基于增强CT连续扫描数据的胎盘植入患者产后盆腔结构三维模型的.PDF

现代妇产科进展2012年7月第21卷第7期摇 Prog Obstet Gynecol,Jul. 2012,Vol郾21,No郾7 ·论著 · 基于增强 CT连续扫描数据的胎盘植入患者 产后盆腔结构三维模型的构建及意义* a a a** a b a a a 王志坚 ,刘摇 萍 ,钟摇 梅 ,余艳红 ,许乙凯 ,陈春林 ,陈淑滢 ,何艳红 (南方医科大学南方医院a.妇产科;b.影像诊断科,广州摇 510515) 摇 摇 揖摘要铱摇 目的:探讨基于增强CT 扫描数据重建产后女性在体盆腔结构三维模型的 方法及意义。 方法:选择1例阴道分娩后疑为胎盘植入产妇,经双源CT血管成像(CTA) 技术扫描盆腔,将Dicom3.0 原始二维断层图像数据集导入Mimics软件,分别对骨盆、盆 腔动静脉、输尿管进行三维重建并配准融合。 结果:获取的在体胎盘植入患者产后盆腔结 构数字化模型可以清楚显示骨盆、泌尿系统、髂总动静脉、髂外动静脉、髂内动静脉、子宫 动脉及其分支,并可进行任意缩放和任意角度旋转,显示不同结构间的毗邻关系和空间构 象,适于三维距离和角度测量。 结论:利用CTA数据集,在Mimics软件下可方便快捷地 建立理想的产后女性在体骨盆血管网的数字化三维模型,为妇产科医生更好地了解产后 女性盆腔解剖结构、做好产后介入手术术前评估提供了理想的物理化模型平台。 摇 摇 揖关键词铱摇 CT血管成像(CTA);胎盘植入;产后;盆腔组织;数字化;模型 摇 摇 中图分类号:R71摇 文献标志码:A摇 文章编号:1004-7379(2012)07-0513-03 The significance of the reconstruction of digital three鄄dimensional model in vivo for pel鄄 vic constitution of postpartum women based on the data of CT strengthening scanning. Wang Zhijian,Liu Ping,Zhong Mei,et al. Department of Obstetrics and Gynecology,Nanfang Hospital,SouthernMedical University,Guangzhou摇 510515 摇 摇 揖Abstract铱摇 Objective:To explore the significance of reconstruction of digital three鄄di鄄 mensional model in vivo for pelvic constitution of postpartum women based on the data of CT strengthening scanning.Methods:A series of Dicom 3.0 images were obtained from a woman suspected placentaaccreteaftervaginaldeliveryby dual sourcecomputertomographicangiogra鄄 phy(CTA).Then the Mimics software was used to reconstruct pelvic,pelvic arteriovenous and ureter.Results:The digital model of pelvic vascular network clearly showed the pelvis,the ure鄄 ter,thecommoniliacarteriovenous,extemaliliacarteriovenous,intemaliliacarteriovenous,uter鄄 ine artery and its primary branches.Thismodel couldbezoomed androtatedrandomly and dis鄄 played the spatial position and adjacent relationships of different anatomical structures.The re鄄 constructed struct