Department of Urology, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, 510655, China; Department of General Surgery, The Affiliated Kashi Hospital, Sun Yat-sen University, Kashgar, Xinjiang, 844000, China.
Graceland Medical Center, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, 510655, China.
Asian J Surg. 2023 Oct;46(10):4352-4356. doi: 10.1016/j.asjsur.2022.11.094. Epub 2022 Dec 8.
This study aimed to determine the locations of the inferior epigastric arteries in a group of Uygur by ultrasound and explore the anatomical characteristics of vessels in the management of inferior epigastric bleeding.
The study included 61 patients. The locations of inferior epigastric arteries through ultrasound were determined at three levels, and the distance from the midline was correlated with patients' demographics by Pearson correlation coefficient.
This study included 52 males and nine females, with a mean age of 37.56 years (± SD 3.16) and a mean BMI of 24.34 kg/m (± SD 3.71). At the symphysis pubis level, the average distance from the inferior epigastric artery to the midline was 5.98 ± 0.13 cm on the right and 7.32 ± 0.15 cm on the left. At the anterior superior iliac spine level, the average distance of the inferior epigastric artery on the right was 4.12 ± 0.15 cm and 5.2 ± 0.15 cm on the left. The inferior epigastric arteries were 3.86 ± 0.17 cm on the right and 5.06 ± 0.16 cm on the left of the midline at the level midway between the umbilicus and anterior superior iliac spine.
Inferior epigastric arteries were located between 3.5 and 8 cm from the midline, with the right vessel being closer to the midline than the left. The invasive operations through the abdominal wall should avoid these areas to reduce vascular injury. The anatomical characteristics of inferior epigastric arteries may potentially manage inferior epigastric bleeding.
本研究旨在通过超声确定一组维吾尔族人群中腹壁下动脉的位置，并探讨其在处理腹壁下动脉出血中的血管解剖学特征。
本研究纳入 61 例患者。通过超声确定腹壁下动脉在三个水平的位置，并通过皮尔逊相关系数将其与患者的人口统计学特征相关联。
本研究包括 52 名男性和 9 名女性，平均年龄为 37.56 岁（±3.16），平均 BMI 为 24.34kg/m（±3.71）。在耻骨联合水平，右侧腹壁下动脉到中线的平均距离为 5.98±0.13cm，左侧为 7.32±0.15cm。在髂前上棘水平，右侧腹壁下动脉的平均距离为 4.12±0.15cm，左侧为 5.2±0.15cm。在脐与髂前上棘之间的中点水平，右侧腹壁下动脉为 3.86±0.17cm，左侧为 5.06±0.16cm。
腹壁下动脉位于中线 3.5 至 8cm 之间，右侧血管比左侧更靠近中线。通过腹壁的侵入性操作应避开这些区域，以减少血管损伤。腹壁下动脉的解剖学特征可能有助于处理腹壁下动脉出血。
