中国临床解剖学杂志 ›› 2018, Vol. 36 ›› Issue (1): 30-32.doi: 10.13418/j.issn.1001-165x.2018.01.008

• 断层影像解剖 • 上一篇    下一篇

颈内动脉颈段走行异常的影像解剖研究

尤云峰, 张森, 鲍伟宇, 武君, 梁万强   

  1. 河南科技大学第三附属医院洛阳东方医院影像科,  洛阳   471003
  • 收稿日期:2017-06-23 出版日期:2018-01-25 发布日期:2018-03-06
  • 作者简介:尤云峰(1976-),女,河南洛阳人,副主任医师,主要从事CT和MRI影像诊断,Tel:13083656195,E-mail:youyunfeng76@126.com

Anatomy of the aberrant cervical internal carotid artery under CT angiography and MRI

YOU Yun-feng, ZHANG Sen, BAO Wei-yu, WU Jun, LIANG Wan-qiang   

  1. Department of Radiology, Luoyang Dong Fang Hospital (the Third Affiliated Hospital of Henan University of Science and Technology), Luoyang 471003, China
  • Received:2017-06-23 Online:2018-01-25 Published:2018-03-06

摘要:

目的 探讨颈内动脉颈段走形异常的CTA、MRI表现。  方法 回顾性分析2012年1月-2016年12月在我院对临床怀疑脑血管病或体检行头部及头颈部CTA检查的389例患者的影像资料,发现15例异常患者,还有1例行MRI平扫检查确定,观察颈内动脉颈段走形位置异常的部位及走行线路异常的形态。  结果    颈内动脉颈段走形位置异常在CTA、MRI上表现为三种形式①鼻咽部粘膜下②口咽部粘膜下③横跨咽旁间隙并远离口鼻咽腔;走形路线异常形态有“>或<”状、“C”状、“横U”状、“S”状、“Z或N”状、圈状及“3”字状。 结论 颈内动脉颈段走形位置和走形线路异常,是同一事物的两个表现形式,CTA检查不仅能从横断位局部观察走形位置异常,而且通过VR后处理技术整体上显示走形线路异常,可为临床咽部手术及脑血管疾病诊断提供可靠的影像解剖学依据。

关键词: 颈内动脉颈段,  ,  , 解剖,  , 变异,  , CT血管造影术

Abstract:

Objective  To describe imaging anatomy features of the aberrant cervical segment of internal carotid artery through CTA and MRI skill.  Methods The radiological data of 389 cases between Jan. 2012 to Dec. 2016 were collected and analyzed, who underwent head or head-neck CTA due to cerebrovascular disease or health examination. 15 cases were recognized with the aberrant cervical segment of internal carotid artery, 1 case of aberrant internal carotid artery was identified under 1.5T MRI. Abnormal location and the line exception form of cervical segment of internal carotid artery were observed and described.  Results Three forms of abnormal location of cervical segment of internal carotid artery coulb be find under CTA and  MRI: 1. submucosal position at the oropharynx; 2. submucosal position at the nasopharynx; 3. pass through the paprapharynx spcae and far away from the oropharynx or nasopharynx cavity. The line exception form included >or<-shaped, C-shaped, cross-U-shaped, S-shaped, Z- or N-shaped, coiling-shaped, or 3-shaped.   Conclusions CTA examination can be used to observe the local axial abnormal contorts of the artery,  moreover, by VR post-processing technology, the overall artery contorts can be demonstrated, which is a reliable clue for clinical pharyngeal surgery and cerebrovascular disease diagnosis.

Key words: Cervical segment of internal carotid artery; , Anatomy, aberrant; , CT angiography