CAJ | 학술논문

目的探讨三维重建技术在邻近皮瓣移植中的应用价值.方法采用美国GE 64排螺旋CT机对11例患者下肢进行CT血管造影(CTA),利用三维软件分别重建出骨、肌肉、筋膜、皮肤与血管,并对血管进一步分割,构建出单支血管及其分支三维图像,并对所构建的三维图像进行单独显示与组合显示.结果 11例患者经下肢进行CTA扫描后不仅能在病损周边显示三级以下的血管,并且能显示局部的具体分布状况,为邻近皮瓣的临床个性化设计提供准确的血管解剖学基础.结论对于邻近皮瓣基础研究和临床手术的个性化设计三维重建方法是一种很好的辅助方法.
목적 탐토삼유중건기술재린근피판이식중적응용개치.방법 채용미국GE 64배라선CT궤대11례환자하지진행CT혈관조영(CTA),이용삼유연건분별중건출골、기육、근막、피부여혈관,병대혈관진일보분할,구건출단지혈관급기분지삼유도상,병대소구건적삼유도상진행단독현시여조합현시.결과 11례환자경하지진행CTA소묘후불부능재병손주변현시삼급이하적혈관,병차능현시국부적구체분포상황,위린근피판적림상개성화설계제공준학적혈관해부학기출.결론 대우린근피판기출연구화림상수술적개성화설계삼유중건방법시일충흔호적보조방법.
Objective To investigate the application of the three-dimensional reconstruction for the random flap.Methods The bones,muscles,fascia,skin and vessels in eleven patents were reconstructed by the MIMICS 10.01 CT angiography (CTA) scanning,and the single artery and its branches were gained by the subdivision of the vessels.3D-images were shown respectively and jointly.Results Arterial reconstruction images were clearly displayed by 3D workstation CTA and if they were combined with the original cross-sectional images and vessel analysis software,they were able to accurately evaluate the location,range,degree of artery,the distal outflow tract.The vessels and soft tissue displayed in the software could show detailed distribution of the vessels in one region and this could provide the accurate anatomical basis for the random flap and the design of the operation.This method could easily meet the preoperative design demands and also had the guiding significance for postoperative evaluation.Conclusions The method of 3D-reconstruction is very good for studying the random flap and the design of the operation.