CT三维重建分析不同体位下股骨侧弓对下肢力线测量的影响.doc.docVIP

CT三维重建分析不同体位下股骨侧弓对下肢力线测量的影响 吴 伟1，2，郭万首1，2，李传东3，刘朝晖2，张启栋2，程立明2 (1北京协和医学院研究生院，北京市 100730；中日友好医院，2骨关节外科，3放射诊断科，北京市 100029) 引用本文：吴伟，郭万首，李传东，刘朝晖，张启栋，程立明. CT三维重建分析不同体位下股骨侧弓对下肢力线测量的影响[J].中国组织工程研究，2017，21():1764-1769. DOI:10.3969/j.issn.2095-4344.2017.11.022 ORCID: 0000-0001-7910-2664(吴伟) 文章快速阅读： 文题释义： CT血管造影：是将CT增强技术与薄层、大范围、快速扫描技术相结合，通过合理的后处理，清晰显示全身各部位血管细节，具有无创和操作简便的特点，对于血管变异、血管疾病以及显示病变和血管关系有重要价值。 下肢力线：即股骨机械轴与胫骨机械轴的夹角，理想的角度为0°5°，中国人参考值为：男性(2.2±2.7)°，女性(2.2±2.5)°。股骨机械轴为股骨头圆心与股骨髁间窝顶点的连线，胫骨机械轴为胫骨髁间嵴中点与踝关节中心的连线, 踝关节中心取内外踝的中点。 力线测量的影响规律。 方法：纳入下肢动脉CT血管造影的患者20例，Mimics 13.0软件对各病例CT扫描数据重建出该肢体骨骼的三维立体模型，确认其标准正位股骨侧弓角，分为4组：股骨侧弓角 2°组，股骨侧弓角大于0° 2°组，股骨侧弓角2°小于0°组，股骨侧弓角2°组，每组5例。利用软件功能使其沿下肢纵轴以2°步幅精确旋转出自内旋20°至外旋20°的21个图像，由所得图像测量不同体位下的股骨侧弓角及股骨外翻角，以模拟下肢全长X射线检查下肢伴有旋转的情况。 Effect of femoral bowing angle on the lower limb alignment in different positions based on CT three-dimensional reconstruction Wu Wei1, 2, Guo Wan-shou1, 2, Li Chuan-dong3, Liu Zhao-hui2, Zhang Qi-dong2, Cheng Li-ming2 (1Graduate School of Peking Union Medical College, Beijing 100730, China; 2Department of Bone and Joint Surgery, 3Department of Radiology, China-Japan Friendship Hospital, Beijing 100029, China) Abstract BACKGROUND: Measuring result of the lower limb alignment is often influenced by various factors, such as femoral bowing angle (FBA) in different positions. OBJECTIVE: To measure the FBA and femoral valgus correction angle (VCA) in different positions after CT reconstruction of lower limb model, and simulating X-ray examination, and to explore the rule of FBA affecting lower limb alignment. METHODS: Twenty patients undergoing CT angiography of lower extremity artery were enrolled, three-dimensional reconstruction of low limb was established on Mimics13.0 software based on CT data, and the FBA in standard posture was determined. All patients were divided into groups A (FBA 2°), B (2° FBA 0°), C (0° FBA -2°) and D (FBA -2°) (n=5 per group). Then each model was revolved through the vertical axis f