下頸椎經(jīng)椎弓根螺釘內固定的相關解剖學與影像學研究
發(fā)布時間:2018-04-16 22:13
本文選題:下頸椎 + 椎弓根; 參考:《吉林大學》2006年碩士論文
【摘要】: 實驗目的: 本文目的基于進行下頸椎椎弓根的相關經(jīng)線及角度測量,定位更準確的椎弓根進釘點、置釘方向,為成功應用經(jīng)頸椎椎弓根螺釘技術提供必要信息。 實驗方法: 1、在27具中國成人干燥頸椎標本上,用游標卡尺、角度測量器對椎弓根高度(PH )、寬度(PW )、椎弓根軸線的骨性通道全長(TL)、兩種椎弓根長度(PL1,PL2)。 2、在下頸椎CT圖像上測量椎弓根高度(PH′)、寬度(PW′)、椎弓根軸線的骨性通道全長(TL′)、兩種椎弓根長度(PL′1,PL′2)、椎弓根松質骨高度(PSH)、椎弓根松質骨寬度(PSW )、椎弓根橫斷面角(PTA )、椎弓根矢狀面角(PSA )、椎弓根斷面松質骨比例(PS)、椎弓根斷面皮質骨比例(PC)等具有臨床意義的數(shù)據(jù)進行測量。比較標本測量及CT測量的數(shù)據(jù),是否具有統(tǒng)計學差異。 3、選福爾馬林浸泡的標本9具,按照測量結果及文獻報道的進釘點置釘,判斷置釘效果。, 實驗結果: 1.大體標本椎弓根最窄處高度(PH )、椎弓根最窄處寬度(PW )、椎弓根軸線的骨性通道全長(TL)及兩種椎弓根的長度(PL1、PL2)結果見表1。 2.CT圖像上測量椎弓根高度(PH′)、寬度(PW′)、椎弓根軸線的骨性通道全長(TL′)、兩種椎弓根長度(PL′1,PL′2)結
[Abstract]:Objective:Objective based on the relative meridian and angle measurement of the pedicle of the lower cervical vertebrae, to locate the more accurate point of pedicle screw and to provide the necessary information for the successful application of the technique of transpedicular screw.Experimental methods:1. In 27 dry cervical vertebrae specimens of Chinese adults, the height of pedicle was measured by Vernier caliper, the width of PW, the total length of bony passage of pedicle axis, and the length of pedicle of two kinds of pedicle were measured by Vernier caliper and angle measuring instrument.2. On CT images of lower cervical vertebrae, the height of pedicle and the width of pedicle were measured. The length of bony passage in the axis of pedicle was TLX, the length of pedicle of two kinds of pedicle was 1 PL2, the height of cancellous bone of pedicle was PSH1, and the width of cancellous bone of pedicle was PSW.The clinical data of PTA, PSA, PSV and PCP of pedicle cross-sectional angle, sagittal angle of pedicle, and ratio of cortical bone of pedicle cross-section were measured.Compare the data of specimen measurement and CT measurement, whether there is statistical difference.3. 9 specimens soaked in formalin were selected to judge the effect of nail placement according to the results of measurement and the report of literature.Experimental results:1.The height of the narrowest part of the pedicle, the width of the narrowest part of the pedicle of the pedicle, the full length of the bony channel of the pedicle axis (TLL) and the length of the pedicle of the two kinds of pedicle are shown in Table 1.The height of pedicle and the width of pedicle were measured on 2.CT images. The total length of bony passage in the axis of pedicle and the length of pedicle of two kinds of pedicle were measured.
【學位授予單位】:吉林大學
【學位級別】:碩士
【學位授予年份】:2006
【分類號】:R322.71;R687.3
【參考文獻】
相關期刊論文 前3條
1 閆德強,謝志軍,于有德,李炳輝,常西海,孫立民,張漢瑜,范志強;頸椎弓根螺釘內固定的解剖學研究[J];中華骨科雜志;2002年11期
2 王東來,唐天駟,黃士中,楊惠林,邵云偉;下頸椎椎弓根內固定的解剖學研究與臨床應用[J];中華骨科雜志;1998年11期
3 傅一山,陳正形;頸椎弓根置釘?shù)挠跋駥W測量[J];中國脊柱脊髓雜志;2001年01期
,本文編號:1760800
本文鏈接:http://www.sikaile.net/yixuelunwen/binglixuelunwen/1760800.html
最近更新
教材專著