不同位置内外上髁轴线对多层螺旋CT容积再现测量肱骨头扭转角影.docVIP

不同位置内外上髁轴线对多层螺旋CT容积再现测量肱骨头扭转角影 　【摘要】 探讨肱骨远端不同位置内外上髁轴线对多层螺旋CT容积再现三维重建测量肱骨头扭转角的影响。［方法］收集51根肱骨干标本，行16排螺旋CT扫描，容积再现技术三维重建测量肱骨头扭转角。俯视位观察，肱骨远端内外上髁连线取3种不同方位，求得3组肱骨头扭转角。与二维CT取肱骨远端3个不同平面的肱骨头扭转角进行对比研究。［结果］肱骨头扭转角最小值4°，最大值59.8°，6组肱骨头扭转角数据为（25.5±10.2）°，（25.0±10.8）°，（25.7±10.8）°,（27.3±10.3）°，（26.3±10.2）°，（25.8±10.4）°，经统计学处理6组肱骨头扭转角差异不显著。且二维CT测量肱骨头扭转角时肱骨远端层面越向远端值越小。［结论］肱骨头扭转角变异较大，肩关节假体扭转角设计应个性化；肱骨远端不同位置内外上髁轴线对多层螺旋CT容积再现测量肱骨头扭转角没有影响；俯视位观察肱骨，当外上髁露出呈小三角形、肱骨远端前关节面被肱骨头遮盖重叠的位置是多层螺旋CT三维重建测量肱骨头扭转角的更简单、更快捷而且准确的测量位置。 【关键词】 肱骨头 扭转角 体层摄影术 X线计算机 假体 Abstract：［Objective］To evaluate the effect of transepicondylar axis of different position on volume rendering technique measuring the humeral head retroversion angle with multi slice spiral CT.［Method］Fiftyone dry humerus specimens were scanned with 16 slice spiral CT scanner,At top view the threegroup humeral head retroversion angle decided by the transepicondylar axis of different position were measured by volume rendering technique,As to twodimension CT method,the distal reference axis of the humeral head retroversion angle was defined by three sections of different levels,the total sixgroup data on humeral head retroversion angle were analyzed by Statistics.［Result］The humeral head retroversion angle ranged from 4° to 59.8°,the humeral head retroversion angle of six groups were（25.5±10.2）°,（25.0±10.8）°,（25.7±10.8）°,（27.3±10.3）°,（26.3±10.2）°，（25.8±10.4）° respectively.The Statistics showed that the results have no significant difference among them.The more distal the humerus was,the smaller humeral head retroversion angle defined by a line between the epicondyles on twodimension CT method was.［Conclusion］The humeral head retroversion angle is markedly variable,the humeral head retroversion angle of shoulder joint prosthetic design should be individual.The transepicondylar axis of different position has no effect on volume rendering technique measuring the humeral head retroversion angle with multi slice spiral CT.The top view at which latera