中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2012年
52期
9727-9731
,共5页
李筱贺%侯二飞%李志军%王海燕%汪剑威%季晓君
李篠賀%侯二飛%李誌軍%王海燕%汪劍威%季曉君
리소하%후이비%리지군%왕해연%왕검위%계효군
节段血管%血管结构%三维重建%数字化测量%胸腰椎%下胸段%脊柱%节段动脉间距%身高%数字化医学
節段血管%血管結構%三維重建%數字化測量%胸腰椎%下胸段%脊柱%節段動脈間距%身高%數字化醫學
절단혈관%혈관결구%삼유중건%수자화측량%흉요추%하흉단%척주%절단동맥간거%신고%수자화의학
背景:脊柱下胸段疾患较为多见,但其解剖结构较为复杂,节段血管走行尚缺乏系统研究.
目的:通过三维数字化重建测量分析下胸段节段血管结构关系.
方法:选择2010至2011年无胸腰椎骨折病者32例.采用高压注射器肘静脉注射碘海醇后24-30 s后采用CT机对其进行连续水平扫描,扫描后数据导入Mimics软件三维重建下胸段节段血管结构并测量节段血管间距,比较左右侧别、性别、身高的差异和关系.
结果与结论:下胸段节段血管位置分布较为恒定,且随着脊柱节段增加距离逐渐增加,相同节段左右血管对称分布,男性节段血管间距大于女性,差异有显著性意义,节段血管间距与身高成正相关.提示临床选择侧前方置钉点时及钉棒或钢板时,随着脊髓节段的增加,要加长钉棒和钢板的长度,以避免其损伤.身高高的男性患者要选择更长的钉棒和钢板,以合理避开节段性血管.
揹景:脊柱下胸段疾患較為多見,但其解剖結構較為複雜,節段血管走行尚缺乏繫統研究.
目的:通過三維數字化重建測量分析下胸段節段血管結構關繫.
方法:選擇2010至2011年無胸腰椎骨摺病者32例.採用高壓註射器肘靜脈註射碘海醇後24-30 s後採用CT機對其進行連續水平掃描,掃描後數據導入Mimics軟件三維重建下胸段節段血管結構併測量節段血管間距,比較左右側彆、性彆、身高的差異和關繫.
結果與結論:下胸段節段血管位置分佈較為恆定,且隨著脊柱節段增加距離逐漸增加,相同節段左右血管對稱分佈,男性節段血管間距大于女性,差異有顯著性意義,節段血管間距與身高成正相關.提示臨床選擇側前方置釘點時及釘棒或鋼闆時,隨著脊髓節段的增加,要加長釘棒和鋼闆的長度,以避免其損傷.身高高的男性患者要選擇更長的釘棒和鋼闆,以閤理避開節段性血管.
배경:척주하흉단질환교위다견,단기해부결구교위복잡,절단혈관주행상결핍계통연구.
목적:통과삼유수자화중건측량분석하흉단절단혈관결구관계.
방법:선택2010지2011년무흉요추골절병자32례.채용고압주사기주정맥주사전해순후24-30 s후채용CT궤대기진행련속수평소묘,소묘후수거도입Mimics연건삼유중건하흉단절단혈관결구병측량절단혈관간거,비교좌우측별、성별、신고적차이화관계.
결과여결론:하흉단절단혈관위치분포교위항정,차수착척주절단증가거리축점증가,상동절단좌우혈관대칭분포,남성절단혈관간거대우녀성,차이유현저성의의,절단혈관간거여신고성정상관.제시림상선택측전방치정점시급정봉혹강판시,수착척수절단적증가,요가장정봉화강판적장도,이피면기손상.신고고적남성환자요선택경장적정봉화강판,이합리피개절단성혈관.
BACKGROUND:The diseases of lower thoracic vertebral segment are common, but it’s anatomical structure is complex, and there lacks of the studies on segmental blood vessel. @@@@OBJECTIVE:To analyze the structure of lower thoracic vertebral segment blood vessel with digital three-dimensional reconstruction measurement. @@@@METHODS:We selected 32 cases without thoracolumbar fracture from 2010 to 2011. Intravenous injection of iohexol was performed with high pressure injector, and at 24-30 seconds after injection, CT machine was used for the continuous horizontal scan, then the scanning data were imported to the Mimics software for the three-dimensional reconstruction of lower thoracic vertebral segment blood vessel structure and the measurement of distance of segmental blood vessel. The difference of sides, genders and height was compared, as wel as the relationship between them. @@@@RESULTS AND CONCLUTION:The location and distribution of lower segment of thoracic blood vessel werehomeostasis, and with the increasing of spinal segments, the distance was gradual y increased;the left and the right blood vessels in the same segment were distributed symmetrical y, but the segmental vessels spacing of the male patients was bigger than that of the female patients, and the difference was significant, the segmental vessels spacing was positive correlated with height. It indicates that when we clinical y select the lateral anterior point as the placement point for the screw, as wel as the nail rods or steel plate, we have to lighten the length of the nail rods and the steel plate in order to avoid the injury with the increasing of the spinal segment. The male patients with higher height should select the longer nail rods and steel plate to avoid the segmental blood vessel reasonably.