Betül SEVİNDİK, Nadire ÜNVER DOĞAN, Özlem SEÇİLMİŞ, Emine UYSAL, Zeliha FAZLIOĞULLARI, Ahmet Kağan KARABULUT

Kontrastlı Manyetik Rezonans Görüntülerinde Arteria Uterina’nın Orijinlerinin Değerlendirilmesi

Amaç: Arteria uterina’nın kökeni büyük ölçüde değişiklik gösterir. A. iliaca interna’nın dallanma paternleri de oldukça değişkendir. A. iliaca interna’nın farklı şekillerde dallanması pelvik cerrahide önemlidir. Çalışmamızda fertil ve infertil gruplar oluşturuldu ve a. uterina’nın köken adığı arterler incelendi. Metod: Toplam 152 arteria uterina (n = 152), 3D kontrastlı manyetik rezonans görüntüleme yöntemi ile retrospektif olarak değerlendirildi. Gomez-Jorge’un çalışmasına dayanarak, arteria uterina’nın orijin tipleri elde edildi. Tip insidansı ile ilgili olarak, fertil ve infertil gruplar arasındaki farklılıklar incelendi. Bulgular: Gruplar arasında orijin tipleri insidansı açısından istatistiksel olarak anlamlı bir fark yoktu (p= 0.214). Gomez-Jorge’un çalışmasına dayanarak 5 farklı orijin tipi elde edildi; buna göre en yaygın olanı Tip I (a. uterina, a. glutea inferior’un ilk dalıdır) orijiniydi. Sonuç: Literatürde a. uterina’nın kökenini araştıran çalışmalar mevcuttur. Bulgularımızın da mevcut bilgi birikimine katkıda bulunacağına inanıyoruz.

Anahtar Kelimeler:

Manyetik rezonans, arteria uterina, varyasyon

Evaluation of Uterine Artery Origins on Contrast-Enhanced Magnetic Resonance Images

Background/Aims: The origin of the uterine artery varies widely. The branching patterns of the internal iliac artery are also quite variable. Branching of the internal iliac artery in different ways is important in pelvic surgery. In our study, fertile and infertile groups were created, and the arteries that gave rise to the uterine artery were examined. Methods: A total of 152 uterine arteries (n = 152) were evaluated retrospectively on 3D contrast-enhanced magnetic resonance images. Based on the study of Gomez-Jorge, the types of origin of the uterine artery were obtained. With regards to the incidence of types, differences between the fertile and infertile groups were examined. Results: There was no statistically significant difference between the groups in terms of the incidence of origin types (p = 0.214). Based on the study of Gomez-Jorge, five different types of origins were obtained. The most common was type I (the uterine artery being the first branch of the inferior gluteal artery) origination. Conclusions: There are studies investigating the origin of the uterine artery in literature. We believe that our findings will also contribute to the body of knowledge available.

Keywords:

Magnetic resonance, uterine artery, variation,

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