三维有限元模型分析OSAHS患者下颌不同前伸位置舌体变化的分析-口腔临床医学专业论文.docxVIP

宁夏医科大 宁夏医科大学硕士研究生学位论文 英文摘要 The investigation of analysis on OSAHS patient mandibular protrusion position of the tongue changing through 3-D FEM model ABSTRACT Objective A three-dimensional finite element (FEM) model of the Upper airway and adjacent structure of an Obstructive sleep apnea hypopnea syndrome patient for OSAHS biomechanical analysis was constructed. And the changes of tongue part and airway of OSAHS patient were observed by biomechanics and morphologic with the mandibular protruding, which provided the basis for the treatment of Oral appliance for OSAHS patients. Methods DICOM format image informations of an OSAHS patient’s upper airway obtained by thin-section CT scanning and digital image processing were utilized to construct a three-dimensional finite element model by Mimics, Imageware and Ansys software．And the changes and the law of tongue part and airway were observed with the mandibular protruding. Results A case of OSAHS and the adjacent upper airway structure of three-dimensional finite element model is constructed which is formed by solid92 tetrahedral unit of a 10-node element. The model has bone cortical 562920 elements, and 544929 nodes, cancellous bone 50141 elements and 84869 nodes, muscle and upper airway 336789 elements and 303134 nodes. After titrated mandibular protruding, tongue part of three-dimensional finite element of OSAHS change accordingly, The main manifestations are that the tongue forward, the transverse diameter and cross-sectional area of retroglossal region are decreased correspondingly, the sagittal diameter is increased significantly after model loading. Conclusions The three-dimensional finite element model of the upper airway and vicinity structure of the OSAHS patient was established using spiral CT technology and combined using Imageware , Mimics software and Ansys software, which confirmed the 3-D FEM model could be established through CT. The model has good geometric similarity and good flexibility. Th