| 基于CT技术的成年人腰椎间盘及终板解剖参数研究 |
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Received:November 20, 2022
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| 作者 | Author | 单位 | Unit | E-Mail |
| 韩玺铭 |
HAN Xi-ming |
新疆医科大学基础医学院解剖教研室, 新疆 乌鲁木齐 830011 |
Department of Anatomy, School of Foundation Medicine of Xinjiang Medical University, Wulumuqi 830011, Xinjiang, China |
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| 牛立盼 |
NIU Li-pan |
新疆医科大学基础医学院解剖教研室, 新疆 乌鲁木齐 830011 |
Department of Anatomy, School of Foundation Medicine of Xinjiang Medical University, Wulumuqi 830011, Xinjiang, China |
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| 刘凤霞 |
LIU Feng-xia |
新疆医科大学基础医学院解剖教研室, 新疆 乌鲁木齐 830011 |
Department of Anatomy, School of Foundation Medicine of Xinjiang Medical University, Wulumuqi 830011, Xinjiang, China |
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| 马景旭 |
MA Jing-xu |
新疆医科大学第二附属医院影像中心, 新疆 乌鲁木齐 830011 |
Imaging Center, the Second Affiliated Hospital of Xinjiang Medical University, Wulumuqi 830011, Xinjiang, China |
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| 王红 |
WANG Hong |
新疆医科大学第二附属医院影像中心, 新疆 乌鲁木齐 830011 |
Imaging Center, the Second Affiliated Hospital of Xinjiang Medical University, Wulumuqi 830011, Xinjiang, China |
wangh_xj@163.com |
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| 期刊信息：《中国骨伤》2023年36卷，第1期，第72-78页 |
| DOI：10.12200/j.issn.1003-0034.2023.01.014 |
| 基金项目:新疆维吾尔自治区自然科学基金(编号:2016D01C199) |
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目的:应用CT三维重建技术测量健康成年人腰椎间盘及椎体终板的解剖参数,为临床应用及腰椎间盘假体的个体化设计提供基本数据。
方法:对2019年9月至2020年12月在新疆医科大学第二附属医院影像中心住院或门诊就诊腰椎正常椎间盘及椎体终板的解剖参数进行测量,男女各200例,年龄20~60(40.61±11.22)岁,测量节段为L1-S1椎间盘,测量指标包括椎间盘轴位前后径和横径、矢状位前中后高度、冠状位左右高度、椎间隙角度及各椎体上下终板的横径和前后径。
结果:(1)在性别上,男性L1-S1椎间盘轴位前后径和横径、矢状位前中后高度、冠状位左右高度、椎间隙角度的解剖参数均大于女性(P＜0.05),男性L1-S1椎体上下终板的解剖参数大于女性(P＜0.001)。(2)在矢位前中后高度比较中,男性和女性 L1-L5各椎间盘矢位高度均为中高>前高>后高(P＜0.001),而L5S1椎间盘矢位高度为前高>中高>后高(P＜0.001)。(3)在冠状位左右高比较中,男性和女性L1-S1椎间盘冠状位左右高度差异均无统计学意义(P＞0.05)。(4)男性和女性L1-S1各椎间隙夹角均随椎体节段的增加而增大。(5)男性L1-S1椎体上下终板的前后径及横径均大于女性(P＜0.001)。
结论:在成人腰椎间盘假体的设计中应考虑性别差异。各节段腰椎间盘的解剖参数随椎体序列的增加而变化,在人工椎间盘的设计中应考虑不同椎间盘的解剖参数,从矢位的高度变化判定椎间盘的设计应为楔形。 |
| [关键词]:CT三维重建 腰椎间盘 椎体终板 解剖参数 |
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| Study on anatomical parameters of adult lumbar intervertebral disc and endplate based on CT |
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Abstract:
Objective To provide basic data for clinical application and individualized design of lumbar disc prostheses by measuring the anatomical parameters of lumbar intervertebral discs and endplates in healthy adults with CT three-dimensional reconstruction technology.
Methods A retrospective analysis was performed on 200 males and 200 females with normal lumbar spine who were admitted to the imaging center or outpatient department of the Second Affiliated Hospital of Xinjiang Medical University from September 2019 to December 2020. The age ranged from 20 to 60 years old,with an average of (40.61±11.22) years old. The measurement segment was L1-S1 intervertebral disc,and the measurement indicators included the axial anteroposterior diameter and transverse diameter of the intervertebral disc,sagittal anterior,middle and posterior height,coronal left and right height,intervertebral space angle,and transverse and anteroposterior diameters of the upper and lower endplates of each vertebral body.
Results ①In terms of gender,the anatomical parameters of L1-S1 disc axial diameter,transverse diameter,sagittal anterior,middle and posterior height,left and right coronal height and intervertebral space angle were all higher in males than in females(P＜0.05),and the anatomical parameters of upper and lower endplates of L1-S1 vertebral body were higher in males than in females(P＜0.001). ②In comparison of sagittal height of anterior,middle and posterior intervertebral discs,the sagittal height of L1-L5 intervertebral discs was middle-high > anterior-high > posterior-high(P＜0.001),while that of L5S1 intervertebral disc was anterior-high > middle-high > posterior-high (P＜0.001). ③In the comparison of left and right coronal height,there was no statistical significance in the left and right coronal height of L1-S1 disc between male and female(P＞0.05). ④The L1-S1 intervertebral spaces angle between male and female increased with the increase of vertebral body segments. ⑤The anterior and posterior diameters and transverse diameters of upper and lower of L1-S1 vertebral bodies endplates were height in males than in females(P＜0.001).
Conclusion The results suggest that gender differences should be considered in the design of adult lumbar disc prostheses. The anatomical parameters of the lumbar intervertebral disc varied with the increase of the vertebral body sequence,suggesting that different anatomical parameters of the intervertebral disc should be considered in the design of the artificial intervertebral disc,and the changes in the height of the sagittal position suggest that the design of the intervertebral disc should be wedge-shaped. |
| KEYWORDS:CT 3D reconstruction Lumbar intervertebral disc Lumbar endplate Anatomic parameters |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 韩玺铭,牛立盼,刘凤霞,马景旭,王红.基于CT技术的成年人腰椎间盘及终板解剖参数研究[J].中国骨伤,2023,36(1):72~78 |
| 英文格式: | HAN Xi-ming,NIU Li-pan,LIU Feng-xia,MA Jing-xu,WANG Hong.Study on anatomical parameters of adult lumbar intervertebral disc and endplate based on CT[J].zhongguo gu shang / China J Orthop Trauma ,2023,36(1):72~78 |
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