椎动脉三维重建成像的解剖学研究

The anatomic study of the vertebral artery by Three-dimensional reconstruction imaging

目的 研究椎动脉各段的解剖学特征,为椎动脉毗邻区域手术提供相关的解剖学数据支持.方法 选取2012年1月至2014年1月间就诊于吉林大学白求恩医学院第一医院的患者60例,其中男性42例、女性18例,重建其椎动脉的三维图像,对其起源走形、长度、分支、汇人等解剖特征进行描记.结果 椎动脉起源较稳定,但仍存在变异;椎动脉前段变异相对较大,后段走形较为稳定.结论 椎动脉走形变异较大,在进行该区域操作时,先行椎动脉三维重建明确椎动脉变异情况有利于椎动脉的保护.

Objective Provide relevant anatomy data for surgery of the vertebral artery by research of the vertebral artery anatomy features. Methods Choose 60 patients （42 males, 18 females） who received treatment between January 2014 and January 2012 in the First Hospital of Jilin university, reconstruction of the vertebral artery by three-dimensional image, its origin contorts, length, branch＇s anatomical characteristics were described. Results Vertebral artery origin was stable, but there was still a variation. Vertebral artery in variation was oppo- site bigger, after a period of stable contorts. Conclusion Vertebral artery contorts polym, during operation, the region ahead of vertebral artery 3D reconstruction clear vertebral artery variation situation is conducive to the pro- tection of the vertebral artery.