摘要
目的探讨基于CT三维重建的肩胛冈(SS)解剖形态学测量及临床意义。方法通过CT三维重建技术,对来自西南医科大学附属中医医院放射科180例肩胛冈(左右各90例)进行数据测量,包括肩胛冈的形状、肩胛冈长(肩胛冈内侧缘至肩峰端外侧边界的直线距离)、肩胛冈中部宽(中部最低点至上缘最小距离)、基底长度、冈中隆凸宽度和冈中隆凸厚度、以及相关解剖点等。结果肩胛冈部位表浅,走形恒定;肩胛冈长(128.31±8.59) mm,基底长度为(80.35±6.70) mm,肩胛冈中部宽(9.69±2.48) mm,冈中隆凸厚度为(8.98±2.68) mm,冈中隆凸高度为(13.48±2.92) mm;左右数据结果对比差异无统计学意义(P>0.05)。结论 CT三维重建对肩胛冈解剖形态学研究具有其独特优势,提供精准的解剖数据,为骨科医生在制定术前计划和内固定器械种类、尺寸、厚度、手术入路选择等提供参考,降低手术风险。
Objective To research anatomic morphology and clinical significance of scapular spine(SS) based on CT three-dimensation reconstruction.Methods A total of 180 SS(left 90,right 90) data collected from Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University were measured based on CT three-dimensation reconstruction,including the morphological characteristics,the shape of the SS,SS length,the width of the central and base length of SS,the width and height of eminence of SS.Results The SS was superficial and constant.The average length of SS and basement were(128.31 ± 8.59) mm and(80.35 ± 6.70) mm respectively.The central width of SS was(9.69±2.48) mm,the average width and height of eminence of SS were(8.98±2.68) mm and(13.48±2.92) mm,there was no statistical difference between sides of body(P > 0.05).Conclusion CT three-dimensation reconstruction has unique advantages in anatomical morphology research of SS,offering substantial benefits for the orthopedist in preoperative planning,and using precontoured locking plates may be an additional aid during surgery,so as to reduce intraoperative risks.
作者
张磊
刘洋
曾炎
李静
易刚
郭晓光
张永涛
扶世杰
ZHANG Lei;LIU Yang;ZENG Yan;LI Jing;YI Gang;GUO Xiao-guang;ZHANG Yong-tao;FU Shi-jie(Deyartment of Orthopaedics and Traumatology,Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University,Sichuan Luzhou 646000,China;Academician Workstation in Luzhou,Sichuan Luzhou 646600,China;Department of Radiology,Zigong First People’s Hospital,Sichuan Zigong 643009,China)
出处
《解剖学报》
CAS
CSCD
北大核心
2019年第1期82-86,共5页
Acta Anatomica Sinica
基金
泸州市院士工作站在建项目(20180101)
关键词
肩胛冈
解剖形态学
CT三维重建
人
Scapular spine
Anatomic morphology
CT three-dimensation reconstruction
Human
作者简介
张磊(1987—),男(汉族),四川省宜宾市人,博士研究生,主治医师;通讯作者:扶世杰,E-mail:fushijieggj@126.com Tel:(0830)3161901
