上升喉动脉的起源变体和顺序的外动脉分支分类分类
Rodica Narcisa Calotă1, Alexandra Diana Vrapciu1,2, Sorin Hostiuc3
1Division of Anatomy, Department 1, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Diagnostics (Basel, Switzerland)
|December 30, 2025
概括
上升的喉动脉 (APA) 在起源方面表现出显著的解剖学变化. 一个新的分类系统揭示了广泛的外动脉 (ECA) 分支多样性,强调在手术规划中需要双边成像.
科学领域:
- 人体解剖学 解剖学 解剖学
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 上升门动脉 (APA) 的起源非常多样,对于头部和部手术至关重要.
- 了解APA解剖学对于头部和部手术,内血管干预和骨底部方法至关重要.
研究的目的:
- 系统地分类上升门动脉 (APA) 的起源.
- 为了评估APA的双边解剖模式.
- 建立对外动脉 (ECA) 分支的全面顺序分类.
主要方法:
- 双边计算机断层扫描血管造影 (CTA) 在85名患者 (170个动脉轴) 上进行.
- APA起源被分为六种类型 (类型0-V).
- 一个新的顺序分类系统 (S型) 记录了完整的ECA分支顺序.
主要成果:
- 在14.71%的病例中,没有APA;在19.41%的病例中,没有APA或发生内动脉起源.
- APA起源包括I型 (26.47%),II型 (35.88%),III型 (17.06%),IV型 (4.71%) 和V型 (1.18%) 的类型.
- 确定了40种不同的ECA顺序分支类型 (S型),没有明显的侧面或性别偏好.
结论:
- 新的顺序分类系统突出了ECA分支中的非同寻常的解剖学多样性.
- 没有可预测的侧面或性别模式,强调了双边手术前成像对于手术规划的必要性.
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