大脑中动脉的血管造影与标本解剖对照研究及临床意义  

Angiography and Specimens Control Study of the Middle Cerebral Artery and its Clinical Significance

作　　者：李培[1] 李晓鹏[1] 王华[2] 付升旗[2] 范锡印[2] 李文奇[2] 王怀彬[2] 

机构地区：[1]新乡医学院第三附属医院,河南新乡453003 [2]新乡医学院人体解剖学教研室

出　　处：《临床放射学杂志》2013年第11期1673-1676,共4页Journal of Clinical Radiology

基　　金：河南省教育厅科技攻关课题(编号:200510472027)

摘　　要：目的为选择血管支架的类型和放置部位提供解剖学基础。方法选取无病变的全脑血管造影像100例,观测大脑中动脉的走行、分支及其穿支的开口部位。选取头部标本20具,经双侧翼点入路解剖观测大脑中动脉及其分支、穿支血管。采用两样本均数t检验的统计学方法,比较血管造影像与标本解剖和男性与女性之间有无显著性差异。结果大脑中动脉M1段血管造影的长度和直径分别为(10.65±5.61)mm、(2.30±0.35)mm,标本解剖的长度和外径分别为(13.14±3.62)mm、(3.41±0.38)mm,血管造影与标本解剖有显著性差异(t=9.423、t=12.764,P<0.05)。大脑中动脉M1段中央支的内侧群动脉发自大脑中动脉M1段的上壁和内侧壁,较细小;外侧群动脉发自大脑中动脉M1段分叉处动脉干的上壁和内侧壁,较粗、长。男、女性大脑中动脉M1段血管造影的长度、直径有显著性差异(t=4.223、t=2.356,P<0.05),男性较女性的大脑中动脉M1段长,直径粗。结论大脑中动脉的血管造影与标本解剖对照研究对选择血管支架的类型和放置部位,避免血管支架阻塞中央支开口处,防止术后中央支供应区域缺血等具有重要的临床意义。Objective To provide anatomical basis for selecting the types and placing parts of vascular stent. Methods 100 angiography without positive diseases were selected, the course and branches of the middle cerebral artery and the o pening parts of its perforators were observed. 20 head specimens were selected, the middle cerebral artery and its branches, perforators were observed through the pterion approach. Results M1 segment of middle cerebral artery was（ 10. 65 ± 5.61） ram, （2.30 ±0.35） mm in the length and diameter on the angingraphy, （13.14 ±3.62） mm, （3.41 ±0.38） mm in the length and external diameter of specimens of the M1 segment of middle cerebral artery separately. There were signifi cant difference in the length and diameter between the angiography and specimens separately （ P 〈 0.05 ）. Medial group of central branches were originated from the superior and medial wall of the M1 segment of middle cerebral artery, it was fineand small. Lateral group of central branches were originated from the superior and medial wall of bifurcation of the arterial trunk, it was coarse and long. There were significant difference in length and diameter between the male and female on the angiography respectively （ P 〈 0.05 ） , the male M1 segment of middle cerebral artery were more long and coarse than that of the female. Conclusion Angiography and specimens control study has an important clinical significance for selecting the types and placing parts of vascular stent, avoiding obstruction the opening parts of central branches, preventing postop erative ischemia of the supply area by central branches.

关 键 词：大脑中动脉 血管造影 标本解剖 对照研究 支架成形术 

分 类 号：R743.3[医药卫生—神经病学与精神病学]