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肠系膜上动脉、肠系膜下动脉和腹腔干起源水平的变化在印度人群中的表现。

Variations in origin level of superior mesenteric artery, inferior mesenteric artery, and coeliac trunk in Indian population.

机构信息

Department of Radiology, HBT Medical College and Dr R. N. Cooper Hospital, Mumbai, Maharashtra, 400056, India.

Department of Surgery, Liverpool University Hospital NHS Foundation Trust, Liverpool, L9 7AL, United Kingdom.

出版信息

Br J Radiol. 2024 Sep 1;97(1161):1552-1556. doi: 10.1093/bjr/tqae121.

Abstract

OBJECTIVE

The abdominal aorta is a continuation of the thoracic aorta and gives off the coeliac trunk, superior mesenteric artery, and inferior mesenteric artery. The focus of our study is to evaluate variations in the origin level in the coeliac trunk, superior mesenteric artery, inferior mesenteric artery, and aortic bifurcation in the Indian population and compare with various demographics.

METHODS

The study was retrospective and the local ethics committee approval was taken before starting it. Three hundred patients who were more than 18 years of age and required contrast-enhanced CT studies were included in this. The vertebral origin level of the arteries from the abdominal aorta and aortic bifurcation level was analysed.

RESULTS

The most common origin level of the coeliac trunk for both males and females was T12-L1 disc level. The most common origin level of the superior mesenteric artery was L1 upper level. The most common origin level of the inferior mesenteric artery was L3 upper level. The most common level of aortic bifurcation was L4 middle level. There was no statistical difference between the origin of any arteries in males and females in the Indian population.

CONCLUSION

As per our study of the Indian population and the published literature, it is realized that there are significant variations in the origins of the coeliac trunk, superior mesenteric artery, inferior mesenteric artery, and abdominal aorta bifurcation in different populations.

ADVANCES IN KNOWLEDGE

This study elaborates on potential anatomical variations in the Indian population, particularly the Mumbai city population. Also, our study compares it to different countries' data and their results in variations found in abdominal aorta branches.

摘要

目的

腹主动脉是胸主动脉的延续,分出腹腔干、肠系膜上动脉和肠系膜下动脉。我们的研究重点是评估印度人群中腹腔干、肠系膜上动脉、肠系膜下动脉和主动脉分叉处起源水平的变化,并与各种人口统计学因素进行比较。

方法

本研究为回顾性研究,在开始前已获得当地伦理委员会的批准。纳入了 300 名年龄超过 18 岁且需要进行增强 CT 检查的患者。分析了从腹主动脉和主动脉分叉处发出的动脉的椎体起源水平。

结果

男性和女性腹腔干的最常见起源水平均为 T12-L1 椎间盘水平。肠系膜上动脉最常见的起源水平为 L1 上水平。肠系膜下动脉最常见的起源水平为 L3 上水平。主动脉分叉的最常见水平为 L4 中水平。在印度人群中,男性和女性任何动脉的起源水平均无统计学差异。

结论

根据我们对印度人群的研究和已发表的文献,认识到不同人群中腹腔干、肠系膜上动脉、肠系膜下动脉和主动脉分叉处的起源存在显著差异。

知识进展

本研究详细阐述了印度人群中潜在的解剖学变化,特别是孟买市人群。此外,我们的研究还将其与不同国家的数据及其在腹部主动脉分支中发现的变异结果进行了比较。

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本文引用的文献

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Aortic Origins of the Celiac Trunk and Superior Mesenteric Artery.
Diagnostics (Basel). 2021 Jun 18;11(6):1111. doi: 10.3390/diagnostics11061111.
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Differential growth patterns of the abdominal aorta and vertebrae during childhood.
Clin Anat. 2019 Sep;32(6):783-793. doi: 10.1002/ca.23400. Epub 2019 May 15.
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Positional relationships among the celiac trunk, superior mesenteric artery, and renal artery observed from the intravascular space.
Surg Radiol Anat. 2013 Jul;35(5):411-7. doi: 10.1007/s00276-012-1054-4. Epub 2012 Dec 21.
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Multidetector-row CT angiographic imaging of the celiac trunk: anatomy and normal variants.
Surg Radiol Anat. 2008 Jun;30(4):303-10. doi: 10.1007/s00276-008-0324-7. Epub 2008 Feb 20.

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