腹主动脉与左侧腰大肌距离影响因素CT解剖学研究

doi:10.13418/j.issn.1001-165x.2024.5.19

中国临床解剖学杂志 ›› 2024, Vol. 42 ›› Issue (5): 595-600.doi: 10.13418/j.issn.1001-165x.2024.5.19

腹主动脉与左侧腰大肌距离影响因素CT解剖学研究

高峻^1,2，　李玉伟^1,2，　吴航^1,2，　李飒爽¹，　杨凯乐¹，　董鹏^1,2*

山东第二医科大学　1.医学影像学院，　2.附属医院影像中心，山东潍坊 261031

收稿日期:2024-01-17 出版日期:2024-09-25 发布日期:2024-10-21
作者简介:高峻（1999-），男，山东潍坊人，在读硕士，研究方向：腹部疾病影像学，E-mail：gaojun317@163.com
基金资助:
潍坊市科技发展计划项目（2020YX036）

CT anatomical study of influential factors on the distance between abdominal aorta and left psoas major muscle

Gao Jun^1,2, Li Yuwei^1,2, Wu Hang^1,2, Li Sashuang¹, Yang Kaile¹, Dong Peng^1,2*

1.School of Medical Imaging, Shandong Second Medical University, Weifang 261053, Shandong Province, China; 2.Imaging Center, Affiliated Hospital of Shandong Second Medical University, Weifang 261031, Shandong Province, China

Received:2024-01-17 Online:2024-09-25 Published:2024-10-21

摘要/Abstract

摘要： 目的　基于CT图像测量不同层面腹主动脉与左侧腰大肌距离（distance between the abdominal aorta and the left psoas major，DALP），分析其影响因素。方法　回顾116例正常成人CT和临床资料，测量L2-L5椎间盘层面DALP、左侧腰大肌径线、腰大肌横截面积（cross-sectional area，CSA）、主动脉直径，L2椎体横径及面积、L2和脐水平前腹壁脂肪组织厚度、L2和脐水平皮下脂肪组织面积（subcutaneous fat area，SFA）及腹内脂肪组织面积（visceral fat area，VFA），并计算L2和脐水平VFA/SFA；测量82例患者L2~5椎间盘层面左侧腰大肌放射学密度、密度标准差、放射性密度比（radiographic density ratio，RDR）。分析不同椎间盘层面DALP与其他指标的相关性。结果　DALP于L2~L5呈递减趋势。年龄与L2~L5椎间盘层面DALP呈正相关（均P<0.01）。L2~L3椎间盘层面DALP与该层面腰大肌CSA呈负相关（P<0.01），与L2水平VFA/SFA呈正相关（P<0.05）；L3~L4椎间盘层面DALP与腰大肌CSA呈负相关（P<0.01），与L2水平VFA/SFA呈正相关（P<0.01）；L4~L5椎间盘层面DALP与该层面腰大肌CSA呈负相关（P<0.01），与L2水平VFA/SFA呈正相关（P<0.05）。结论　CT图像上，腹主动脉与左侧腰大肌距离与年龄、腰大肌CSA和L2水平VFA/SFA有关；术前行CT检查对OLIF手术具有指导意义。

关键词: CT, 　腹主动脉, 　腰大肌, 　影响因素, 　距离

Abstract: Objective　To measure the distance between the abdominal aorta and the left psoas major (DALP) at different levels based on CT images and analyzed its influential factors.　Methods　The CT and clinical data of 116 normal adults were retrospectively analyzed. The following measurements were taken: DALP, diameter of the left psoas major, cross-sectional area (CSA) of the psoas major, aortic diameter, transverse diameter and area of the L2 vertebral body, thickness of anterior abdominal wall fat at L2 and navel level, subcutaneous fat area (SFA), visceral fat area (VFA) at L2 and navel level. Additionally, VFA/SFA ratios were calculated at both L2 and navel levels. The radiographic density, density standard deviation and radiographic density ratio (RDR) of the left psoas major muscle at three intervertebral disc levels of L2-L5 were measured in 82 patients. The correlation between the DALP and other data at three intervertebral disc levels of L2-L5 was analyzed, and the regression equation was calculated.　Results　The DALP decreased from level L2 toL5. Age was positively correlated with DALP at L2-L5 disc level (all P<0.01).The DALP at the L2-L3 disc level was negatively correlated with the CSA of the psoas major at the L2-L3 disc level (P<0.01), and positively correlated with the VFA/SFA at L2 level (P<0.05). The DALP was negatively correlated with the CSA of the psoas major at the L3-L4 disc level (P<0.01), and positively correlated with the VFA/SFA at L2 level (P<0.01). The DALP was negatively correlated with the CSA of the psoas major at L4-L5 disc level (P<0.01), and positively correlated with the VFA/SFA at L2 level (P<0.05).　Conclusions　On CT images, the distance between the abdominal aorta and the left psoas major was influenced by age, CSA of the psoas major and the VFA/SFA at L2 level. Preoperative CT examination is of great significance in guiding the OLIF operation.

