| CT三维成像观察正常寰枢关节功能位的解剖学研究 |
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投稿时间：2005-08-02
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| 作者 | Author | 单位 | Address | E-Mail |
| 段少银 |
DUAN Shao-yin |
厦门大学医学院第一临床学院厦门中山医院影像科,福建厦门361004 |
Department of Imageolgy,the First Affliated Zhongshan Hospital of Medical College of Xiamen University,Xiamen 361004,Fujian,China |
xmdsy@xmzsh.com |
| 叶锋 |
YE Feng |
厦门大学医学院第一临床学院厦门中山医院影像科,福建厦门361004 |
Department of Imageolgy,the First Affliated Zhongshan Hospital of Medical College of Xiamen University,Xiamen 361004,Fujian,China |
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| 康江河 |
KANG Jiang-he |
厦门大学医学院第一临床学院厦门中山医院影像科,福建厦门361004 |
Department of Imageolgy,the First Affliated Zhongshan Hospital of Medical College of Xiamen University,Xiamen 361004,Fujian,China |
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| 期刊信息：《中国骨伤》2006年，第19卷，第3期，第162-165页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目:厦门市科技基金项目(编号:3502Z20024018) |
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中文摘要:
目的:利用CT三维成像观察正常寰枢关节功能位的解剖结构,为诊断寰枢关节不全脱位探讨解剖学基础。
方法:对53例正常志愿者进行中立位寰枢关节三维成像,其中21例加旋转位。三维重建方法以表面遮盖法(surface shade display,SSD)为主,辅以多层面重建法(mutiplanar reformatting,MPR)、最大强度投影法(maximum intensity project,MIP)、容积重建法(volume rendering,VR)。分析、比较其图像表现及解剖学特点。
结果:53例中立位三维图像显示寰枢外侧上、下关节面基本对齐,寰齿关节间隙为1.0~3.3 mm;齿突侧距不对称24例,占45.28%。21例旋转位显示寰枢外侧上、下关节面呈旋转性关节面移位,移位宽度为5.76~8.18 mm,关节面吻合面积缩小约1/2~2/3,寰齿关节间隙大小无变化。齿突侧距对称者齿突偏向旋转侧,不对称者齿突偏移程度减轻或无改变。
结论:CT三维成像能清楚显示寰枢关节功能位的解剖结构。观察到的功能位寰枢关节变化规律,为诊断及治疗寰枢关节不全脱位提供了理论依据。 |
| 【关键词】寰枢关节 解剖 体层摄影术,X线计算机 图像处理,计算机辅助 |
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| Anatomic study on normal atlanto-axial joint in the functional position by using CT three-dimensional imaging method |
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ABSTRACT
Objective:To observe anatomic structure of normal atlanto-axial joint in the functional position by using CT three-dimensional imaging(3D) method,and to establish anatomic foundation for the diagnosis of atlanto-axial subluxation.
Methods:Fifty-three persons volunteered to do CT-3D examination with atlanto-axial joint in the functional position,and examinations with atlanto-axial joint in rotary position were added to 21 patients.3D-images were mainly obtained by surface shade disply (SSD) method,assisted by multiplanar reformorting(MPR),maximum intensity project(MIP) and volume rendering(VR) methods.The imaging results and anatomic characteristics were analysed and compared.
Results:The CT imaging with atlanto-axial joint in the functional position showed that the articular faces of lateral atlantoaxial joint had basic contraposition,the width of atlant-dens interval(ADI) ranged from 1.0 to 3.3 mm,and the lateral atlant dental space(LADS) deviated in 24 patients(45.28%).The CT imaging with atlanto-axial joint in the rotary position showed that the width of ADI had no changes,the articular faces of lateral atlanto-axial joint had rotary displacement with the width ranging from 5.76 to 8.18 mm,and anastomosis area of articular surface decreased by 1/2 to 2/3.The condyles had deflected to the rotary direction in the patients with symmetrical LADS,and to the patients with symmetrical LADS,the condyle deflected slightly or had no changes.
Conclusion:CT 3D imaging can clearly show the anatomical structure of normal atlanto-axial joint in functional position.The rules of atlanto-axial joint movement which are observed in the present study lay theoretical basis for diagnosing and treating atlanto-axial subluxation. |
| KEY WORDS Atlanto-axial joint Anatomy Tomography scanners,X-ray computed Image interpretation,computer-assisted |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 段少银,叶锋,康江河.CT三维成像观察正常寰枢关节功能位的解剖学研究[J].中国骨伤,2006,19(3):162~165 |
| 英文格式: | DUAN Shao-yin,YE Feng,KANG Jiang-he.Anatomic study on normal atlanto-axial joint in the functional position by using CT three-dimensional imaging method[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(3):162~165 |
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