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[骨盆血管铸型标本的三维CT与血管造影:髋臼动脉血供的显示]

[3D-CT and angiography of cast preparations of pelvic vessels: demonstration of arterial blood supply of the acetabulum].

作者信息

Bachmann G, Pfeifer T, Spies H, Katthagen B D

机构信息

Röntgenabteilung Innere Medizin, Kliniken der Justus-Liebig-Universität, Giessen.

出版信息

Rofo. 1993 Mar;158(3):214-20. doi: 10.1055/s-2008-1032636.

DOI:10.1055/s-2008-1032636
PMID:8453073
Abstract

Anatomical studies of the arterial blood supply of the acetabulum were performed utilizing conventional angiography and 3D-CT on 27 hip specimens. In 16 cases the arterial arborization was filled with undiluted barium-sulfate via the internal artery and in 11 cases with a solution of resin and lead power. 3 specimens out of 30 were excluded because of extravasation using barium-sulfate in one case and incomplete filling with resin in 3 cases. Conventional angiograms were performed in all specimens and in preparations with resin/lead power additional three-dimensional reconstructions of the surface of the acetabulum and arterial cast were done with 3D-CT. 3D-CT shows precise relationship of the arteries to the acetabulum in any spatial plane and definition of vascular supply without elaborate preparation. 3D-CT is superior to non-selective conventional angiography because of better definition of arterial arborization. Filling with resin and lead powder is optimal for anatomical studies because of its reliability and stability. It permits comparative 3D-CT and conventional x-ray examination and subsequent preparation of the vessels in corrosion technique. The advantages of 3D-CT in vessels of cadaver specimens should encourage research on its viability in patients.

摘要

利用传统血管造影术和三维计算机断层扫描(3D-CT),对27个髋关节标本进行了髋臼动脉血供的解剖学研究。16例通过内动脉向动脉分支注入未稀释的硫酸钡,11例注入树脂和铅粉溶液。30个标本中有3个被排除,其中1例因硫酸钡外渗,3例因树脂填充不完全。对所有标本均进行了传统血管造影,并对注入树脂/铅粉的标本用3D-CT对髋臼表面和动脉铸型进行了额外的三维重建。3D-CT能在任何空间平面显示动脉与髋臼的精确关系,并能在无需精细准备的情况下确定血管供应情况。由于对动脉分支的显示更佳,3D-CT优于非选择性传统血管造影。注入树脂和铅粉因其可靠性和稳定性,最适合用于解剖学研究。它能进行3D-CT与传统X线检查的对比,并随后用腐蚀技术处理血管。3D-CT在尸体标本血管研究中的优势应促使人们研究其在患者中的可行性。

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