骶骨相关解剖参数的CT影像学测量研究
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作者Author单位AddressE-Mail
韩欣攸 HAN Xin-you 中国科学院大学宁波华美医院骨科, 浙江 宁波 315010 Department of Orthopaedics, Hua Mei Hospital, University of Chinese Academy of Sciences, Ningbo 315010, Zhejiang, China  
扶青松 FU Qing-song 中国科学院大学宁波华美医院骨科, 浙江 宁波 315010 Department of Orthopaedics, Hua Mei Hospital, University of Chinese Academy of Sciences, Ningbo 315010, Zhejiang, China  
王伟斌 WANG Wei-bin 中国科学院大学宁波华美医院骨科, 浙江 宁波 315010 Department of Orthopaedics, Hua Mei Hospital, University of Chinese Academy of Sciences, Ningbo 315010, Zhejiang, China  
袁欣华 YUAN Xin-hua 中国科学院大学宁波华美医院骨科, 浙江 宁波 315010 Department of Orthopaedics, Hua Mei Hospital, University of Chinese Academy of Sciences, Ningbo 315010, Zhejiang, China fixboner@163.com 
期刊信息:《中国骨伤》2022年,第35卷,第7期,第650-655页
DOI:10.12200/j.issn.1003-0034.2022.07.011
基金项目:宁波市自然科学基金(编号:2016A610142)
中文摘要:

目的:探讨骶骨解剖参数CT测量了解新型骶骨蝶形钢板DenisⅠ区安全置钉通道。

方法:回顾性分析2020年1月至2020年6月正常成年骶骨CT资料101例,女49例,男52例,年龄(49.11±15.02)岁。重建骶骨三维模型,根据所需测量平面重新分割三维模型,并进行数据测量及统计分析。

结果:骶骨上关节突下缘至S2骶后孔下缘的竖直距离为(42.55±4.73) mm;S1、S2、S3孔平面骶外侧嵴至骶髂关节面的水平距离依次为(19.09±3.07) mm、(15.34±2.69) mm、(8.29±2.48) mm;S1孔平面由骶外侧嵴向前进钉,内侧角、外侧角为(7.49±7.49)°、(24.07±4.89)°;S2孔平面内侧角、外侧角为(-3.10±8.95)°、(24.95±5.74)°。不同性别间除S1水平距离、S1内侧角外其余差异均有统计学意义,年龄与所有数据均无相关性。

结论:新型骶骨蝶形钢板在DenisⅠ区有足够的安全置钉范围;成年人骶骨形态间存在差异,差异主要与性别相关而与年龄无关。
【关键词】骶骨  解剖学  计算机虚拟技术
 
CT imaging measurement of sacral related anatomical parameters
ABSTRACT  

Objective: To investigate the CT measurement of sacral anatomical parameters and understand the safe nail placement channel of DenisⅠ area with a new sacral butterfly plate.

Methods: The CT data of 101 normal adult sacrum from January 2020 to June 2020 were retrospectively analyzed, including 49 females and 52 males, aged(49.11±15.02) years old. Firstly, the three-dimensional model of sacrum was reconstruct, the three-dimensional model according to the plane was re segment to be measured, and data measurement and statistical analysis were carried out.

Results: The vertical distance from the lower edge of superior sacral articular process to the lower edge of S2 posterior sacral foramen was (42.55±4.73) mm;The horizontal distance from the lateral sacral crest of S1, S2 and S3 hole plane to the sacroiliac joint surface was (19.09±3.07) mm, (15.34±2.69) mm and (8.29±2.48) mm respectively;The plane of S1 hole moves forward from the lateral sacral ridge, the inner and outer angles are (7.49±7.49)° and (24.07±4.89)° respectively;The inside and outside angles of S2 hole plane are (-3.10±8.95)° and (24.95±5.74)° respectively. There were significant differences between different genders except S1 horizontal distance and S1 medial angle, and there was no correlation between age and all data.

Conclusion: The new sacral butterfly plate has enough safe nail placement range in DenisⅠ area;There are differences in sacral morphology among adults. The differences are mainly related to gender but not age.
KEY WORDS  Sacrum  Anatomy  Computer virtual technology
 
引用本文,请按以下格式著录参考文献:
中文格式:韩欣攸,扶青松,王伟斌,袁欣华.骶骨相关解剖参数的CT影像学测量研究[J].中国骨伤,2022,35(7):650~655
英文格式:HAN Xin-you,FU Qing-song,WANG Wei-bin,YUAN Xin-hua.CT imaging measurement of sacral related anatomical parameters[J].zhongguo gu shang / China J Orthop Trauma ,2022,35(7):650~655
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