摘要
目的:评价基于CT血管成像(CTA)和数字减影血管造影(DSA)的膈下动脉(IPA)解剖学变异的发生率与临床相关性.方法:系统检索PubMed、Web of Science、Scopus、Embase、Google Scholar、CBM、CNKI、WanFang、VIP 和 Baidu Scholar 等数据库,纳入与左、右膈下动脉(LIPA 和 RI-PA)相关的文献,并采用Stata 17.0软件进行Meta分析.结果:共纳入19篇文献,包括6754例患者.IPA共干和单独起源的汇总发生率分别为29.4％(95％CI:24.8％～34.2％)和70.6％(95％CI:65.8％～75.2％);IPA共干以起源于腹主动脉和腹腔干最为常见,汇总发生率分别为48.2％(95％CI:42.4％～54.1％)和49.0％(95％CI:43.3％～54.7％);RIPA单独起源以腹主动脉和腹腔干最为常见,汇总发生率分别为 40.9％(95％CI:36.7％～45.3％)和 34.8％(95％CI:30.7％～38.9％);LIPA 单独起源以腹腔干和腹主动脉最为常见,汇总发生率分别为58.5％(95％CI:53.2％～63.7％)和32.6％(95％CI:27.3％～38.1％).结论:IPA的起源变异十分丰富,熟悉IPA的起源变异对介入放射学、胃肠病学、外科学和创伤学医师具有十分重要的临床意义.
Abstract
Objective:To evaluate the incidence and clinical relevance of anatomical variations of the inferior phrenic arteries(IPA)based on computed tomography angiography(CTA)and digital subtraction angiography(DSA).Methods:A comprehensive search was conducted across multiple data-bases(PubMed,Web of Science,Scopus,Embase,Google Scholar,CBM,CNKI,WanFang,VIP,and Baidu Scholar)to include literature related to both left and right IPA.Meta-analysis was performed u-sing the Stata 17.0 software.Results:A total of 19 studies encompassing 6754 patients were included.The pooled incidence of common trunk and independent origin of the IPA were 29.4％(95％CI:24.8％～34.2％)and 70.6％(95％CI:65.8％～75.2％),respectively.The most common origins of the IPA common trunk were the abdominal aorta and celiac trunk,with pooled incidences of 48.2％(95％CI:42.4％～54.1％)and 49.0％(95％CI:43.3％～54.7％),respectively.For separate origins of RIP A,the abdominal aorta and celiac trunk were also the most common,with a pooled prevalence of 40.9％(95％CI:36.7％～45.3％)and 34.8％(95％CI:30.7％～38.9％),respectively.Similarly,for separate origins of LIPA,the celiac trunk and abdominal aorta were the most prevalent,with a pooled preva-lence of 58.5％(95％CI:53.2％～63.7％)and 32.6％(95％CI:27.3％～38.1％),respectively.Conclu-sion:The anatomical variations of IPA origins are highly diverse.Awareness with these variations is of great clinical significance for interventional radiologists,gastroenterologists,surgeons,and trauma spe-cialists.
基金项目
四川省卫生健康委员会科研课题(19PJ284)
遂宁市青年科技人才托举工程科研课题(06)
遂宁市中心医院科研课题(2021y09)
遂宁市中心医院科研课题(2022ypj01)
四川省医疗卫生与健康促进会科研项目(KY2023QN0065)
维普
万方数据