通过三维血管图分析评估的内血管的解剖学验证
Yuya Takenaka1, Naohito Beppu1, Masaki Otani1
1Department of Gastroenterological Surgery, Division of Lower Gastrointestinal Surgery, Hyogo Medical University, Hyogo, Japan.
Journal of the anus, rectum and colon
|July 27, 2023
概括
了解内静脉 (IIV) 的分支模式是最小侵入性盆腔手术的关键. 这项研究在大多数患者中发现了一致的IIV分支,有助于外科安全和标准化.
科学领域:
- 人体解剖学 解剖学 解剖学
- 血管外科 血管外科
- 医疗成像医学成像
背景情况:
- 最少侵入性的骨盆手术需要对内血管有详细的解剖学知识.
- 内阴静脉 (IIV) 分支的变化可能会使手术过程复杂化.
研究的目的:
- 为了研究内静脉 (IIVs) 的特定分支模式.
- 评估IIV分支模式与内动脉 (IIA) 和对侧侧之间之间的相关性.
主要方法:
- 分析了30名接受微创骨盆手术的患者 (60名半骨盆患者) 的手术视频.
- 利用基于多探测器计算机断层扫描 (MDCT) 的3D模拟来评估血管分支.
- 检查了上部关静脉 (SGV),下部关静脉 (IGV) 和阻塞静脉 (ObV) 分支的模式.
主要成果:
- 最常见的IIV分支模式包括来自IIV的SGV (67%),来自内静脉的IGV (IPV) (95%) 和来自IPV的ObV (82%).
- 阿达奇的分类显示,62%的IIV是I型,33%是IV型.
- 在IIA和IIV模式之间,以及在具有共同分支模式的患者中右和左IIV之间观察到高相关性 (75-100%).
结论:
- 这项研究澄清了常见的内静脉 (IIV) 支部模式.
- 在大多数患者中,一致的IIV分支模式与动脉对应物和逆侧面相关,提高了手术规划.
- 这些发现支持在最小侵入性骨盆外科手术中提高安全性和标准化.
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