体质量指数与舌动脉解剖位置相关性研究

Correlation between different body mass index and anatomical position of tongue artery

目的比较不同体质量指数(BMI)人群舌动脉的解剖位置,观察不同BMI、身高、体重与舌长、舌宽、双侧舌动脉间距及舌动脉深度是否有相关性。方法随机选取2020年6至9月于重庆医科大学附属第一医院行CT血管造影(computed tomography angiograph,CTA)检查的314名受试者进行回顾性分析,其中男190名,女124名。年龄20~73(48.83±12.30)岁。将受试者分为4组:低体重组(BMI<18.5 kg/m^(2))32名,正常体重组(18.5 kg/m^(2)≤BMI<24 kg/m^(2))164名,超重组(24 kg/m^(2)≤BMI<28 kg/m^(2))93名,肥胖组(BMI≥28 kg/m^(2))25名。分别测量受试者舌长、舌宽及各测量点的双侧舌动脉间距、舌动脉深度,比较组间各解剖数据差异是否有统计学意义,同时分析BMI与各项解剖参数相关性。采用SPSS 22.0软件进行统计学分析。结果4组受试者性别和年龄构成比差异无统计学意义(χ^(2)值=2.095,F值=0.760,P>0.05)。各组受试者舌宽度及3处测量点(基准点前10 mm、基准点及基准点后10 mm)的双侧舌动脉间距的差异无统计学意义(F值分别为0.760、2.504、3.667、2.242,P>0.05),舌长、3处测量点(基准点前10 mm、基准点及基准点后10 mm)的舌动脉深度数据的差异有统计学意义(F值分别为7.231、6.249、8.445、10.130,P<0.001)。Pearson相关性分析显示,BMI与各测量点双侧舌动脉间距呈正相关(r=0.372、0.395、0.232,P<0.001),BMI与各测量点舌动脉深度呈正相关(r=0.312、0.461、0.453,P<0.001),BMI与舌体长度显著正相关(r=0.441,P<0.001),与舌宽无明显相关性(r=0.202,P>0.05)。结论不同BMI值患者,舌动脉所处位置会有所不同,且呈正相关,在行舌体手术时应该根据不同BMI值患者制定个体手术方案,避免损伤舌动脉。

Objective To compare the anatomical position of the lingual artery in people with different body mass index(BMI),and to observe whether there is a correlation between different body mass index,height,weight with tongue length,tongue width,bilateral lingual artery distance and lingual artery depth,so as to estimate the position of the lingual artery during the operation to guide the operation.Methods Three hundred and fourteen subjects who underwent CT angiography(computed tomography angiograph,CTA)at the First Affiliated Hospital of Chongqing Medical University from June 2020 to September 2020 were randomly selected for retrospective analysis,including 190 males and 124 females people,aged from 20 to 73 years old.The subjects were divided into 4 groups:low body weight(BMI<18.5 kg/m^(2),n=32),normal body weight(18.5 kg/m^(2)≤BMI<24 kg/m^(2),n=164),super weight group(24 kg/m^(2)≤BMI<28 kg/m^(2),n=93),and obesity group(BMI≥28 kg/m^(2),n=25).The subjects′tongue length and tongue width,bilateral lingual artery spacing and lingual artery depth at each measurement point were measured respectively.The differences in anatomical data between the groups were compared to see if there was statistical significance.Meanwhile,the correlation between BMI and various anatomical parameters was analyzed.Statistical analysis was performed using SPSS 22.0 software.Results There was no significant difference in age and gender composition ratio between the four groups of subjects(P>0.05).There was no significant difference in tongue width and bilateral lingual artery distance at 3 measurement points in each group(P>0.05).There was significant difference in tongue length and lingual artery depth at each measurement point(P<0.001).Pearson correlation analysis showed that BMI was significantly positively correlated with bilateral lingual artery distance at each measurement point(r=0.372,0.395,0.232,P<0.001),and BMI was significantly positively correlated with lingual artery depth at each measurement point(r=0.312,0.461,0.453,P>0.001).BMI was significantly positively correlated with tongue length(r=0.441,P<0.001),but not with tongue width.Conclusions In patients with different BMI values,the location of the lingual artery is different and positively correlated.Individual surgical plans should be made according to patients with different BMI values during tongue body surgery to avoid damage to the lingual artery.