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中國人頸椎間盤幾何參數(shù)規(guī)律研究

Research on the rules in the geometric parameters of Chinese cervical discs

作者: 薛清華  姜錦鵬  季林紅  劉偉強(qiáng)                  
單位:                      清華大學(xué)精密儀器與機(jī)械學(xué)系(北京100084)        
關(guān)鍵詞:                     頸椎間盤;幾何法則;影像學(xué)測量;MRI;  X射線          
分類號:
出版年·卷·期(頁碼):2014·33·1(21-28)
摘要:

目的 全椎間盤置換術(shù)是治療頸椎疾病的常用手段之一,而人工椎間盤假體精準(zhǔn)的幾何參數(shù)對于手術(shù)和治療效力至關(guān)重要。通過研究健康自然條件下中國人頸椎間盤幾何參數(shù),為人工頸椎間盤的設(shè)計和尺寸選擇提供基礎(chǔ)和重要依據(jù)。方法 在多家高資質(zhì)醫(yī)院的萬余例影像數(shù)據(jù)中收集篩選了208組X射線和170組MRI影像,建立一套操作性強(qiáng)、重復(fù)性好,精確穩(wěn)定的測量法則,獲取一系列頸椎間盤關(guān)鍵參數(shù)。結(jié)果 初步建立了中國人頸椎間盤參數(shù)數(shù)據(jù)庫。從年齡、性別、節(jié)段和數(shù)據(jù)來源等多個角度對數(shù)據(jù)庫進(jìn)行統(tǒng)計學(xué)處理和分析,定性判斷各種椎間盤參數(shù)的相關(guān)性,并定量分析具體數(shù)量關(guān)系。結(jié)論 總結(jié)了若干幾何學(xué)規(guī)律,為椎間盤假體的設(shè)計和尺寸序列選擇提供了重要參考。

Objective Total disc replacement has become a common treatment for cervical diseases, and the accurate geometric dimensions of the artificial disc are vital for the operation and the treatment efficacy.This study aims at obtaining the geometric parameters of the typical and healthy Chinese cervical disc, and providing foundation and important reference for the artificial cervical disc design and dimensional selection.Methods After screening over ten thousands of imaging data in several high qualified hospitals, 208 groups of X-ray data and 170 groups of MRI data were selected.A precise and stable protocol with good operability and repeatability was built and a series of key parameters of cervical discs were measured.Results A database of Chinese cervical disc was preliminary founded.Statistical process and analysis were carried out in many angles, such as age, gender, disc series and data resource.The relativity of cervical disc parameters was discussed qualitatively and certain specific numerical relationship was analyzed quantitatively.Conclusions Certain rules for cervical disc geometry were proposed and suggestions about the design and size of the prosthesis were presented.

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