Articles Vol. 66 No. CĐ4-NCKH 15/04/2025

11. CHARACTERISE SEVERAL ANATOMICAL FEATURES OF UTERINE ARTERIES ON DIGITAL SUBTRACTION ANGIOGRAPHY

Ngo Xuan Khoa1,2,3,4, Vo Tien Huy5,6, Nguyen Hoang Long5,6, Nguyen Tien Huy7,8, Tran Quang Long9,10, Hoang Manh Ninh11,12, Nguyen Xuan Hien13,14, Nguyen Ngoc Anh1,3, Vu Thanh Trung1,3, Tran Quang Huy1,3, Ngo Huong Giang1,3
1 Ha Noi Medical University
2 Hanoi Medical University Hospital
3 Trường Đại học Y Hà Nội
4 Bệnh viện Đại học Y Hà Nội
5 University of Medicine and Pharmacy, Vietnam National University, Ha Noi
6 Trường Đại học Y Dược, Đại học Quốc gia Hà Nội
7 Saigon Venus Aesthetic Surgery Clinic
8 Phòng khám Chuyên khoa Phẫu thuật Thẩm mỹ Saigon Venus
9 STO Phuong Dong Hospital
10 Bệnh viện STO Phương Đông
11 Hospital of Post and Telecommunications
12 Bệnh viện Bưu điện
13 Tam Anh General Hospital
14 Bệnh viện Đa khoa Tâm Anh, Hà Nội
Corresponding author: votienhuyvnu@gmail.com
DOI: 10.52163/yhc.v66iCD4.2330
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Keywords
Digital subtraction angiography uterine artery
Abstract

Objective: To describe some anatomical features and dimensions of the uterine artery on digital subtraction angiography images.

Subjects and methods: A prospective study involving 18 female patients examined at Tam Anh General Hospital in Hanoi, who underwent digital subtraction angiography of the internal iliac artery and its branches from December 2023 to May 2024.

Results: 94.4% of patients were aged between 31-50 years. 77.8% of the right uterine arteries and 77.2% of the left uterine arteries originated from the anterior trunk of the internal iliac artery. The average diameter at the origin of the right uterine artery was 1.78 ± 0.6 mm, and at the midpoint of the horizontal segment was 1.66 ± 0.52 mm. The average diameter at the origin of the left uterine artery was 1.9 ± 0.68 mm, and at the midpoint of the horizontal segment was 2.02 ± 0.72 mm. The minimum length of the right uterine artery was 32.9 ± 20.1 mm, while the left was 15.8 ± 26.1 mm. The maximum number of twists in the lateral segment of the uterine artery was 23, the minimum was 2, and the average was 8.9. The branches of the right and left uterine arteries appeared in nearly equal numbers.

Conclusion: The most common origin of the uterine artery is directly from the anterior trunk of the internal iliac artery. The course of the uterine artery is divided into three segments, with twisting occurring only in the uterine segment. The uterine artery branches into four branches, primarily from the terminal part of the horizontal segment and the lateral border of the uterus.

References
[1]
Williams P.L, Gray’s Anatomy: The Anatomical Basis of Medicine and Surgery, 38th edition, Churchill Livingstone, 1996. Google Scholar
[2]
Latarjet, Testut A, Testut’s Traité d’Anatomie Humaine, Vol 5, G.Doin & Cie, 1931. Google Scholar
[3]
Rouviere H, Delmas A, Anatomie humaine - descriptive, topographique et fonctionnelle - Tome 1, 2 et 3, 2002, Accessed January 29, 2024, http://archive.org/details/rouviere-membres. Google Scholar
[4]
Trịnh Văn Minh, Giải phẫu người, tập 2 - Giải phẫu ngực, bụng, Nhà xuất bản Giáo dục, 2013, 666 trang, Sách Việt Nam, Accessed January 29, 2024, https://vietbooks.info//threads/giai-phau-nguoi-tap-2-giai-phau-nguc-bung-nxb-giao-duc-2013-trinh-van-minh-666-trang.95754. Google Scholar
[5]
Lê Văn Cường, Các dạng và kích thước động mạch ở người Việt Nam, Nhà xuất bản Y học, chi nhánh thành phố Hồ Chí Minh, 2012. Google Scholar
[6]
Đặng Nguyễn Trung An, Lê Văn Cường, Trần Minh Hoàng, Nghiên cứu giải phẫu động mạch chủ bụng ở người Việt Nam trưởng thành trên hình ảnh chụp cắt lớp vi tính, Tạp chí Y học Cộng đồng, 2019, 50 (3), tr. 9-13. Google Scholar
[7]
Vũ Duy Tùng, Nguyễn Thị Thơ, Trần Thị Hằng, Nguyễn Ngọc Trung, Nghiên cứu giải phẫu động mạch chậu trong trên hình ảnh chụp cắt lớp vi tính 128 lớp, VMJ, 2021, 505 (1), doi:10.51298/vmj.v505i1.1003. Google Scholar
[8]
Albulescu D, Constantin C, Uterine artery emerging variants - angiographic aspects, Curr Health Sci J, 2014, 40 (3): 214-216, doi:10.12865/CHSJ.40.03.11. Google Scholar
[9]
Peters A, Stuparich M.A, Mansuria S.M, Lee T.T.M, Anatomic vascular considerations in uterine artery ligation at its origin during laparoscopic hysterectomies, Am J Obstet Gynecol, 2016, 215 (3): 393.e1-3, doi:10.1016/j.ajog.2016.06.004. Google Scholar
[10]
Liapis K, Tasis N, Tsouknidas I et al, Anatomic variations of the Uterine Artery, Review of the literature and their clinical significance, Turk J Obstet Gynecol, 2020, 17 (1): 58-62, doi:10.4274/tjod.galenos.2020.33427. Google Scholar
[11]
Grandjean P, Andersen E.W, Budtz-Jørgensen E et al, Serum Vaccine Antibody Concentrations in Children Exposed to Perfluorinated Compounds, JAMA, 2012, 307 (4): 391-397, doi:10.1001/jama.2011.2034. Google Scholar