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为给ROSS手术提供我国人解剖学的相关数据,应用游标卡尺(精确度为0.02MM)对国人成人心脏72例进行了观察分析。结果:肺动脉瓣环直径X±S为23.39±4.336MM,C.V％为18.5％;肺动脉瓣窦深±S:14.52±5.205MM,C.V％:35.8％。左冠状动脉起始点到分叉处的垂直距离±S:16.46±4.636MM,C.V％:28.2％;左冠状动脉起始点到肺动脉瓣窦底的垂直距离±S:29.26±9.48MM,C.V％:32.4％;左冠状动脉及前室间支与肺动脉瓣环的垂直距离的均值,各点是:O点处为2.72±1.508MM,C.V％:55.4％;-1点处为2.56±1.333MM,C.V％:52.1％;+2点处为3.25±1.969MM,C.V％:60.6％;+3点处为5.21±2.644MM,C.V％:50.7％;-1点处为3.35±1.862MM,C.V％:55.6％;-2点处为3.79±1.672MM,C.V％:44.1％。结论:本研究所得数据是国人应用局部解剖学中过去未曾专门提出的与外科有关的详细数据,对于国人接收ROSS手术时,可供术者在采取肺动脉干、瓣时参考,对减少手术并发症可能有所裨宜。
In order to provide the relevant data of Chinese anatomy for ROSS surgery, 72 adult Chinese adults were observed and analyzed with vernier caliper (accuracy of 0.02mm). Results: The diameter of pulmonary valve annulus X ± S was 23.39 ± 4.336MM, the ratio of C.V% was 18.5%; the depth of pulmonary valve sinus ± S: 14.52 ± 5.205MM, C.V%: 35.8%. Vertical distance from the left coronary artery to the bifurcation ± S: 16.46 ± 4.636MM, CV%: 28.2%; vertical distance from the left coronary artery to the bottom of the pulmonary valve sinus ± S: 29.26 ± 9.48MM, CV% 32.4%. The average of the vertical distance between the left coronary artery and the anterior interventricular branch and the pulmonary valve annulus was 2.72 ± 1.508 mm at O point, 55.4% at CV point, 2.56 ± 1.333 mm at 1 point, CV%: 52.1%; 3.25 ± 1.969 MM at + 2 o’clock, CV%: 60.6%; 5.21 ± 2.644 MM at +3 o’clock, CV%: 50.7%; - 3.35 ± 1.862 MM at 1 o’clock, CV% : 55.6%; - 3.79 ± 1.672MM at 2 o’clock, CV%: 44.1%. CONCLUSIONS: The data obtained from this study is not used in traditional Chinese medicine and anatomy of the surgically advanced surgical data, for people receiving ROSS surgery, the available for the operator to take pulmonary artery and flap for reference, to reduce surgical complications May be helpful.