摘要
目的通过对肩胛骨CT扫描三维重建,了解喙突的解剖形态学特点,为临床上相关疾病诊断和治疗提供解剖学依据。方法选取西南医科大学附属中医医院,因病情需要对肩胛骨行CT三维重建的256例患者影像学资料,并测量喙突相关解剖学数据,并进行对比和分析。结果统计了256例喙突三维重建模型的解剖学数据,测得喙突尖部的宽度为(14. 31±2. 71) mm,尖部的厚度为(8. 79±1. 44) mm,折返部的宽度为(22. 87±2. 82) mm,折返部的厚度为(14. 68±2. 39) mm,基底部的宽度为(26. 29±3. 05) mm,基底部的厚度为(10. 71±3. 01) mm,尖部到折返部的长度为(40. 49±4. 10) mm,折返部到基底部的长度为(19. 36±2. 35) mm。且在左右对比中发现,喙突尖厚度、折返部宽度、折返部到基底部长度差异存在显著性(P<0. 05),而喙突的其他解剖形态差异无统计学意义(P>0. 05)。结论 CT三维重建能够全面准确地观察到喙突的解剖学结构,提供喙突解剖学参数。
Objective To study the anatomical morphological features of coracoid process by 3 D reconstruction of scapular CT,and to provide anatomic basis for clinical diagnosis and treatment of related diseases. Methods The imaging data of 256 patients with CT three-dimensional reconstruction of scapula were selected and the coracoid process related anatomical data were measured and compared and analyzed in the Hospital of Traditional Chinese Medicine Affiliated to Southwest Medical University. Results The anatomical data of 256 cases of coracoid process reconstruction model were analyzed. The width of the tip of the coracoid process was( 14. 31 ± 2. 71) mm and the thickness of the apex was( 8. 79 ±1. 44) mm. The width of the folded part was( 22. 87±2. 82) mm,the thickness of the folded part was( 14. 68±2. 39) mm,the width of the base was( 26. 29±3. 05) mm,the length of the base was( 10. 71±3. 01) mm,the length of the tip to the base was( 19. 36±2. 35) mm. There were significant differences in the thickness of the coracoid tip,the width of the reentrant part and the length from the reentrant part to the base of the coracoid process( P<0. 05),but there was no significant difference in other anatomical morphology of the coracoid process( P > 0. 05). Conclusion Three-dimensional CT reconstruction can provide anatomical parameters of coracoid process and provide anatomic basis for clinical diagnosis and treatment.
引文
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