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年龄、性别及其对腹主动脉及其分支解剖结构的影响。

Age and sex and their influence on the anatomy of the abdominal aorta and its branches.

作者信息

Góes Adenauer Marinho de Oliveira, de Albuquerque Flávia Beatriz Araújo, Beckmann Fernanda Acatauassú, Centeno Fernanda Vieira, de Andrade Mariseth Carvalho, Vieira Waldonio de Brito

机构信息

Centro Universitário do Estado do Pará - CESUPA, Faculdade de Medicina, Belém, PA, Brasil.

Fundação Santa Casa de Misericórdia do Pará - FSCMPA, Departamento de Radiologia, Belém, PA, Brasil.

出版信息

J Vasc Bras. 2020 Dec 11;19:e20200073. doi: 10.1590/1677-5449.200073.

DOI:10.1590/1677-5449.200073
PMID:34211522
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8218012/
Abstract

BACKGROUND

It is not clear how patients' age and sex influence the anatomy of the aorta and its branches.

OBJECTIVES

To determine the most frequent anatomical patterns of diameter and angulation of the abdominal aorta and its branches and the influence of patients' sex and age on these patterns.

METHODS

CT scans with intravenous contrast from 157 patients were analyzed. Diameter and angulations of the abdominal aorta and its branches were measured in individuals of both sexes, classified into five age groups: 20 to 30 years, 31 to 40 years, 41 to 50 years, 51 to 60 years, and 61 to 70 years. Eighteen variables were analyzed: 6 arterial origin angles, 9 arterial diameters, rate of diameter enlargement, and patient's sex and age. RadiAnt 4.2.1 DICOM viewer software was used for measurements.

RESULTS

The total of 157 CT scans were from 69 men and 88 women. There were statistical differences (p <0.05) in the following results: angle of origin and diameter of the superior mesenteric artery; renal artery angle and diameter; diameter of the common iliac arteries, and diameter and rate of diameter enlargement of the aorta in several segments, but not the segment immediately proximal to the celiac trunk.

CONCLUSIONS

The diameters of several aorta segments and of its branches (except the left renal artery) increase progressively with age in both sexes and are larger and have a higher rate of diameter enlargement in men than in women in the same age ranges. Between sexes, the angle of origin of the superior mesenteric artery was larger in men, except between 20 and 30 years, and the angle of origin of the left renal artery was larger in women between 51 and 60 years old.

摘要

背景

目前尚不清楚患者的年龄和性别如何影响主动脉及其分支的解剖结构。

目的

确定腹主动脉及其分支直径和角度最常见的解剖模式，以及患者性别和年龄对这些模式的影响。

方法

分析了157例患者的静脉造影CT扫描图像。测量了腹主动脉及其分支的直径和角度，这些患者分为五个年龄组：20至30岁、31至40岁、41至50岁、51至60岁和61至70岁。分析了18个变量：6个动脉起始角度、9个动脉直径、直径增大率以及患者的性别和年龄。使用RadiAnt 4.2.1 DICOM查看软件进行测量。

结果

157例CT扫描图像来自69名男性和88名女性。以下结果存在统计学差异（p<0.05）：肠系膜上动脉的起始角度和直径；肾动脉角度和直径；髂总动脉直径，以及主动脉几个节段的直径和直径增大率，但不包括紧邻腹腔干的节段。

结论

在两个性别中，几个主动脉节段及其分支（左肾动脉除外）的直径均随年龄增长而逐渐增加，并且在相同年龄范围内，男性的直径更大且直径增大率更高。在性别之间，肠系膜上动脉的起始角度在男性中更大，但20至30岁之间除外，左肾动脉的起始角度在51至60岁的女性中更大。

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