广东省非选择性人群左髂总静脉受压的影像流行病学调查

doi:10.13418/j.issn.1001-165x.2023.1.19

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中国临床解剖学杂志 ›› 2023, Vol. 41 ›› Issue (1) : 104-109. DOI: 10.13418/j.issn.1001-165x.2023.1.19

临床研究

广东省非选择性人群左髂总静脉受压的影像流行病学调查

朱桥华¹，朱辉严²，陈敏明³，孔伟⁴，冯瑞枝⁵，罗钧⁶，陈德华⁷

作者信息 +

Image-based epidemiological study on left common iliac vein compression in unselected population in Guangdong province

Zhu Qiaohua¹, Zhu Huiyan², Chen Minming³, Kong Wei⁴, Feng Ruizhi⁵, Luo Jun⁶, Chen Dehua⁷

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摘要

目的调查广东省非选择性人群左髂总静脉（left common iliac vein，LCIV）受压的流行病学情况。方法采用非概率抽样方法进行多中心抽样。测量样本的CT参数，如LCIV最小短径（DLCIV-min）、右髂总静脉最小短径（DRCIV-min）、下腔静脉分叉角度（IVC-BA）、腹主动脉分叉角度（AA-BA）、下腰椎前曲角（LLLA）、压迫点附近腰椎骨质增生（LVH）及髂动脉钙化（IAC）发生率等。计算LCIV受压比例（LCIV-CP），根据LCIV-CP将受压程度（CS）分为轻度（CP≤50%）、中度（50%＜CP≤70%）及重度（CP＞70%）。结果本研究样本数为1078，其中男584，女494，年龄中位数为56.00岁。LCIV-CP中位数为44.21%，范围0~89.86%。轻度、中度及重度受压的人群比例分别为61.41%、29.31%和9.28%。男性和女性CP的中位数分别为42.12%和46.61%，两者差异具有统计学意义。青年、中年及老年人群的中位CP分别为52.00%、45.24%和38.13%，3组比较差异具有统计学意义。在中重度受压人群中，中年女性占比最高。影响LCIV-CP和CS分布的主要因素是性别和年龄。结论 LCIV受压是普遍存在的，性别和年龄影响LCIV-CP和CS的分布。中年女性是LCIV受到中重度压迫的高危人群。

Abstract

Objective To investigate the epidemiology of left common iliac vein (LCIV) compression in unselected population in Guangdong province of China. Methods Nonprobability sampling method was used in this multiple center study. CT parameters, such as LCIV minimum diameter, right common iliac vein minimum diameter, inferior vena cava bifurcation angle (IVC-BA), abdominal aorta bifurcation angle (AA-BA) and lower lumbar lordosis angle (LLLA) were measured, and presence of lumbar vertebral hyperostosis(LVH) and iliac arterial calcification(IAC) near the compression site were recorded. The compression percentage of LCIV (LCIV-CP) was calculated. Compression severity (CS) was classified as mild (CP≤50%), moderate (50% 70%). Results One thousand and seventy-eight subjects were enrolled, including 584 males and 494 females, with a median age of 56.0. The median LCIV-CP was 44.21% and the range was 0-89.9%. 61.41%, 29.31%, and 9.28% of subjects were graded with mild-, moderate-, and severe CS, respectively. The median LCIV-CPs of females and males were 46.61% and 42.12%, with a significant difference. The median LCIV-CPs of the young, middle-aged, and elderly groups were 52.0%, 45.2%, and 38.1%, respectively. Age differences were observed. Middle-aged females comprised the highest percentage of subjects with moderate or severe CS. The factors affecting the LCIV-CP and CS distribution were gender and age. Conclusions LCIV compression is common, and gender and age affect the LCIV-CP and CS distribution. Middle-aged females are the high-risk population with moderate-severe compression.

导出引用

朱桥华, 朱辉严, 陈敏明, 孔伟, 冯瑞枝, 罗钧, 陈德华. 广东省非选择性人群左髂总静脉受压的影像流行病学调查[J]. 中国临床解剖学杂志. 2023, 41(1): 104-109 https://doi.org/10.13418/j.issn.1001-165x.2023.1.19

Zhu Qiaohua, Zhu Huiyan, Chen Minming, Kong Wei, Feng Ruizhi, Luo Jun, Chen Dehua. Image-based epidemiological study on left common iliac vein compression in unselected population in Guangdong province[J]. Chinese Journal of Clinical Anatomy. 2023, 41(1): 104-109 https://doi.org/10.13418/j.issn.1001-165x.2023.1.19

中图分类号： R322 R814.42

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