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                    子宫动脉造影解剖分析的医学价值研究

                    时间:2019-03-21 来源:课程教育研究 作者:金莹,王婀娜,任莹 本文字数:2134字

                      摘    要:星云棋牌官网下载 目的:分析子宫动脉解剖及造影的临床意义。方法:结合文献资料获取74例子宫疾病患者,设为观察组,另通过文献资料获取74例健康成年女性,设为对照组,对两组人员进行子宫动脉造影解剖结果进行分析,了解疾病的影像学特点,同步获取预后资料,了解治疗有效率和血管并发症发生率等信息。结果:观察组患者的子宫动脉起始处横径较短,子宫动脉起始处至同侧髂总动脉分叉处距离波动较大,与对照组相比,差异具有统计学意义(p<0.05),预后资料表明观察组治疗有效率为97.30%、血管并发症发生率为3.70%。结论:充分了解子宫动脉的解剖,有助于获取与患者病情相匹配的动脉血管信息,为子宫动脉造影等相关检查和治疗提供了参考,降低血管并发症发生率。

                      关键词:星云棋牌官网下载 子宫动脉; 造影; 解剖; 影像学; 血管并发症;

                    星云棋牌官网下载   ZIGONGDONGMAIZHIJINGYIBANZAI2HAOMIZUOYOU,SHINVXINGZIGONGGECHUZUZHI、XIBAOHUOQUXUEYANGDEHEXINQIGUAN。ZIQIANEIDONGMAIQIANGANFACHU,CHUANJINGZIGONGKUORENDAIJIDIBUDENGCHU,YUJITIXUEYEXUNHUANXITONGLIANWEIYITI。FENXIZHICHUGELEIZIGONGXIANGGUANJIBINGDUOKEDAOZHIXUEGUANXINGTAIXUEYICHANG,JIEZHUZIGONGDONGMAIZAOYINGJIEPOUJIUQIBIANHUATEZHENGJINXINGFENXI,YOUZHUYUTISHENGZHILIAOXIAOGUO。BENWENJIEHEWENXIAN,HUOQUYANJIUJIEGUORUXIA:

                      1. 资料与方法

                      1.1 、一般资料

                      JIEHEWENXIANZILIAOHUOQU74LIZIGONGJIBINGHUANZHE,SHEWEIGUANCHAZU,LINGTONGGUOWENXIANZILIAOHUOQU74LIJIANKANGCHENGNIANNVXING,SHEWEIDUIZHAOZU,GUANCHAZU:NIANLING23-51SUI,PINGJUNNIANLING(41.0±5.6)SUI。DUIZHAOZU:NIANLING22-52SUI,PINGJUNNIANLING(40.8±5.9)SUI。LIANGZUYIBANZILIAOCHAYIWUTONGJIXUEYIYI(p>0.05)。

                      1.2、 方法

                      DUIWENXIANZILIAOJINXINGFENXI,SUOYOUHUANZHE、JIANKANGRENYUANJIESHOUZIGONGDONGMAIZAOYING。JINGPIJINXINGGUDONGMAICHUANCI,DUISHUANGCEQIANEIZIGONGDONGMAIJINXINGZAOYING,TONGBUJINXINGSHUANSAIHUOQUJINGZHUNDUIBIJIEGUO。YUDONGMAIBUWEIJINXINGZHENGWEIPIANPAISHE,BINGZAOWEIZHITESHU、XUEGUANZHONGDIEZEJINXINGZHENGWEI、XIEWEIPIANDEFENBIEPAISHE,XINGJIAQUANCHENGXIANGJINXINGJIEPOUFENXI。ZAOYINGJIYONGLIANG8DAO10HAOSHENG,ZHURUSULVWEIMEIMIAO1.5DAO2.0HAOSHENG,ZAOYINGYALIFANGMIAN,QUGUDINGCANSHUWEI300psi。SHUANSAIJIWEIPINGYANGMEISUYUDIANYOU,CUNZAIGUOMINWENTIDEHUANZHE,YIHAIZAOSUANTIDAI,YONGLIANG600μm。DAOCHUSUOYOUYUANSHISHUJU,YINGYONGXUEGUANTANZHENZUOBOCENGTUXIANGDEFENXI,QUEDINGBIAOZHIWUHOUJINXINGCEDINGHEJILU。

