| 颈椎“椎骨错缝”三维有限元模型创建方法的研究 |
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投稿时间：2010-01-08
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| 作者 | Author | 单位 | Address | E-Mail |
| 张明才 |
ZHANG Ming-cai |
上海中医药大学附属曙光医院,上海 200021 |
Shuguang Hospital Afiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China |
shgsyjs@139.com |
| 吕思哲 |
Lv Si-zhe |
上海交通大学软件学院 |
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| 詹红生 |
ZHAN Hong-sheng |
上海中医药大学附属曙光医院,上海 200021 |
Shuguang Hospital Afiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China |
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| 顾力栩 |
GU Li-xu |
上海交通大学软件学院 |
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| 石印玉 |
SHI Yin-yu |
上海中医药大学附属曙光医院,上海 200021 |
Shuguang Hospital Afiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China |
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| 王翔 |
WANG Xiang |
上海中医药大学附属曙光医院,上海 200021 |
Shuguang Hospital Afiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China |
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| 黄仕荣 |
HUANG Shi-rong |
上海中医药大学附属曙光医院,上海 200021 |
Shuguang Hospital Afiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China |
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| 期刊信息：《中国骨伤》2010年，第23卷，第5期，第366-369页 |
| DOI：10.3969/j.issn.1003-0034.2010.05.016 |
| 基金项目:1.国家重点基础研究发展计划(怨苑猿)项目(编号:2007CB512701);2.中医药行业科研专项(编号:7-17);3.国家中药管理局重点专病专科(编号:09J1X1L116K110) |
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中文摘要:
目的：“椎骨错缝”是颈椎病临床发病的主要病理环节之一，同时也是手法临床干预靶点。结合三维有限元分析技术探讨颈椎“椎骨错缝”可视化模型的创建方法。
方法：选取颈椎病患者，通过颈椎动静态触诊和X线判定发生“椎骨错缝”的患者1例(男性，28岁，身高176 cm,体重69 kg),CT扫描C1-C7(层厚0.75 mm),基于CT数据，应用特定三维有限元分析软件对“椎骨错缝”节段(C4-6)进行三维有限元模型创建。
结果：重建出的颈椎“椎骨错缝”三维模型证实，参照相邻椎体序列，C5椎体发生明显的三维空间位置异常，空间位移是向下平移0.9 mm,绕X轴顺时针旋转4.5°，呈现后仰式错缝，并能对错缝导致关节异常应力进行有限元分析。
结论：本研究提出的颈椎“椎骨错缝”的建模思路与方法可靠，为后期手法矫正“椎骨错缝”的机制分析奠定基础。 |
| 【关键词】颈椎病 三维有限元 有限元分析 图像处理,计算机辅助 |
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| Study on the method of construct the three-dimensional finite element model of cervical vertebrae semidislocation |
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ABSTRACT
Objective: Cervical vertebra semidislocation was one of major pathological aspects of cervical spondylosis,and it was also the target of manipulation to treat cervical spondylosis. The aim of this study was to combine the technology of three dimensional finite element analysis to investigate the method to construct the cervical vertebra semidislocation model.
Methods: A cervical spondylosis patient(male,28 years old,176 cm tall,weight 69 kg)was randomly choosed,who was diagnosed cervical vertebra semidislocation by dynamic and static palpation and X-ray,and CT scaned from C1 to C7 by 0.75 mm slice thickness. Based on the CT data,the software was used to construct the three dimensional finite element model of cervical vertebra semidislocation(C4-C6).
Results: The model showed the three dimensional changes of vertebra semidislocation clearly. C5 had a three-dimensional abnormal position,which was downward translation for 0.9 mm and clockwise rotation for 4.5° around X-axis. So C5 was diagnosed as hypsokinesis-type semidislocation.
Conclusion: The method to construct the three dimensional finite element model of cervical vertebra semidislocation is reliable,which provid a base study to analyse the mechanism of manipulation to treat vertebra semidislocation. |
| KEY WORDS Cervical spondylosis Three-dimensional finite element Finite element analysis Image processing,computer-assisted |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张明才,吕思哲,詹红生,顾力栩,石印玉,王翔,黄仕荣.颈椎“椎骨错缝”三维有限元模型创建方法的研究[J].中国骨伤,2010,23(5):366~369 |
| 英文格式: | ZHANG Ming-cai,Lv Si-zhe,ZHAN Hong-sheng,GU Li-xu,SHI Yin-yu,WANG Xiang,HUANG Shi-rong.Study on the method of construct the three-dimensional finite element model of cervical vertebrae semidislocation[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(5):366~369 |
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