腹腔镜结合CTA观察腹股沟疝患者死冠血管

付召军; 魏健; 杨玉辉; 李敏龙; 田晓军; 胡楠

doi:10.16016/j.1000-5404.201612032

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腹腔镜结合CTA观察腹股沟疝患者死冠血管

临床医学 | 更新时间：2026-01-09

- 腹腔镜结合CTA观察腹股沟疝患者死冠血管
- Observation of corona mortis in inguinal hernia patients by laparoscopy and CT angiography
- 第三军医大学学报 2017年39卷第16期页码：1679-1683
- 作者机构：
- 作者简介：
- 基金信息：
  
  四川省医学会科研课题计划(S15087);青年医生糖尿病研究项目(2015)
- DOI：10.16016/j.1000-5404.201612032
  中图分类号：
- 收稿：2016-12-06，
  
  纸质出版：2017-08-30
- 稿件说明：
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付召军, 魏健, 杨玉辉, 等. 腹腔镜结合CTA观察腹股沟疝患者死冠血管[J]. 第三军医大学学报, 2017,39(16):1679-1683.

Zhaojun FU, Jian WEI, Yuhui YANG, et al. Observation of corona mortis in inguinal hernia patients by laparoscopy and CT angiography[J]. Journal of Third Military Medical University, 2017, 39(16): 1679-1683.
付召军, 魏健, 杨玉辉, 等. 腹腔镜结合CTA观察腹股沟疝患者死冠血管[J]. 第三军医大学学报, 2017,39(16):1679-1683. DOI： 10.16016/j.1000-5404.201612032.

Zhaojun FU, Jian WEI, Yuhui YANG, et al. Observation of corona mortis in inguinal hernia patients by laparoscopy and CT angiography[J]. Journal of Third Military Medical University, 2017, 39(16): 1679-1683. DOI： 10.16016/j.1000-5404.201612032.

摘要

Abstract

Objective

To observe the corona mortis in inguinal hernia patients under laparoscopic surgery with CT angiography (CTA)

and investigate the anatomic features and clinical significances of this variant vascular anastomosis in patients with different types of hernia.

Methods

A total of 48 patients with inguinal hernia (direct hernia or oblique hernia) admitted in our department between June 2015 and October 2016 were enrolled in this study. They were 33 males and 15 females

at a mean age of 61.0±15.5 years. CTA scanning was performed before the operation. All patients underwent laparoscopic hernia repair. The conditions of corona mortis were collected

and analyzed with clinical data and radiological results.

Results

Among the 48 cases

there were totally 56 sides involved (21 sides of direct hernia and 35 sides of oblique hernia). The occurrence rate of corona mo

rtis was 58.9% (33/56). The distance from the blood vessels to pubic symphysis midpoint was 54.4±6.9 mm. The average diameter of arteries in the corona mortis was 2.2±0.8 mm

obviously smaller than that of the veins (2.8±1.1 mm

0.05). The occurrence of corona mortis was significantly lower in the patients with direct hernia than those with oblique hernia (

0.05)

so were that of corona mortis in arteries (

0.05). The males had significantly higher occurrence of corona mortis in veins than the females (

0.05)

while older onset age

larger blood vessel diameter

older in those with direct than oblique hernia were found in male patients (

0.05).

Conclusion

The occurrence rate of corona mortis is higher in the oblique than direct hernia patients

and in the males than the females. The blood vessels of corona mortis are involved in blood supply of the abdominal wall and can slow its degradation.

关键词

Keywords

references

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