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Study of Aortic-Common Iliac Bifurcation and Its Clinical Significance

机译:主动脉-I骨分叉的研究及其临床意义

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Objective: To determine the position of the aortic bifurcation, angle of aortic-common iliac bifurcation in relation to the lumbar vertebra, diameter of distal aorta, length of common iliac, diameter of iliac at bifurcation in cadavers.Materials and Methods: The present study was done on 25 cadavers (16 males, 9 females) used for the dissection by 1st year MBBS students. The dissections were performed by anterior approach to the lumbar vertebra. The position of the aortic bifurcation, aortic bifurcation angle were measured in relation to lumbar vertebra. The remaining parameters were measured with the help of digital vernier caliper.Results: The aortic bifurcation was seen in between L3 and L5 vertebra in all the cases. In majority of cases, 16 (64%), the bifurcation was observed at the level of L4 vertebra. During statistical analysis, significant differences were observed in the mean values of aortic-iliac take off angles and in mean diameter of distal aorta.Conclusion: The exact location of aortic bifurcation is useful when invasive procedures are performed in the pelvis, laproscopic lumbar discectomy and lumbosacral total disc arthroplasty. The aortic bifurcation mostly found at the level of L4 vertebra in the present study similar to previous studies. The aortic bifurcation can be a reliable landmark for determining the lumbar vertebral segments on MRI or CT.
机译:目的:确定尸体中主动脉分叉的位置,主动脉-总分叉的角度与腰椎的关系,远端主动脉的直径,of总长,分叉处的diameter直径。在一年级MBBS学生解剖时使用了25具尸体(男16例,女9例)完成。解剖通过腰椎前路入路进行。测量相对于腰椎的主动脉分叉的位置,主动脉分叉角度。结果:在所有情况下,在L3和L5椎骨之间可见主动脉分叉。在大多数情况下,有16位(64%)的患者在L4椎骨水平观察到分叉。在统计分析期间,观察到主动脉-take动脉起飞角度的平均值和远端主动脉的平均直径存在显着差异。结论:当在骨盆,腹腔镜下腰椎间盘摘除术和腰s全椎间盘置换术。在本研究中,主动脉分叉大多位于L4椎骨水平,与先前的研究相似。主动脉分叉可能是确定MRI或CT上腰椎节段的可靠标志。

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