计算机断层扫描研究匈牙利成年人中卢索里亚动脉的流行情况
Julia Shamsodini1, Dávid Molnár2,3
1Department of Otolaryngology, Semmelweis University, Budapest, HUN.
Cureus
|May 21, 2024
概括
异常右下关节动脉 (ARSA) 在匈牙利人口的0.437%发生. 这种血管异常是右非复发性喉神经 (NRLN) 的间接标记,有助于外科医生在甲状腺切除术期间预防神经损伤.
科学领域:
- 解剖学上的变化.
- 血管异常 血管异常
- 手术解剖学的手术解剖学
背景情况:
- 异常右下关节动脉 (ARSA) 或卢索里亚动脉 (LA) 是一种先天性血管异常.
- ARSA与右非复发性喉神经 (NRLN) 有着强烈的关联.
- 目前,匈牙利人口中缺乏ARSA和NRLN的流行数据.
研究的目的:
- 为了确定ARSA在匈牙利人口中的患病率.
- 评估ARSA作为NRLN的间接标记物的潜力.
- 为ARSA病例提供人口统计分析.
主要方法:
- 计算机断层扫描 (CT) 影像数据的回顾性分析.
- 使用3D细分的异常血管的识别和可视化.
- 对人口统计和流行数据的统计分析.
主要成果:
- 在686名患者中,ARSA在3名患者中被发现,患病率为0.437%.
- 所有确定的ARSA病例都发生在女性患者身上,并呈现为逆食道动脉.
- 相关异常包括Kamerell的分流器 (2例) 和常见动脉的单一来源 (1例).
结论:
- 匈牙利人中ARSA的患病率与最近的元分析结果一致.
- 在手术前确定ARSA可以作为NRLN的预测因素.
- 识别这种异常可能有助于减少在甲状腺切除术期间引起的声带并发症,特别是当手术内监测有限时.
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