S形动脉中的血流动力学研究

Hemodynamics study on S-shaped arteries

目的探索动脉直径大小对S形动脉血流动力学的影响。方法利用数值模拟方法,对具有不同直径的大小两种S形动脉模型在相同的边界条件下的血流动力学时空分布进行了分析。结果在大S形动脉中的二次流比小S形动脉中的要复杂;在弯曲动脉的内弯区存在较强的涡流;弯曲动脉中的压力和壁面切应力变化很剧烈,特别是在大模型中。结论S形弯曲动脉中的血流呈现复杂回流、二次流、压力和壁面切应力剧烈变化等特性,这些都可能影响到动脉内皮的功能及内膜增生。在利用人造或自体血管修复旁路狭窄动脉的手术中,应尽量避免采用S形动脉模型。

Objeclive To understand the effects of the arterial size on the hemodynamics of S-shaped arteries. Method Numerical simulation method was applied to analyze the temporal and spatial distributions of hemodynamic variables in bothlarge and small S-shaped arterial models with different arterial diameters under identical boundary conditions, respectively. Result The secondary flow in the large S-shaped artery is more complex than that in the small one; stronger eddy flow occurred in the inner bends of curved arteries; pressure and wall shear stresses changed violently in the curved arteries, especially in the larger model. Conclusion The hemodynamics of S-shaped arteries may affect the function of arterial endothelium, and result in the thickening of the intima. It may be favorable to avoid using the S-shaped artery in operations to correct or bypass arterial stenosis when utilizing prosthetic or autologous vessels.