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在无肝脏疾病的人群中,多排螺旋CT能否显示左右膈下动脉?

Can multidetector row CT visualize the right and left inferior phrenic artery in a population without disease of the liver?

作者信息

Ozbulbul Nilgun Isiksalan, Yurdakul Mehmet, Tola Muharrem, Akdogan Gokcen, Olcer Tulay

机构信息

Department of Radiology, Turkiye Yuksek Ihtisas Hospital, Kizilay Street no 4 Sihhiye, Ankara, Turkey.

出版信息

Surg Radiol Anat. 2009 Nov;31(9):681-5. doi: 10.1007/s00276-009-0504-0. Epub 2009 Apr 15.

DOI:10.1007/s00276-009-0504-0
PMID:19367353
Abstract

PURPOSE

To determine the ability to visualize the origin of the right inferior phrenic artery (RIPA) and the left inferior phrenic artery (LIPA) by multidetector row computed tomography (MDCT) in a population without disease of the liver.

METHODS

The origin of the RIPAs and the LIPAs were evaluated using arterial-phase MDCT images in 200 patients.

RESULTS

The RIPA origin was detected in all cases, while LIPA origin was detected in 193 (96.5%) cases. RIPA and LIPA originate as a common trunk from the aorta (16%) and celiac trunk (20%). RIPAs originated separately from the aorta (29%), celiac artery (19.5%), right renal artery (10.5%), left gastric artery (3%), and proper hepatic artery (0.5%). LIPAs originated separately from the celiac artery (38.5%), aorta (16%), left renal artery (0.5%), left gastric artery (2.5%).

CONCLUSIONS

Arterial-phase images of MDCT could demonstrate the origin of the non-dilated IPAs in a population without the disease of the liver.

摘要

目的

确定在无肝脏疾病人群中,通过多排螺旋计算机断层扫描(MDCT)可视化右膈下动脉(RIPA)和左膈下动脉(LIPA)起源的能力。

方法

使用动脉期MDCT图像评估200例患者的RIPA和LIPA起源。

结果

所有病例均检测到RIPA起源,而193例(96.5%)检测到LIPA起源。RIPA和LIPA共同起源于主动脉(16%)和腹腔干(20%)。RIPA分别起源于主动脉(29%)、腹腔动脉(19.5%)、右肾动脉(10.5%)、左胃动脉(3%)和肝固有动脉(0.5%)。LIPA分别起源于腹腔动脉(38.5%)、主动脉(16%)、左肾动脉(0.5%)、左胃动脉(2.5%)。

结论

MDCT动脉期图像可显示无肝脏疾病人群中未扩张的膈下动脉的起源。

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本文引用的文献

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Cardiovasc Intervent Radiol. 2009 Mar;32(2):250-4. doi: 10.1007/s00270-008-9434-1. Epub 2008 Sep 23.
2
MDCT anatomic assessment of right inferior phrenic artery origin related to potential supply to hepatocellular carcinoma and its embolization.多层螺旋CT对右膈下动脉起源的解剖学评估及其与肝细胞癌潜在供血和栓塞的关系
Cardiovasc Intervent Radiol. 2008 Mar-Apr;31(2):349-58. doi: 10.1007/s00270-007-9236-x. Epub 2007 Dec 11.
3
The left inferior phrenic artery arising from left hepatic artery or left gastric artery: radiological and anatomical correlation in clinical cases and cadaver dissection.
起源于肝左动脉或胃左动脉的左膈下动脉:临床病例及尸体解剖的影像学与解剖学相关性
Abdom Imaging. 2008 May-Jun;33(3):328-33. doi: 10.1007/s00261-007-9249-6.
4
Inferior phrenic artery: anatomy, variations, pathologic conditions, and interventional management.膈下动脉:解剖、变异、病理状况及介入治疗
Radiographics. 2007 May-Jun;27(3):687-705. doi: 10.1148/rg.273065036.
5
Diaphragmatic weakness after transcatheter arterial chemoembolization of inferior phrenic artery for treatment of hepatocellular carcinoma.经导管动脉化疗栓塞膈下动脉治疗肝细胞癌后膈肌功能不全
Radiology. 2006 Nov;241(2):581-8. doi: 10.1148/radiol.2412051209. Epub 2006 Sep 27.
6
Inferior phrenic arterial bleeding after adult liver transplantation: incidence, clinical manifestations, and predictive CT features.成人肝移植术后膈下动脉出血:发生率、临床表现及CT预测特征
AJR Am J Roentgenol. 2006 Jul;187(1):W15-9. doi: 10.2214/AJR.05.0795.
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Clinical anatomy of the inferior phrenic artery.膈下动脉的临床解剖学
Clin Anat. 2005 Jul;18(5):357-65. doi: 10.1002/ca.20112.
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Hepatocellular carcinoma: prediction of blood supply from right inferior phrenic artery by multiphasic CT.
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10
Helical CT demonstration of dilated right inferior phrenic arteries as extrahepatic collateral arteries of hepatocellular carcinomas.螺旋CT显示扩张的右下膈动脉作为肝细胞癌的肝外 collateral 动脉。 (注:“collateral”在这里可能是“侧支”的意思,但原词有误,推测可能是“collateral”,准确的医学术语应该是“collateral arteries”即“侧支动脉” ) 准确译文:螺旋CT显示扩张的右下膈动脉作为肝细胞癌的肝外侧支动脉。
J Comput Assist Tomogr. 2001 Jan-Feb;25(1):68-73. doi: 10.1097/00004728-200101000-00012.