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死亡冠的CT成像表现及一种静脉分型新方法

CT imaging findings of corona mortis and a new method for venous typing.

作者信息

Zhang Jing, Huang Jun-Lin, Wang Lin, Chen Xiang, Li Yang

机构信息

Department of Radiology, Gulin County People's Hospital, Luzhou, 646500, China.

Department of Radiology, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, 610041, China.

出版信息

Sci Rep. 2025 Sep 1;15(1):32106. doi: 10.1038/s41598-025-15620-6.

Abstract

To analyze CT angiographic images to provide comprehensive data on the corona mortis (CMOR) and propose a new classification method for venous corona mortis (VCMOR). This retrospective study included 719 patients (378 males, mean age 55 years) who underwent CT-enhanced examination of the whole abdomen or pelvis. Patient demographics, variation incidence, vessel diameter and location, anatomical configuration, and acetabular distance were evaluated. 73.44% of patients had at least one arterial or venous CMOR, with bilateral occurrences being more common (P < 0.001). The incidence of arterial corona mortis (ACMOR) was 23.92%, and it could be categorized into four types. The mean distance from ACMOR to the pubic symphysis was 56.6 mm, with a greater distance in females (62.2 mm) compared to males (50.4 mm) (P < 0.001). The incidence of VCMOR was 68.43%, with a higher bilateral occurrence (P < 0.001). Fourteen anatomical configurations of the VCMOR were identified and classified into two types and five subtypes. The mean interacetabular distance was 200.5 mm. The origin and branching variation of CMOR vary considerably, especially the venous type, which is characterized by diversity and complexity and needs to be recognized before pelvic operation.

摘要

分析CT血管造影图像,以提供关于死亡冠(CMOR)的全面数据,并提出一种新的静脉死亡冠(VCMOR)分类方法。这项回顾性研究纳入了719例接受全腹或盆腔CT增强检查的患者(378例男性,平均年龄55岁)。评估了患者的人口统计学特征、变异发生率、血管直径和位置、解剖结构以及髋臼距离。73.44%的患者至少有一处动脉或静脉CMOR,双侧出现更为常见(P<0.001)。动脉死亡冠(ACMOR)的发生率为23.92%,可分为四种类型。ACMOR到耻骨联合的平均距离为56.6mm,女性(62.2mm)比男性(50.4mm)距离更远(P<0.001)。VCMOR的发生率为68.43%,双侧出现率更高(P<0.001)。确定了VCMOR的14种解剖结构,并分为两种类型和五个亚型。髋臼间平均距离为200.5mm。CMOR的起源和分支变异差异很大,尤其是静脉型,其特点是多样和复杂,在盆腔手术前需要识别。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cec4/12402082/c5fa1f16c10b/41598_2025_15620_Fig1_HTML.jpg

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