                      2. 分析结果

                    星云棋牌官网下载   GUANCHAZUHUANZHEDEZIGONGDONGMAIQISHICHUHENGJINGWEI(2.13±0.35)mm,ZIGONGDONGMAIQISHICHUZHITONGCEQIAZONGDONGMAIFENCHACHUJULIWEI(72.62±26.42)mm,BODONGJIAODA;DUIZHAOZUHUANZHEDEZIGONGDONGMAIQISHICHUHENGJINGWEI(2.41±0.42)mm,ZIGONGDONGMAIQISHICHUZHITONGCEQIAZONGDONGMAIFENCHACHUJULIWEI(85.34±12.41)mm,BODONGJIAOXIAO。GUANCHAZUZHILIAOYOUXIAOLVWEI97.30%(72/74)、XUEGUANBINGFAZHENGFASHENGLVWEI3.70%(2/74)。BINGFAZHENGBAOKUOXUEGUANSUNSHANG1LI、FEIJIHUASHUANSAI1LI。XUEGUANSUNSHANGHUANZHEYIYAPOFAZHIXUE,WUEHUA;FEIJIHUASHUANSAIHUANZHEYIYAOWUJINXINGRONGSHUAN,WUEHUA。

                      3. 讨论

                      子宫动脉在机体内的作用突出,承担着向子宫各处进行血氧供应的重要职责。因相当一部分子宫疾病与血运、血氧供应异常存在关联,针对动脉血管信息进行的分析,也被看作是疾病诊断的关键方式之一。此前学者研究发现,剖宫产瘢痕妊娠后子宫动脉多出现管腔狭窄问题,给予介入栓塞后,剖宫产的安全性得到提升,治疗有效率可达到95%以上。
                     

                    子宫动脉造影解剖分析的医学价值研究
                     

                    星云棋牌官网下载   ZIGONGDONGMAIBAOKUOZHUDONGMAIHERUOGANXIAODONGMAIZUCHENG,KEXINGCHENGWEIXUNHUAN,YECANYUJITIXUEYEDAXUNHUAN。ZHENDUIZIGONGBUWEIJINXINGSHOUSHUZHILIAO,XUYAOTONGGUOSHUANSAISHUBIMIANDONGMAIXUEYEDALIANGLIUSHI,ZHEIYEXUYAOYOUXIAOZHANGWOHUANZHEZIGONGDONGMAIDEBINGBIANTAISHI。ZIGONGDONGMAIZAOYINGJIEPOUDEZHIJIEDUIXIANGWEIYINGXIANGZILIAO,ERFEIHUANZHEJITI,ZHEISHIDEGONGZUOXIAOLVHEANQUANXINGDEDAOBAOZHENG。YIBANERYAN,DANGHUANZHEZIGONGBUWEICHUXIANBINGLIGAIBIAN,QIZIGONGDONGMAIDEQISHICHUHENGJINGKENENGBIANXIAO,ZHEIYUXUEYEGONGYINGZHANGAICUNZAIZHIJIEGUANLIAN,HUANZHEDEDONGMAIQISHICHUZHITONGCEQIAZONGDONGMAIFENCHACHUJULI,ZEHUISHOUDAOBINGQINGYINGXIANGCHUXIANBODONGBIANHUA,KENENGZENGJIA,YEKENENGJIANSHAO,CHUXIANSHANGSHUBINGLIGAIBIAN,JIKEGENJUQITEYIXINGJINXINGHOUXUFENXI。RUHUANZHESHOUBANHENRENSHENYINGXIANG,QIZIGONGDONGMAIXUEGUANCHUXIANXINGTAIBIANHUA,ZAIGONGXUEXUQIUBUBIANDEQINGKUANGXIA,HENGJINGSUOXIAO,DONGMAIQISHICHUZHITONGCEQIAZONGDONGMAIFENCHACHUJULIDUIYINGZENGJIA,KEDAOZHIZIGONGNEIMODENGCHUZUZHIDEXUEYANGGONGYINGBUCHANG,SHENZHIJUBUHUAISI,YINGXIANGXUEZILIAOZHONGKEBUZHUOSHANGSHUXINXI,HUAISIBUWEICHENGXIANDIANZHUANG、TUANZHUANGYINYING,KEZUOWEICANKAOJINXINGSHOUSHUSHUANSAIBUWEIXUANQU,TISHENGSHOUSHUDECHENGGONGLVHEZHENDUIXING。

