闭塞性动脉硬化症髂股动脉形态学表现及中医证型的相关性研究.pdfVIP

提 要 目的：探讨 ASO 髂股动脉各分支截面积与中医辩证分型的相关性。方法：收集 ASO 住院患者 79 例，其中血瘀型 54 例，湿热下注型 25 例，并选取非 ASO 患者 49 例作为对照，分别进行多层螺旋 CT 髂股动脉成像检查，扫描范围从腹主动脉肾动脉 开口平面至股动脉中上段，螺距 5.5，层厚 5mm，扫描图像经工作站多平面重组处理， 对每组的腹主动脉下端分叉、髂总动脉分叉及股总动脉分叉血管截面积进行测量、计 算，并统计比较。结果：内面积和相对狭窄度髂股动脉多数分支ASO 组明显小于对 照组，右股总动脉内面积湿热下注型大于血瘀型，左股深动脉相对狭窄度湿热下注型 明显小于血瘀型；外面积除双侧股总动脉湿热下注型大于对照组以外，髂股动脉其余 分支各组未见明显差异；内面积扩张率腹主动脉分叉 ASO 组明显小于对照组，右髂 总动脉内面积扩张率湿热下注型小于血瘀型，双侧股总动脉内面积扩张率湿热下注型 大于血瘀型及对照组；外面积扩张率左髂总动脉湿热下注型大于血瘀型及对照组，左 股总动脉湿热下注型组大于对照组；内面积不对称因子右侧股浅/深动脉 ASO 组明显 小于对照组，左股浅/深动脉血瘀型大于对照组；外面积不对称因子右髂内/外动脉湿 热下注型大于对照组，左股浅/深动脉 ASO 组大于对照组。结论：ASO 患者髂股动脉 截面积与非ASO 患者具有显著性差异，而ASO 患者各中医证型之间亦存在一定差别， 可以以此对其进行初步的区分。 关键词 闭塞性动脉硬化症；辩证分型；髂股动脉；面积测量；CT 血管成像 Research on the Relationship Between iliac femoral artery morphological approach and Differentiation of the Syndromes of arteriosclerotic occlusive diseases Specialty:Traditional Chinese medicine surgery Author:Wang jianguo Tutor:Chen Bainan Abstract Objective: To investigate the iliac femoral artery morphological approach characteristics of arteriosclerosis obliterans blood stasis syndrome and damp-heat pouring down syndrome, and the difference between two syndrome. Methods: 79 cases of arteriosclerosis obliterans patients were selected as study object(54 cases in blood stasis syndrome group and 25 cases in damp-heat pouring down syndrome),and 49 cases of the healthy voluntary persons were taken as the normal control group. Iliac femoral artery of all the cases underwent imaging with multislice computed tomography angiography from the supraceliac abdominal aorta to the mid of femoral artery. Transverse sections were acquired with a 5mm nominal detector width and pitch of 5.5 following intraven