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预测健康人体腘动脉直径的因素。

Factors predicting the diameter of the popliteal artery in healthy humans.

作者信息

Sandgren T, Sonesson B, Ahlgren A R, Länne T

机构信息

Department of Surgery, Lund University, Malmö University Hospital, Sweden.

出版信息

J Vasc Surg. 1998 Aug;28(2):284-9. doi: 10.1016/s0741-5214(98)70164-8.

DOI:10.1016/s0741-5214(98)70164-8
PMID:9719323
Abstract

PURPOSE

To determine the relevance of popliteal dilatations, knowledge of the normal popliteal artery diameter is essential. This study investigates the diameter of the popliteal artery in healthy males and females.

METHODS

We measured the diameter of the popliteal artery in 121 healthy volunteers (59 males and 62 females), ages 8 to 81, with echo-tracking B-mode ultrasonography. We analyzed the influence of age, sex, height, weight, body surface area (BSA) and systolic blood pressure with a multiple regression model.

RESULTS

The popliteal artery increased steadily in diameter throughout life. From 25 years on, the diameter was larger in males than in females. If corrected for BSA, this difference decreased from 17% to 7%. This study found a correlation between popliteal artery diameter and BSA (r=0.47 and r=0.61, respectively, p < 0.0001). Age, followed by BSA, was the most influencing factor on popliteal diameter in both males and females (r=0.62 and r=0.66, respectively, p < 0.0001). We used age and BSA in creating a model for prediction of popliteal artery diameter.

CONCLUSIONS

The diameter of the popliteal artery increases with age, initially during growth, but also in adults. This is related to age, body size and sex, with males having larger arteries than females. It is now possible to predict the normal popliteal arterial diameter, and nomograms are presented for use in the study of aneurysmal arterial disease.

摘要

目的

为了确定腘动脉扩张的相关性,了解正常腘动脉直径至关重要。本研究调查了健康男性和女性的腘动脉直径。

方法

我们使用超声跟踪B型超声检查测量了121名年龄在8至81岁之间的健康志愿者(59名男性和62名女性)的腘动脉直径。我们使用多元回归模型分析了年龄、性别、身高、体重、体表面积(BSA)和收缩压的影响。

结果

腘动脉直径在一生中稳步增加。从25岁起,男性的直径大于女性。如果校正体表面积,这种差异从17%降至7%。本研究发现腘动脉直径与体表面积之间存在相关性(分别为r = 0.47和r = 0.61,p < 0.0001)。年龄,其次是体表面积,是男性和女性腘动脉直径的最主要影响因素(分别为r = 0.62和r = 0.66,p < 0.0001)。我们使用年龄和体表面积创建了一个预测腘动脉直径的模型。

结论

腘动脉直径随年龄增加,最初在生长期间增加,在成年人中也会增加。这与年龄、体型和性别有关,男性的动脉比女性的大。现在可以预测正常腘动脉直径,并给出了列线图用于动脉瘤性动脉疾病的研究。

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