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卵圆窝的形态学特征作为经间隔导管插入术的解剖学基础。

Morphologic characteristics of the fossa ovalis as an anatomic basis for transseptal catheterization.

作者信息

Reig J, Mirapeix R, Jornet A, Petit M

机构信息

Department of Morphologic Sciences, Medical School, Autonomous University of Barcelona, Spain.

出版信息

Surg Radiol Anat. 1997;19(5):279-82. doi: 10.1007/BF01637589.

DOI:10.1007/BF01637589
PMID:9413071
Abstract

Interest in transseptal catheterization has increased in recent decades, due to the fact that the technique has acquired a degree of security similar to other procedures. For a correct transseptal catheterization technique, it is essential to know the exact location of the fossa ovalis, its points of reference, and those morphologic parameters which allow us to assume precisely its dimensions. For this purpose, 97 human fresh hearts were studied (age range: 17-94 years; mean 63.74 +/- 18.50, 62 (64%) men and 35 (36%) women). The major and minor diameters of the fossa ovalis and the thickness of the intervenous tubercle were measured. In 22% of the cases, the fossa ovalis was permeable. Correlative tests between morphologic and general parameters were made. A positive correlation between cardiac weight and fossa ovalis area, and cardiac weight and thickness of the anterior limbus of the fossa was obtained.

摘要

近几十年来,由于经房间隔导管插入术已具备与其他手术相似的安全程度,对其的关注度有所提高。对于正确的经房间隔导管插入术,了解卵圆窝的确切位置、其参考点以及那些能让我们精确推测其尺寸的形态学参数至关重要。为此,研究了97颗人类新鲜心脏(年龄范围:17 - 94岁;平均63.74 +/- 18.50,男性62例(64%),女性35例(36%))。测量了卵圆窝的长径和短径以及静脉间结节的厚度。在22%的病例中,卵圆窝是可通透的。进行了形态学参数与一般参数之间的相关性测试。得出心脏重量与卵圆窝面积、心脏重量与卵圆窝前边缘厚度之间呈正相关。

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