Vertical distance between umbilicus to aortic bifurcation on coronal view in Korean women
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
ObjectiveTo evaluate the vertical distance between umbilicus to aortic bifurcation on coronal view in Korean women and their relation with body mass index (BMI) and woman’s age. MethodsThis retrospective study included 257 women who visited emergency center at university-based hospital from January to December 2011. All women underwent abdomino-pelvic computerized tomography (CT) due to various symptoms in a supine position. By using the electronic coronal CT images, the vertical distance between umbilicus and aortic bifurcation was measured. If aortic bifurcation was located below umbilicus, the distance was expressed as minus value (i.e., caudal to umbilicus). Age of woman, body weight, height and calculated BMI (kg/m2) were also recorded. ResultsAortic bifurcation was located caudal to umbilicus in 52.9% and cephalad to umbilicus in 37.4%. The vertical distance had a negative relationship with BMI (r=−0.180, P=0.004), as well as woman’s age (r=−0.382, P<0.001). However, a multivariate analysis revealed that the vertical distance had a significant negative relationship with woman’s age (P<0.001) but not with BMI (P=0.510). An equation could be drawn to estimate the vertical distance by using woman’s age and BMI: vertical distance (mm)=12.6−0.3×(age)−0.2×(BMI). ConclusionThe vertical distance from umbilicus to aortic bifurcation on coronal view showed a significant inverse correlation with woman’s age, however, the distances varied widely. Most older or obese Korean women had aortic bifurcation caudal to umbilicus.
Abstract
ObjectiveTo evaluate the vertical distance between umbilicus to aortic bifurcation on coronal view in Korean women and their relation with body mass index (BMI) and woman’s age. MethodsThis retrospective study included 257 women who visited emergency center at university-based hospital from January to December 2011. All women underwent abdomino-pelvic computerized tomography (CT) due to various symptoms in a supine position. By using the electronic coronal CT images, the vertical distance between umbilicus and aortic bifurcation was measured. If aortic bifurcation was located below umbilicus, the distance was expressed as minus value (i.e., caudal to umbilicus). Age of woman, body weight, height and calculated BMI (kg/m2) were also recorded. ResultsAortic bifurcation was located caudal to umbilicus in 52.9% and cephalad to umbilicus in 37.4%. The vertical distance had a negative relationship with BMI (r=−0.180, P=0.004), as well as woman’s age (r=−0.382, P<0.001). However, a multivariate analysis revealed that the vertical distance had a significant negative relationship with woman’s age (P<0.001) but not with BMI (P=0.510). An equation could be drawn to estimate the vertical distance by using woman’s age and BMI: vertical distance (mm)=12.6−0.3×(age)−0.2×(BMI). ConclusionThe vertical distance from umbilicus to aortic bifurcation on coronal view showed a significant inverse correlation with woman’s age, however, the distances varied widely. Most older or obese Korean women had aortic bifurcation caudal to umbilicus.
참고문헌 (19)
- Nezhat F, "Laparoscopic appraisal of the anatomic relationship of the umbilicus to the aortic bifurcation", J Am Assoc Gynecol Laparosc, 5, pp.135~140 (1998)
- Chapron CM, "Major vascular injuries during gynecologic laparoscopy", J Am Coll Surg, 185, pp.461~465 (1997)
- Fruhwirth J, "Vascular complications in minimally invasive surgery", Surg Laparosc Endosc, 7, pp.251~254 (1997)
- Lafullarde T, "A safe and simple method for routine open access in laparoscopic procedures", Surg Endosc, 13, pp.769~772 (1999)
- Schafer M, "A nation’s experience of bleeding complications during laparoscopy", Am J Surg, 180, pp.73~77 (2000)
- Tsai CC, "Vaginal physiology in postmenopausal women: pH value, transvaginal electropotential difference, and estimated blood flow", South Med J, 80, pp.987~990 (1987)
- Dwyer JH, "Some chronic disease risk factors and cigarette smoking in adolescents: the Berlin-Bremen Study", MMWR Morb Mortal Wkly Rep, 36(Suppl 4), pp.35S~40S (1987)
- Semm K, "The effect of bacterial contamination on pregnancy rate after in vitro fertilization (IVF) and embryo transfer (ET) in humans", Dtsch Tierarztl Wochenschr, 94, pp.503~506 (1987)
- Kurzel RB, "Injury to the great vessels:a hazard of transabdominal endoscopy", South Med J, 76, pp.656~657 (1983)
- Sriprasad S, "Positional anatomy of vessels that may be damaged at laparoscopy: new access criteria based on CT and ultrasonography to avoid vascular injury", J Endourol, 20, pp.498~503 (2006)
- Schuhmacher JH, "NMR relaxation times T1and T2 of water in plasma from patients with lung carcinoma:correlation of T2 with blood sedimentation rate", Magn Reson Med, 5, pp.537~547 (1987)
- Al-Talib A, "Location of aortic bifurcation and transverse colon in postmenopausal women: relevance to laparoscopy", Surg Technol Int, 19, pp.130~134 (2010)
- Poindexter AN, "Trocar introduction performed during laparoscopy of the obese patient", Surg Gynecol Obstet, 165, pp.57~59 (1987)
- Hurd WH, "Abdominal wall characterization with magnetic resonance imaging and computed tomography. The effect of obesity on the laparoscopic approach", J Reprod Med, 36, pp.473~476 (1991)
- Semmel H, "Towards a national health program. National health is back on the agenda", Health PAC Bull, 17, pp.4~7 (1987)
- Cravello L, "Laparoscopic surgery in gynecology: randomized prospective study comparing pneumoperitoneum and abdominal wall suspension", Eur J Obstet Gynecol Reprod Biol, 83, pp.9~14 (1999)
- Larobina M, "Complete evidence regarding major vascular injuries during laparoscopic access", Surg Laparosc Endosc Percutan Tech, 15, pp.119~123 (2005)
- Penfield AJ, "How to prevent complications of open laparoscopy", J Reprod Med, 30, pp.660~663 (1985)
- Deffieux X, "Risks associated with laparoscopic entry:guidelines for clinical practice from the French College of Gynaecologists and Obstetrician", Eur J Obstet Gynecol Reprod Biol, 158, pp.159~166 (2011)
