威利斯多边形形态测量与头骨断层扫描血管学评估
Rukiye Ciftci1, Aymelek Cetin, Hilal Er Ulubaba
1Bandirma Onyedi Eylul University, Faculty of Medicine, Department of Anatomy, Balıkesir, Turkey.
Turkish neurosurgery
|September 16, 2023
概括
与健康个体相比,威利斯多边形中的血管直径在2型糖尿病 (T2DM) 和高血压 (HT) 患者中较小. 在T2DM和HT患者中的这些形态差异可能会为解剖学评估和手术治疗提供信息.
科学领域:
- 神经成像和血管解剖学
- 内分泌学和心血管健康
背景情况:
- 威利斯圆 (WP) 对于大脑的血液供应至关重要.
- 2型糖尿病 (T2DM) 和高血压 (HT) 是脑血管疾病的重要危险因素.
- 了解这些条件下的WP形态对临床实践至关重要.
研究的目的:
- 为了研究威利斯多边形容器的形态特征.
- 为了比较T2DM,HT,T2DM和HT组合患者和健康对照者之间的这些特性.
主要方法:
- 追溯分析168个头骨断层扫描血管图 (CTA).
- 患者被分为四组:HT,DM,HT+DM和健康对照组.
- 测量WP船只的直径和长度.
主要成果:
- 群体之间观察到血管直径的统计学上显著差异,特别是在女性中.
- 前脑动脉 (ACA),后脑动脉 (ACP) 和前沟通动脉 (AComP) 的特定部分显示出变化.
- 与对照组相比,HT,DM和HT+DM组的船舶直径始终较小.
结论:
- 威利斯多边形的形态变化与T2DM和HT有关.
- 与对照组相比,在T2DM和/或HT患者中观察到的较小血管直径突出了潜在的血管适应或病理.
- 了解WP形态测量有助于放射解剖学评估,并增强了对外科手术的微解剖学理解.
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