CT Room and Department of Cardiothoracic Surgery and Neurosurgery, Shijiazhuang Third Hospital, Shijiazhuang, Hebei Province, China.
Department of Medical Imaging, The Second Hospital of Hebei Medical University, Hebei Province, China.
Medicine (Baltimore). 2022 Aug 5;101(31):e30026. doi: 10.1097/MD.0000000000030026.
To investigate the normal diameter of the abdominal aorta and common iliac arteries of the middle-aged and elderly people in China and the relationship of the diameters with age, sex, height, weight, body mass index (BMI), and body surface area (BSA). This retrospective study enrolled 625 patients including 380 males and 245 females aged 60.00 years (interquartile range 13.00 years). All clinical data and the diameters of the abdominal aorta and common iliac arteries were analyzed. The diameter of the abdominal aorta was 21.49 ± 2.49 mm at the proximal, 16.94 (interquartile range 2.39) mm at the middle, and 15.65 (interquartile range 2.90) mm at the distal segment. The diameter of the common iliac artery was 10.76 (interquartile range 1.99) mm at the right proximal, 10.41 (interquartile range 2.05) mm at the left proximal, 10.74 (interquartile range 2.25) mm at the right distal, and 10.67 (interquartile range 2.22) mm at the left distal segment. The height, weight, BSA, BMI, diameters of the proximal, middle and distal abdominal aorta as well as the proximal and distal left and right common iliac arteries were significantly higher in males than those in females (P < .001). Height, weight, BSA, and BMI were significantly (P < .001) positively correlated with the diameter of the abdominal aorta and common iliac artery at the proximal, middle, and distal segments. The middle and distal diameters of the abdominal aorta were significantly higher in males than those in females (P < .05). The diameter of the abdominal aorta at the proximal, middle, and distal segment as well as the diameter of the left and right common iliac artery at the distal segment were significantly (P < .05) increased with age. The normal values of the diameter of the abdominal aorta and common iliac arteries are suggested for the middle-aged and elderly Chinese people for clinical reference. The diameters are gender related and significantly positively correlated with BSA, height, weight, and BMI, which is beneficial for the diagnosis and treatment planning of relevant vascular diseases.
探讨中国中老年人腹主动脉和髂总动脉正常直径及其与年龄、性别、身高、体重、体重指数(BMI)和体表面积(BSA)的关系。
本研究为回顾性研究,纳入 2018 年 1 月至 2021 年 1 月在我院就诊的 625 例患者,其中男 380 例,女 245 例,年龄 60.00 岁(四分位间距 13.00 岁)。分析所有患者的临床资料及腹主动脉和髂总动脉直径。腹主动脉近端直径为 21.49 ± 2.49 mm,中段直径为 16.94(四分位间距 2.39)mm,远端直径为 15.65(四分位间距 2.90)mm。髂总动脉右近端直径为 10.76(四分位间距 1.99)mm,左近端直径为 10.41(四分位间距 2.05)mm,右远端直径为 10.74(四分位间距 2.25)mm,左远端直径为 10.67(四分位间距 2.22)mm。男性的身高、体重、BSA、BMI 及腹主动脉近端、中段和远端直径和左、右髂总动脉近端和远端直径均显著高于女性(P <.001)。身高、体重、BSA 和 BMI 与腹主动脉和髂总动脉近端、中段和远端直径呈显著正相关(P <.001)。男性腹主动脉中段和远端直径显著高于女性(P <.05)。腹主动脉近端、中段和远端及左、右髂总动脉远端直径均随年龄增长而显著增加(P <.05)。
为临床参考,本研究为中国中老年人提供了腹主动脉和髂总动脉正常直径及其与性别、年龄、身高、体重、BMI 等因素的关系。该研究结果提示腹主动脉和髂总动脉直径与性别有关,与 BSA、身高、体重和 BMI 呈显著正相关,这有利于相关血管疾病的诊断和治疗计划。