                      ZIGONGDONGMAIZAOYINGDESHIYINGZHENGBAOKUOCHANKEDACHUXUE、ZIGONGZHONGLIU、ZIGONGJIFUJIANZHONGLIU、ZIGONGZHONGLIU(BINGYINBUMING)DENG,HUANZHECUNZAIGAN、SHEN、XINZANGZANGQIGONGNENGBUQUAN,BUYIJINXINGZIGONGDONGMAIZAOYING,NINGXUEZHANGAIHUANZHE、GUOMINHUANZHE、YANZHENGHUANZHEYEBUYIJINXINGZIGONGDONGMAIZAOYING。ZAOYINGGONGZUOKAISHIQIAN,YAOQIUZUOHAOXINXICHUANDI,SHIHUANZHELEJIEJIBENGUOCHENG,ZHIHOUZUOHAOTIZHENGFENXIJIANCHA,YOUQISHIYISININGXUEZHANGAI、ZANGQIGONGNENGZHANGAIDEHUANZHE。SHUQIAN4hJINYINSHI。PAIKONGDAXIAOBIAN,BINGXUNLIANBINGRENPINGQI,DUIYUCUNZAIANQUANYINHUANDEHUANZHEYEYINGZUOQIANGJIUZHUNBEI。ZHUYAOQIXIEBAOKUOXINXUEGUANXXIANJI、XIAODUBAO、YALIZHUSHEQI、DAOGUANQIAO、DAOGUAN、DUIBIJIHEMAZUIJIDENG。ZAOYINGGUOCHENGZHONG,ZEYINGZHONGSHIBINGQINGGENZONG,LEJIEHUANZHETIZHENGBIANHUA,SHUHOUJINXINGBINGFAZHENGYUFANG。ZIGONGDONGMAIZAOYINGXUANZEXINGCHAGUANZAOYING,YINGXIANXINGQIANEIDONGMAIZAOYING,LEJIEZIGONGDONGMAIKAIKOU。

                    星云棋牌官网下载   ZONGSHANGSUOSHU,CHONGFENLEJIEZIGONGDONGMAIDEJIEPOU,YOUZHUYUHUOQUYUHUANZHEBINGQINGXIANGPIPEIDEDONGMAIXUEGUANXINXI,WEIZIGONGDONGMAIZAOYINGDENGXIANGGUANJIANCHAHEZHILIAOTIGONGLECANKAO,JIANGDIXUEGUANBINGFAZHENGFASHENGLV。

                      参考文献

                      [1]欧阳振波,钟碧婷,全松,等.剖宫产瘢痕妊娠动脉造影的影像学特点及临床意义[J].中国计划生育学杂志,2019(02):192-195.
                      [2]白冰,赵丽,王效岗.剖宫产瘢痕妊娠后子宫动脉介入栓塞的临床应用价值[J].临床医药实践,2018(10):771-773.
                      [3]梁昊,闫磊,韩新巍,等.髂外动脉造影在瘢痕子宫产后出血子宫动脉栓塞术中应用价值[J].介入放射学杂志,2018(05):481-484.

                      金莹,王婀娜,任莹.子宫动脉造影解剖学分析及其临床意义[J].课程教育研究,2020(01):238.
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