| CT辅助腰椎终板形态学研究 |
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Received:December 21, 2017
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| 作者 | Author | 单位 | Unit | E-Mail |
| 刘俭涛 |
LIU Jian-tao |
西安交通大学第二附属医院骨科, 陕西 西安 710004 |
Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China |
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| 韩华 |
HAN Hua |
西安交通大学医学部基础医学院解剖与组织胚胎学系, 陕西 西安 710061 |
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| 高正超 |
GAO Zheng-chao |
西安交通大学第二附属医院骨科, 陕西 西安 710004 |
Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China |
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| 贺财友 |
HE Cai-you |
西安市中医医院骨科, 陕西 西安 710021 |
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| 蔡璇 |
CAI Xuan |
西安交通大学第二附属医院骨科, 陕西 西安 710004 |
Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China |
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| 牛斌斌 |
NIU Bin-bin |
西安交通大学第二附属医院骨科, 陕西 西安 710004 |
Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China |
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| 顾梦超 |
GU Meng-chao |
西安交通大学第二附属医院骨科, 陕西 西安 710004 |
Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China |
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| 李宇欢 |
LI Yu-huan |
西安交通大学第二附属医院骨科, 陕西 西安 710004 |
Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China |
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| 梁辉 |
LIANG Hui |
西安交通大学第二附属医院骨科, 陕西 西安 710004 |
Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China |
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| 贺西京 |
HE Xi-jing |
西安交通大学第二附属医院骨科, 陕西 西安 710004 |
Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China |
xijing_h@vip.tom.com |
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| 期刊信息：《中国骨伤》2018年31卷，第12期，第1129-1135页 |
| DOI：10.3969/j.issn.1003-0034.2018.12.011 |
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目的：通过计算机断层扫描技术对健康成人腰椎终板结构进行解剖测量与研究，为腰椎假体的优化设计与临床应用提供有益指导。
方法：有偿征集60名健康成人（男女均等），签署知情同意书后于西安交通大学第二附属医院影像科行全腰段CT扫描。将扫描数据导入计算机辅助软件Mimics 16.0进行三维重建及测量。采集指标包括正中矢状径、最大冠状径，凹陷深度、正中矢状面凹陷角，冠状面凹陷角等共9项，最后利用统计学软件对采集数据进行统计学分析。
结果：上下终板的正中矢状径与最大冠状径不但具有性别差异（P<0.05），而且随着腰椎序列的增加呈增大趋势。上下终板凹陷深度无性别差异（P>0.05），自L1至L5变化较小，分别在1.5~2.0 mm与2.2~3.9 mm波动；同一序列男性下终板凹陷深度大于上终板且差异有统计学意义（P<0.05），而女性上下终板凹陷深度比较差异无统计学意义（P>0.05）。上下终板矢状面凹陷角与冠状面凹陷角随着椎体序数的增加整体变化较小而且绝大部分椎体序列上矢状面与冠状面凹陷角均无性别差异（P>0.05）。统计学显示靠近尾侧腰椎终板最大凹陷处位于终板平面偏背侧。
结论：人体腰椎终板解剖结构比较复杂，熟悉掌握终板解剖参数以及术前充分利用CT辅助测量对于腰椎假体的研制及临床应用具有重要意义。 |
| [关键词]:腰椎 解剖学 假体植入 |
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| CT assisted morphological study of lumbar endplate |
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Abstract:
Objective: To study and measure the anatomic structure of lumbar vertebral endplate structure in healthy adults by computed tomography(CT) technique in order to provide a useful guidance for the optimal design and clinical application of lumbar prostheses.
Methods: Sixty healthy adults (male and female equals) were recruited for full-waist CT scan after signing the informed consent form in the imaging department of the Second Affiliated Hospital of Xi'an Jiaotong University. The scanning data was imported into the computer aided software Mimics 16.0 for 3D reconstruction and measurement. The acquisition indexes included median sagittal diameter,maximum coronal diameter,concavity depth,median sagittal depression angle,coronal depression angle and so on. Finally,the collected data were statistically analyzed by the statistical software.
Results: The median sagittal diameter and the maximum coronal diameter of the upper and lower endplates were not only different between the different sexes(P<0.05),but also were increased with the increase of the lumbar spine sequence. The concavity depth of upper and lower endplates had no gender differences(P>0.05),but had a little change from L1 to L5,fluctuating from 1.5 to 2.0 mm and from 2.2 to 3.9 mm,respectively. In the same sequence,the concavity depth of lower endplate in males was greater than that of upper endplate,and the difference was statistically significant(P<0.05),but there was no significant difference in the concavity depth of upper and lower endplate in females(P>0.05). Sagittal concavity angle and coronal concavity angle of upper and lower endplates changed slightly with the increase of vertebral order,and there was no gender difference in sagittal and coronal concavity angle of most vertebral sequences (P>0.05). Statistics showed that the largest concavity near the caudal lumbar endplate was located on the dorsal side of the endplate plane.
Conclusion: The anatomical structure of the lumbar endplate is very complicated. It is important to master the anatomical parameters of the endplate and make full use of CT before operation for the development and clinical application of the lumbar prosthesis. |
| KEYWORDS:Lumbar vertebrae Anatomy Prosthesis implantation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘俭涛,韩华,高正超,贺财友,蔡璇,牛斌斌,顾梦超,李宇欢,梁辉,贺西京.CT辅助腰椎终板形态学研究[J].中国骨伤,2018,31(12):1129~1135 |
| 英文格式: | LIU Jian-tao,HAN Hua,GAO Zheng-chao,HE Cai-you,CAI Xuan,NIU Bin-bin,GU Meng-chao,LI Yu-huan,LIANG Hui,HE Xi-jing.CT assisted morphological study of lumbar endplate[J].zhongguo gu shang / China J Orthop Trauma ,2018,31(12):1129~1135 |
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