Key words: CT, , , Abdominal aorta, , , Psoas major, , , Influential factors, , , Distance

中图分类号:

高峻, 李玉伟, 吴航, 李飒爽, 杨凯乐, 董鹏. 腹主动脉与左侧腰大肌距离影响因素CT解剖学研究[J]. 中国临床解剖学杂志, 2024, 42(5): 595-600.

Gao Jun, Li Yuwei, Wu Hang, Li Sashuang, Yang Kaile, Dong Peng. CT anatomical study of influential factors on the distance between abdominal aorta and left psoas major muscle[J]. Chinese Journal of Clinical Anatomy, 2024, 42(5): 595-600.

参考文献

[1] Silvestre C, Mac-Thiong JM, Hilmi R, et al. Complications and morbidities of mini-open anterior retroperitoneal lumbar interbody fusion: oblique lumbar interbody fusion in 179 patients[J]. Asian Spine J, 2012, 6(2): 89-97. DOI: 10.4184/asj.2012.6.2.89.
[2] 韩孟龙. 磁共振3D COSMIC序列在斜外侧腰椎椎间融合术术前评估的应用研究[D]. 衡阳: 南华大学, 2021. DOI: 10.27234/d.cnki.gnhuu.2021.000849.
[3] Wang Z, Liu L, Xu XH, et al. The OLIF working corridor based on magnetic resonance imaging: a retrospective research[J]. J Orthop Surg Res, 2020, 15(1): 141. DOI: 10.1186/s13018-020-01654-1.
[4] 何华, 孙曾梅, 唐蜀西, 等. Image J测量CT扫描图像脂肪面积的应用[J]. 广东医学,2017, 38(2): 255-258. DOI: 10.13820/j.cnki.gdyx. 2017. 02.016.
[5] 常云峰. 应用放射学方法测量活体胸腰椎推算身高[D]. 成都: 四川大学, 2006.
[6] Mayer HM. A new microsurgical technique for minimally invasive anterior lumbar interbody fusion[J]. Spine (Phila Pa 1976), 1997, 22(6): 691-699, 700. DOI: 10.1097/00007632-199703150-00023.
[7] Julian Li JX, Mobbs RJ, Phan K. Morphometric MRI imag-ing study of the corridor for the oblique lumbar interbodyfusion technique at L1~L5[J]. World Neurosurg, 2018,111: e678-e685. DOI: 10.1016/j.wneu. 2017.12.136.
[8] Liu L, Liang Y, Zhang H, et al. Imaging anatomical research on the operative windows of oblique lumbar interbody fusion[J]. PLoS One, 2016, 11(9): e0163452. DOI: 10.1371/journal.pone.0163452.
[9] Davis TT, Hynes RA, Fung DA, et al. Retroperitoneal oblique corridor to the L2~S1 intervertebral discs in the lateral position: an anatomic study[J]. J Neurosurg Spine, 2014, 21(5): 785-793. DOI: 10.3171/2014.7.SPINE13564.
[10]Boghani Z, Steele WI, Barber SM, et al. Variability in the size of the retroperitoneal oblique corridor: a magnetic resonance imaging-based analysis[J]. Surg Neurol Int, 2020, 11: 54. DOI: 10.25259/SNI_438_2019.
[11] 左玉强, 柳青, 关兴, 等. CT定量测量骨骼肌脂肪浸润程度预测老年肌少症价值分析[J]. 临床放射学杂志, 2021, 40(11): 2173-2177. DOI: 10.13437/j.cnki.jcr.2021.11.027.
[12] Aringhieri G, Salle DG, Catanese S, et al. Abdominal visceral-to-subcutaneous fat volume ratio predicts survival and response to first-line palliative chemotherapy in patients with advanced gastric cancer[J]. Cancers, 2023, 15(22): 5391. DOI: 10.3390/cancers15225391.
[13]Ozoya OO, Siegel EM, Srikumar T, et al. Quantitative assessment of visceral obesity and postoperative colon cancer outcomes[J]. J Gastrointest Surg, 2017, 21(3): 534-542. DOI: 10.1007/s11605-017-3362-9.
[14]黄露, 王哲涛, 罗凤鸣. 腹部脂肪分布与肺通气功能的关系研究[J]. 华西医学, 2022, 37(1): 27-32. DOI: 10.7507/1002-0179.202012128.
[15]贺用礼, 刘平均, 王长青, 等. 胸腰椎影像学测量及其临床意义[J]. 中国现代医药杂志, 2012, 14(9): 7-10. DOI: 10.3969/j.issn.1672-9463. 2012. 09.003.

