chang-long.
Department of Interventional Radiology, Anhui Provincial Hospital, Hefei 230001, China
关键词:
 【关键词】 子宫动脉 三维数字减影动脉造影 解剖学
分类号:
R445
文献标志码:
A
摘要:
 【摘要】 目的 用三维DSA观察子宫动脉的开口位置、解剖形态及最佳投照角度,以提高子宫动脉的插管成功率。方法 对42例(84侧)成年女性子宫动脉进行前瞻性206°旋转DSA检查,对获取的图像进行三维重建,分析子宫动脉的DSA表现,并观察子宫动脉的最佳显示角度。结果 所有84侧子宫动脉开口均能在三维DSA上清晰显示,其中58侧起源于髂内动脉前干,占69%;16侧起源于髂内动脉主干,占19.1%;8侧发自阴部内动脉,占9.5%;2侧起源于臀下动脉,占2.4%。子宫动脉开口在对侧斜位16.4° ~ 43.7°能够清楚显示,其中20.2%(17/84)在对侧斜位15° ~ 25°,54.8%(46/84)在对侧斜位25° ~ 35°,25%(21/84)在对侧斜位35° ~ 45°。子宫动脉开口和走行在对侧斜位25° ~ 35°投照时的显示效果明显优于对侧斜位15° ~ 25°和35° ~ 45°(P < 0.05)。结论 三维DSA能清晰显示子宫动脉开口位置及解剖形态,选用对侧斜位25° ~ 35°投照更有助于子宫动脉的显示和超选择性插管。

参考文献/References:

[1] 李彩霞, 李春海. 盆腔动脉造影解剖研究及其临床意义[J]. 中国介入影像与治疗学, 2006, 3: 104 - 107.
[2] 陈春林, 黄 睿, 刘 萍, 等. 人正常离体子宫动脉血管网三维模型的构建及意义[J]. 中国实用妇科与产科杂志, 2009, 25: 117 - 120.
[3] 石荣书, 蒋国军, 蔡 争. 子宫动脉起始部位解剖的DSA分析[J]. 实用放射学杂志, 2009, 25: 566 - 568.
[4] Arleo EK, Masheb RM, Pollak J, et al. Fibroid volume,location and symptoms in women undergoing uterine artery embolization:does size or position matter﹖[J] Int J Fertil Women Med, 2007, 52: 111 - 120.
[5] 徐利军, 赵振华, 王伯胤. 子宫动脉DSA造影解剖分析及其临床意义[J]. 医学影像学杂志, 2006, 16: 605 - 607.
[6] Abbara S, Nikolic B, Pelage JP, et al. Frequency and extent of uterine perfusion via ovarian arteries observed during uterine artery embolization for leiomyomas[J]. AJR, 2007, 188: 1558 - 1563.
[7] 何可可, 吴喜英, 胡辉军, 等. 子宫动脉血管造影解剖及其最佳投照体位的探讨[J]. 临床医药实践: 下半月刊, 2008, 1: 770 - 772.
[8] Razavi MK, Wolanske KA, Hwang GL, et al. Angiographic classification of ovarian artery-to-uterine artery anastomoses: initial observations in uterine fibroid embolization[J]. Radiology, 2002, 224: 707 - 712.
[9] 王茂强, 刘凤永, 段 峰, 等. 卵巢动脉参与盆腔病变供血的介入诊疗研究[J]. 中华放射学杂志, 2006, 40: 1190 - 1194.
[10] 陈晓明, 杜 娟, 左约维, 等. 经导管子宫动脉栓塞治疗子宫肌瘤并发闭经的原因分析[J]. 中华放射学杂志, 2005, 39: 1319 - 1321.
[11] 杨建国, 贺能树, 张长林, 等. 盆腔动脉造影正位与斜位对子宫动脉开口显示的比较[J]. 临床放射学杂志, 2003, 22: 324 - 326.
[12] 况圣佳, 辜 斌. 不同投照角度对髂内动脉造影时子宫动脉开口位置的比较[J]. 江西医学院学报, 2003, 43: 106 - 108.
[13] 何玉圣, 鲁 东, 吕维富, 等. DSA特殊功能在子宫肌瘤栓塞治疗中的价值[J]. 介入放射学杂志, 2009, 18: 868 - 871.

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