汉族与维吾尔族男性胸腰段椎弓根应用解剖的CT研究及其临床意义
发布时间：2019-04-03 19:20
【摘要】：目的：CT扫描并测量汉族与维吾尔族男性胸腰段椎弓根应用解剖的相关参数,为临床应用椎弓根螺钉内固定提供应用解剖学资料。方法：用CT对120名成年男性受检者(汉族60例,维吾尔族60例)的胸腰段(T10-L2)椎体进行扫描,扫描后的图像行三维重建,在骨窗窗位下使用浏览器中角度及长度测量工具测量并记录横断面椎弓根宽度(TPW),椎弓根轴线长度(PAL),椎弓根横断面角(TPA)和椎弓根矢状面角(SPA)。同时记录受检者的年龄、身高。以上数据运用SPSS13.0软件进行统计学处理。结果：汉族组在T12和L1节段的TPW值大于维吾尔族组,汉族组在T12和L2节段的TPA值大于维吾尔族组,汉族组在T11和L1节段的PAL和SPA值大于维吾尔族组,差别有统计学意义(P0.05)。结论：本实验所测量汉族与维吾尔族男性胸腰段椎弓根各径线及角度部分数据有差异,任何椎弓根形态测量所得的均数值只能为安全的置入椎弓根螺钉提供一个参考。在椎弓根螺钉置入术前行CT测量相关参数,并制定个体化置钉方案,能有效的降低因误置而导致的不必要的术后并发症发生率。
[Abstract]:Aim: to measure the parameters of applied anatomy of thoracolumbar pedicle of Han and Uygur men by CT, and to provide applied anatomical data for clinical application of pedicle screw fixation. Methods: the thoracolumbar (T10-L2) vertebrae of 120 adult male subjects (60 Han and 60 Uyghur) were scanned by CT. Measurement and recording of transverse pedicle width (TPW), pedicle axis length (PAL), pedicle cross sectional angle (TPA) and pedicle sagittal angle (SPA). By using the middle angle and length measurement tool in the bone window and window position of the bone window and using the middle angle and length measurement tool in the browser to measure and record the transverse pedicle width (TPA) and the sagittal angle of the pedicle (SPA). The age and height of the subjects were also recorded. The above data were statistically processed by SPSS13.0 software. Results: the TPW values in the T12 and L1 segments of the Han group were higher than those in the Uighur group, the TPA values in the T12 and L2 segments in the Han group were higher than those in the Uygur group, and the PAL and spa values in the T11 and L1 segments in the Han group were higher than those in the Uygur group. The difference was statistically significant (P0.05). Conclusion: there are some differences in the diameter and angle of thoracolumbar pedicle between Han and Uighur males. The mean value of any pedicle morphometry can only provide a reference for safe placement of pedicle screw. CT was used to measure the related parameters before pedicle screw insertion, and a individualized screw placement scheme was made, which could effectively reduce the incidence of unnecessary postoperative complications caused by misplacement of pedicle screws.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3
本文编号：2453489
[Abstract]:Aim: to measure the parameters of applied anatomy of thoracolumbar pedicle of Han and Uygur men by CT, and to provide applied anatomical data for clinical application of pedicle screw fixation. Methods: the thoracolumbar (T10-L2) vertebrae of 120 adult male subjects (60 Han and 60 Uyghur) were scanned by CT. Measurement and recording of transverse pedicle width (TPW), pedicle axis length (PAL), pedicle cross sectional angle (TPA) and pedicle sagittal angle (SPA). By using the middle angle and length measurement tool in the bone window and window position of the bone window and using the middle angle and length measurement tool in the browser to measure and record the transverse pedicle width (TPA) and the sagittal angle of the pedicle (SPA). The age and height of the subjects were also recorded. The above data were statistically processed by SPSS13.0 software. Results: the TPW values in the T12 and L1 segments of the Han group were higher than those in the Uighur group, the TPA values in the T12 and L2 segments in the Han group were higher than those in the Uygur group, and the PAL and spa values in the T11 and L1 segments in the Han group were higher than those in the Uygur group. The difference was statistically significant (P0.05). Conclusion: there are some differences in the diameter and angle of thoracolumbar pedicle between Han and Uighur males. The mean value of any pedicle morphometry can only provide a reference for safe placement of pedicle screw. CT was used to measure the related parameters before pedicle screw insertion, and a individualized screw placement scheme was made, which could effectively reduce the incidence of unnecessary postoperative complications caused by misplacement of pedicle screws.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3
【参考文献】
相关期刊论文 前1条
1 杜良杰;李建军;;国人成年男性胸腰椎椎弓根径线和偏角与脊椎节段序数的相关性研究[J];中国脊柱脊髓杂志;2009年07期
，本文编号：2453489
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