儿童早期成对脑动脉形态特征的变异性

Y. Gladilin, O. Fomkina, V. Nikolenko
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Samples of precommunication segments of the anterior (ACA), wedge-shaped parts of the middle (MCA), precommunication segments of the posterior (PCA) cerebral, intracranial parts of the vertebral (VA) arteries and cerebral parts of the internal carotid arteries (ICA) seized during autopsy of corpses of 18 children from early childhood (1-2 years) who died for reasons not associated with acute vascular cerebral pathology. Outside (LP) and inside diameters (DP), wall thickness (TC) were determined. Results. The mean values of the above parameters were respectively: ACA - 1,760,04 mm, 0,140,01 mm and 1,490,04 mm; MCA - 2,070,04 mm, 0,140,01 mm, 1,790,04 mm; PCA - 1,830,06 mm, 0,130,01 mm, 1,550,06 mm; VA - 2,080,06 mm, 0,150,01 mm, 1,770,05 mm; ICA - 2,600,05 mm; 0,150,01 mm, 2,300,05 mm. RD and PD ACA predominate in the right hemisphere by 17.3 (p = 0.009) and 19.9% (p = 0.016), respectively. RD and DP PCA prevailed in boys, respectively, by 9.1 (p = 0.019) and 12.9% (p = 0.006). 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摘要

基本原理。在文献中有许多涉及年龄,性别和成人脑动脉双侧变异性的问题。目前还没有关于儿童脑动脉形态学参数的资料。目的:在考虑性别和双侧变异的情况下,提供儿童早期成对脑动脉形态特征的数据。材料和方法。在对18例幼儿(1-2岁)死亡原因与急性脑血管病无关的尸体进行尸检时,采集了大脑前部(ACA)、中间(MCA)楔形部分、大脑后部(PCA)、椎动脉(VA)颅内部分和颈内动脉(ICA)脑部分的前通讯段样本。测定外径(LP)、内径(DP)、壁厚(TC)。结果。上述参数的平均值分别为:ACA - 1,760,04 mm, 0,140,01 mm和1,490,04 mm;MCA - 2,070,04毫米,0,140,01毫米,1,790,04毫米;PCA - 1830,06 mm, 0,130,01 mm, 1,550,06 mm;VA - 2,080、06毫米、0,150、01毫米、1,770、05毫米;ICA - 2,600,05 mm;0,150,01毫米,2,300,05毫米。RD和PD ACA在右半球分别占17.3% (p = 0.009)和19.9% (p = 0.016)。RD和DP PCA在男孩中分别占比9.1 (p = 0.019)和12.9% (p = 0.006)。结论。获得儿童早期成对脑动脉RD、TC、DP的平均数据。大多数参数没有确定的双边和性别差异。研究结果可能有助于解释非侵入性研究方法,也应考虑在儿科实践中使用血管内装置的设计和适应。
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VARIABILITY OF MORPHOMETRIC CHARACTERISTICS OF PAIRED ARTERIES OF THE BRAIN IN CHILDREN DURING EARLY CHILDHOOD
Rationale. There are numerous works in the literature covering issues of age, sexual and bilateral variability of the cerebral arteries in adults. There is no information on morphometric parameters of the cerebral arteries in children. Objective: To present data on the morphometric characteristics of the paired arteries of the brain in children during early childhood, taking into account sexual and bilateral variability. Material and methods. Samples of precommunication segments of the anterior (ACA), wedge-shaped parts of the middle (MCA), precommunication segments of the posterior (PCA) cerebral, intracranial parts of the vertebral (VA) arteries and cerebral parts of the internal carotid arteries (ICA) seized during autopsy of corpses of 18 children from early childhood (1-2 years) who died for reasons not associated with acute vascular cerebral pathology. Outside (LP) and inside diameters (DP), wall thickness (TC) were determined. Results. The mean values of the above parameters were respectively: ACA - 1,760,04 mm, 0,140,01 mm and 1,490,04 mm; MCA - 2,070,04 mm, 0,140,01 mm, 1,790,04 mm; PCA - 1,830,06 mm, 0,130,01 mm, 1,550,06 mm; VA - 2,080,06 mm, 0,150,01 mm, 1,770,05 mm; ICA - 2,600,05 mm; 0,150,01 mm, 2,300,05 mm. RD and PD ACA predominate in the right hemisphere by 17.3 (p = 0.009) and 19.9% (p = 0.016), respectively. RD and DP PCA prevailed in boys, respectively, by 9.1 (p = 0.019) and 12.9% (p = 0.006). Conclusion. Average data of RD, TC and DP of paired arteries of the brain in children in the period of early childhood were obtained. Most parameters have no confirmed bilateral and sexual differences. The findings may be useful for interpreting non-invasive research methods and should also be considered in the design and adaptation of intravascular devices for use in pediatric practice.
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