腹主动脉与左侧腰大肌距离影响因素CT解剖学研究

CT anatomical study of influential factors on the distance between abdominal aorta and left psoas major muscle

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

Metrics

本文评价

推荐阅读 0

[1]	李晶晶, 龚沈初, 尹剑兵. 基于腹部CTA腹腔干正中弓状韧带压迫的影像解剖学研究[J]. 中国临床解剖学杂志, 2024, 42(4): 424-428.
[2]	刘燕, 李欣欣, 高晶, 李涛, 孙丽. 夫精人工授精早期妊娠丢失的影响因素分析[J]. 中国临床解剖学杂志, 2024, 42(4): 443-448.
[3]	马仁财, 马向阳, 邹小宝, 付索超, 邓琛府, 陈钧麟, 陈泽星. 新型枢椎棘突椎板螺钉固定的影像解剖学测量研究[J]. 中国临床解剖学杂志, 2024, 42(3): 251-258.
[4]	郭红志, 王瑜, 张加琪, 梁海彬, 马梓玮, 冯伟, 吴忧, 司子燚. 血管铸型结合CT三维模型评估先兆子痫胎盘血管结构[J]. 中国临床解剖学杂志, 2024, 42(1): 5-10.
[5]	吴研飞, 马剑雄, 卢斌, 王颖, 柏豪豪, 靳洪震, 马信龙. CT后处理技术重建CT值与终板抗压强度的相关性研究[J]. 中国临床解剖学杂志, 2024, 42(1): 71-76.
[6]	周伟, 石倩倩, 李盖, 陈伟彬. 高浓度低流速对比剂联合低管电压方案行腹部CT血管成像的可行性[J]. 中国临床解剖学杂志, 2024, 42(1): 99-103.
[7]	陈瑞欣, 苗靖榆, 张翼, 柳澄, 孟海伟, 刘树伟. 肝静脉引流形式的双源CT三维成像研究[J]. 中国临床解剖学杂志, 2023, 41(6): 647-651.
[8]	张海涛, 柏劲松, 舒圣婕, 张驰, 李红英, 张国华, 宋瑞祥, 竺玮. MSCT对肝镰状韧带旁假性病灶与引流静脉特征和关系分析[J]. 中国临床解剖学杂志, 2023, 41(6): 657-661.
[9]	李琨, 张博然, 张宇, 韩可铭, 冯杰, 吴思瑶, 苏欣, 苏娜, 王超群, 张少杰, 李志军, 王星. 儿童及青少年颈椎生理弯曲相关指标测量及临床意义[J]. 中国临床解剖学杂志, 2023, 41(6): 675-679.
[10]	易红蕾, 陈虎, 王昕辉, 朱昌荣, 练沛荣, 夏虹. 不同体位腹膜后大血管及腰大肌的MRI影像解剖学差异[J]. 中国临床解剖学杂志, 2023, 41(5): 511-515.
[11]	曹江, 杨小红, 吕欣, 黄辉. 青少年特发性脊柱侧凸支具治疗后肩平衡相关参数变化及影响因素[J]. 中国临床解剖学杂志, 2023, 41(5): 516-521.
[12]	叶茜, 彭洋, 唐广磊, 叶州, 李瑞希, 关键. Poland综合征多层螺旋CT影像解剖学分析及鉴别[J]. 中国临床解剖学杂志, 2023, 41(5): 522-526.
[13]	韩凯. 口咽部颈内动脉异位的CTA表现及临床意义[J]. 中国临床解剖学杂志, 2023, 41(5): 531-534.
[14]	宋颢, 杨梦源, 陆艺文, 张旭东, 陈瑞雪. 上前牙区种植相关解剖因素CBCT研究[J]. 中国临床解剖学杂志, 2023, 41(4): 401-408.
[15]	何艾岭, 王清, 李广州. 骨质疏松性椎体压缩骨折患者腰椎椎基静脉孔的CT影像解剖学研究[J]. 中国临床解剖学杂志, 2023, 41(3): 283-287.