Role of ovarian artery-to-uterine artery anastomoses in uterine artery embolization: initial anatomic and radiologic studies

Role of ovarian artery-to-uterine artery anastomoses in uterine artery embolization: initial anatomic and radiologic studies
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卵巢动脉-子宫动脉吻合术在子宫动脉栓塞中的作用:初步解剖学和放射学研究

DOI:
10.1007/s00276-011-0883-x
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发表时间:
2012-10
影响因子:
1.4
通讯作者:
李泽宇
李泽宇
中科院分区:
医学4区
文献类型:
--
作者:
欧阳振波;刘萍;余艳红;陈春林;宋小磊;梁波;钟光明;刘畅;李泽宇

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目的探讨正常人卵巢动脉-子宫动脉闭塞的解剖学特点及其对子宫动脉栓塞术(UAE)的影响。方法采用5套正常成年女性子宫、双侧附件和阴道标本,采用螺旋CT扫描和血管铸型技术,建立子宫动脉血管网模型。结果卵巢动脉铸型标本及CT重建模型均清晰显示卵巢动脉-子宫动脉的血管闭塞。子宫动脉的卵巢分支和卵巢动脉的卵巢分支各一条。10例卵巢动脉-子宫动脉血管网均由子宫动脉卵巢分支与卵巢动脉卵巢分支直接连接而成。子宫动脉卵巢分支与卵巢动脉卵巢分支之间以直接连接为主。卵巢动脉-子宫动脉闭塞对UAE的影响尚不清楚,需要进一步的功能评估。
PurposeTo explore the anatomic features of normal human ovarian artery-to-uterine artery anastomoses and their impact on uterine artery embolization (UAE).MethodsUsing slice computed tomography (CT) scanning and vascular casting; models of the uterine arterial vascular network were constructed using five sets of uterus, bilateral adnexa and vagina from normal adult females. The anatomy and characteristics of these models were then studied.ResultsBoth the casting specimen and the CT-reconstructed model showed the ovarian artery-to-uterine artery anastomoses clearly. Each was composed of the ovarian branch of the uterine artery and the ovarian branch of the ovarian artery. All 10 ovarian artery-to-uterine artery anastomoses were formed by direct connection between the ovarian branch of the uterine artery and the ovarian branch of the ovarian artery.ConclusionsThin slice CT scanning combined with vascular casting is a useful method to study the small arterial network. The anastomoses between the ovarian branch of the uterine artery and the ovarian branch of the ovarian artery were formed mainly by direct connection. The implications of the ovarian artery-to-uterine artery anastomoses on UAE are unclear; further function assessments are needed.
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