多重脏血管:在脏干预和高血压中具有临床影响的解剖变体
Srinivasa Rao Bolla1, Zhassulan Ispolov2, Gulzhaina Nusserova2
1Department of Biomedical Sciences, School of Medicine, Nazarbayev University, Astana, Kazakhstan.
Annals of African medicine
|September 9, 2025
概括
血管结构的解剖学变异很常见,在29%的脏中发现了多个动脉. 了解这些血管变异对于安全的手术干预和尽量减少并发症至关重要.
科学领域:
- 放射学 放射学是一门学科.
- 血管解剖学 血管解剖学
- 手术规划 手术规划
背景情况:
- 准确的诊断和安全的临床干预依赖于对血管系统的彻底了解.
- 血管的解剖学变异可能会使诸如切除术,移植和内血管干预等程序复杂化.
研究的目的:
- 分析血管变异的分布模式和测量.
- 提供有关动脉和静脉变异的流行情况的数据.
主要方法:
- 从200次扫描 (400个脏) 中对计算机断层扫描血管图 (CTA) 的回顾性分析.
- 两个训练有素的团队成员对动脉和静脉进行独立评估.
- 统计分析分布模式,变体的长度和直径.
主要成果:
- 多重动脉 (multiRAs) 在左的24.5%,右的17.5% (总体29%) 中被发现.
- 具体变异包括辅助状动脉 (23.5%左,16.5%右) 和状前段分支 (45%左,54%右).
- 多重静脉发生在左的1.5%和右的14.5%.
结论:
- 意识到血管的变异对于优化手术策略至关重要.
- 了解这些变异有助于最大限度地减少移植和内血管手术中的术中和术后并发症.
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