良性前列腺增生患者前列腺动脉的解剖学特征及变异的数字减影血管造影研究
Anatomical Characteristics and Variants of Prostatic Artery in Patients of Benign Hyperplasia Prostate by Digital Subtraction Angiography.
作者信息
Xuan Hien Nguyen, Huy Hoang Do, Bich Ngoc Nguyen Thi, Hoang Giang Phan, Van Khanh Le, Duy Trinh Nguyen, Tran Tuan Anh, Nga Vu Thi, Minh Le Bui
机构信息
Bach Mai Radiology Center, Bach Mai Hospital, Hanoi Vietnam.
Institute for Research and Development, Duy Tan University, Danang, Vietnam.
出版信息
Open Access Maced J Med Sci. 2019 Jul 13;7(24):4204-4208. doi: 10.3889/oamjms.2019.361. eCollection 2019 Dec 30.
AIM
This work is aimed to describe anatomical features and variants of the prostatic artery (PA) using digital subtraction angiography (DSA).
METHODS
This is a descriptive statistic study. We reviewed the DSA of 348 patients, who had a PA embolisation to reduce the benign prostatic hyperplasia (BPH) symptoms at Radiology Department of Bach Mai Hospital from Oct - 2014 to Oct - 2018.
RESULTS
PA was found at 660 pelvic halves, of which 30 pelvic halves (4.5%) had two PAs, 630 pelvic halves had one PA. In terms of the origin of PA, in total 690 PAs, the percentage of type 1, 2, 3, 4 and 5 was successively 33.9%, 13.9%, 18.3%, 23.9% and 10.4%, respectively. Atherosclerosis of PA observed in 20.9%. The 'corkscrew' pattern was found in 30.4%. The average diameter of PA was 1.5 ± 0.34mm. The anastomosis of PA with surrounding arteries was common. PA may supply rectum (6.1%), seminal vesical (9.6%), bladder (5.2%), contralateral prostatic parenchyma (13.0%), surrounding soft-tissues (3.5%).
CONCLUSION
The common trunk with SVA superior vesical artery was the most common origin of PA. Anastomoses of PA with surrounding tissues were complex.
目的
本研究旨在利用数字减影血管造影（DSA）描述前列腺动脉（PA）的解剖特征及变异情况。
方法
这是一项描述性统计研究。我们回顾了2014年10月至2018年10月在白梅医院放射科因良性前列腺增生（BPH）症状接受PA栓塞治疗的348例患者的DSA资料。
结果
在660侧骨盆中发现了PA，其中30侧骨盆（4.5%）有两条PA，630侧骨盆有一条PA。就PA的起源而言，在总共690条PA中，1型、2型、3型、4型和5型的比例依次为33.9%、13.9%、18.3%、23.9%和10.4%。观察到PA的动脉粥样硬化发生率为20.9%。发现“螺旋状”模式的发生率为30.4%。PA的平均直径为1.5±0.34mm。PA与周围动脉的吻合很常见。PA可能供应直肠（6.1%）、精囊（9.6%）、膀胱（5.2%）、对侧前列腺实质（13.0%）、周围软组织（3.5%）。
结论
与膀胱上动脉（SVA）共干是PA最常见的起源。PA与周围组织的吻合复杂。
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