51黑料吃瓜在线观看,51黑料官网|51黑料捷克街头搭讪_51黑料入口最新视频

設(shè)為首頁 |  加入收藏
首頁首頁 期刊簡介 消息通知 編委會(huì) 電子期刊 投稿須知 廣告合作 聯(lián)系我們
白內(nèi)障手術(shù)連續(xù)環(huán)形撕囊有限元仿真分析

Finite element simulation analysis of continuous circular capsulorhexis in cataract surgery

作者: 韓少峰,李志朝,盧銘鋒,裴雅靜,楊洋,馬科 
單位:1 華北電力大學(xué)能源動(dòng)力與機(jī)械工程學(xué)院(北京102206)2 北京同仁醫(yī)院(北京 100062)3 山西醫(yī)科大學(xué)(太原 030072)4 北京航空航天大學(xué)機(jī)械工程及自動(dòng)化學(xué)院(北京 100191)
關(guān)鍵詞: 連續(xù)環(huán)形撕囊;有限元模型;前囊膜;撕囊力;力學(xué)行為 
分類號(hào):
出版年·卷·期(頁碼):2025·44·1(9-15)
摘要:

目的 應(yīng)用有限元分析(finite element analysis,F(xiàn)EA)實(shí)現(xiàn)人眼晶狀體連續(xù)環(huán)形撕囊(continuous curvilinear capsulorhexis, CCC)操作,探討在撕囊過程中的操作力和囊膜變形情況,以期實(shí)現(xiàn)撕囊的精準(zhǔn)操作。方法 首先基于已有的晶狀體臨床物理和形態(tài)數(shù)據(jù),構(gòu)建連續(xù)環(huán)形撕囊有限元仿真模型,采用畸變能失效準(zhǔn)則和黏聚力模型破壞準(zhǔn)則分別模擬前囊膜自身和層間相鄰組織的損傷,然后建立球坐標(biāo)系描述撕囊運(yùn)動(dòng)參數(shù),分析撕囊過程中組織的力學(xué)行為,獲取撕囊力曲線。結(jié)果 當(dāng)撕囊角度1=90°,2=30°時(shí),最大撕囊力和平均撕囊力分別為19.22 mN和11.74 mN,仿真數(shù)據(jù)與文獻(xiàn)中所述實(shí)驗(yàn)數(shù)據(jù)吻合較好;速度大小對(duì)平均撕囊力的影響為先增大后減小,并且隨著失效應(yīng)力的增加,平均撕囊力逐漸增加。整個(gè)撕囊過程能夠很好地反映撕囊力和囊膜的變形情況,5步平均撕囊力分別為11.74 mN,9.70 mN,12.44 mN,11.01 mN和9.75 mN。結(jié)論 在撕囊過程中,囊膜與皮質(zhì)之間首先發(fā)生破壞,隨后才開始前囊膜自身的斷裂,撕囊力主要由前囊膜裂紋擴(kuò)展造成,且速度導(dǎo)致平均撕囊力先增大后減小,同時(shí),失效應(yīng)力的增大也會(huì)引起撕囊力的增大。對(duì)于整個(gè)撕囊過程,每一次倒手后的撕囊力能夠保持穩(wěn)定。本文所構(gòu)建的撕囊有限元模型能夠模擬連續(xù)環(huán)形撕囊操作。

Objective In order to achieve precise operation of continuous circular capsulorhexis (CCC), the finite element analysis (FEA) is used to explore the tear force and anterior capsule deformation during CCC. Methods Firstly, based on the existing clinical physical and morphological data of the lens, a model of continuous circular capsulorhexis was constructed. The damage of the anterior capsule itself and the adjacent tissue between capsule and cortex were simulated by using the distortion energy failure criterion and cohesive model failure criterion, respectively. Then, by constructing a spherical coordinate system to describe the parameters of tearing, the mechanical behavior of tissue was analyzed, and tear force curve was obtained. Results When the capsulorhexis angle 1=90°, 2=30°, the maximum and mean tear force were 19.22 mN and 11.74 mN, respectively. The capsulorhexis force is in good agreement with the experimental data described in literature. The effect of velocity on the mean tearing force is first increased and then decreased, and with the increase of failure stress, the mean tearing force gradually increased. The whole process of capsulorhexis can well reflect the tear force and the deformation of the capsule, and the average force of five tearing steps were 11.74 mN,9.70mN,12.44mN,11.01mN and 9.75mN, respectively. Conclusions In the process of capsulorhexis, the capsule and the cortex are destroyed first, and then the anterior capsule itself is broken. The tear force is mainly caused by the crack propagation of the anterior capsule, and the speed leads to the average tear force first increases and then decreases. At the same time, the increase of failure stress will also cause the increase of tear force. For the entire capsulorhexis process, the tear force after each reversal can remain stable. The finite element model constructed in our paper can simulate the CCC operation.

參考文獻(xiàn):

服務(wù)與反饋:
文章下載】【加入收藏
提示:您還未登錄,請(qǐng)登錄!點(diǎn)此登錄
 
友情鏈接  
地址:北京安定門外安貞醫(yī)院內(nèi)北京生物醫(yī)學(xué)工程編輯部
電話:010-64456508  傳真:010-64456661
電子郵箱:[email protected]