血液流经小型囊状颈内动脉瘤的漩涡形态的有限元分析刘波李志伟.DOC

血液流经小型囊状颈内动脉瘤的漩涡形态的有限元分析 刘波 李志伟 重庆医科大学附属永川医院神经内科 402160） 【摘要】目的：探讨血液流经小型囊状颈内动脉瘤的漩涡形态和应力分布，为下一步治疗的抉择提供帮助。方法：选取我院做过3D脑血管造影发现有小型囊状颈内动脉瘤病例86例，其中男48例，女38例，年龄50-70岁。使用MIMICS12.0、Geomagic Studio 12、UGS NX 8.0处理每例患者3D-DSA原始数据得到颈内动脉瘤血液部分的实体模型。把模型导入到ANSYS Workbench 14.0的CFX14.0中进行网格划分和有限元分析。结果：每例动脉瘤流线图在瘤腔内均形成漩涡，形态类似。瘤腔浅、瘤颈宽者易形成打折形漩涡，其瘤腔壁面切应力低，瘤壁受力大；瘤腔深、瘤颈窄者易形成螺旋形漩涡，其瘤腔壁面切应力偏高，瘤壁受力小。结论：螺旋形漩涡能缓冲血液压力，打折形漩涡对瘤壁冲击力大，颈宽、腔浅的小型囊状动脉瘤也应该受到临床足够重视。 【关键词】颅内动脉瘤 有限元分析 数字减影血管造影 Finite Element Analysis of Vortex Forms of The Blood Flowing Through The Small Saccular Internal Carotid Artery Aneurysm Liu Bo lizhiwei (Department of Neurology,Yong Chuan Hospital,Chongqing Medical University , Chongqing,402160,China) Abstract Purpose: To study vortex forms and stress distribution of the blood flowing through the small saccular internal carotid artery aneurysm,to provide assistance for the next treatment choices. Method: 86 patients were selected with found small saccular internal carotid artery aneurysm and have already completed the 3D digital subtraction angiography in our hospital among 48 male cases and 38 female cases between 50-70 years old.Entity model of blood part of the internal carotid artery aneurysm was obtained by processing per patient 3D-DSA raw data in combination with MIMICS12.0,Geomagic Studio 12 and UGS NX 8.0.The model was imported into ANSYS Workbench 14.0s CFX14.0 in which meshing and finite element analysis were processed. Results: Vortex in the aneurysm cavity was formed in flow chart for each case, each vortex showed similar patterns. Aneurysms with shallow cavity and wide neck were easy to form a discount vortex, with low wall shear stress and high pressure on the aneurysm walls; others with deep cavity and narrow neck were easy to form a spiral vortex, with higher wall shear stress and lower pressure on the aneurysm walls. Conclusions: Spiral vortex can buffer the blood pressure,discount vortex has big impact on the aneurysm wall, Aneury