| 寰枢关节多层螺旋CT旋转功能位影像学观测 |
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投稿时间：2014-10-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 田曼曼 |
TIAN Man-man |
浙江中医药大学附属第三医院放射科, 浙江 杭州 310005 |
Department of Radiology, the Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310005, Zhejiang, China |
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| 林敏 |
LIN Min |
浙江中医药大学附属第三医院放射科, 浙江 杭州 310005 |
Department of Radiology, the Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310005, Zhejiang, China |
lmdg1027@163.com |
| 钱琦 |
QIAN Qi |
浙江中医药大学附属第三医院放射科, 浙江 杭州 310005 |
Department of Radiology, the Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310005, Zhejiang, China |
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| 姜黄维 |
JIANG Huang-wei |
浙江中医药大学附属第三医院放射科, 浙江 杭州 310005 |
Department of Radiology, the Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310005, Zhejiang, China |
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| 期刊信息：《中国骨伤》2015年，第28卷，第10期，第915-919页 |
| DOI：10.3969/j.issn.1003-0034.2015.10.008 |
| 基金项目:2012年浙江省自然科学基金项目(编号:LY12H22001);2012年浙江省中医药科技计划项目(编号:2012ZA064) |
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中文摘要:
目的:通过测量分析正常寰枢关节在多层螺旋CT中立位及旋转功能位的各种影像征象,为临床准确诊断寰枢关节旋转半脱位提供量化标准。
方法:对51例正常志愿者进行中立位、左右尽力旋转位扫描,观察测量寰齿前间隙(atlanto-dental interval,ADI),齿突侧块间隙(lateral atlanta-dental space,LADS),齿突侧块间距差值(VBLADS)及寰枢椎相对旋转角度(rotating angle of atlas on dentate,RAAD),分析比较各影像表现及解剖学特点。将51例正常志愿者分为年龄<45岁及年龄≥45岁两组,比较不同年龄段人群VBLADS及RAAD的变化及进行相关性分析。
结果:51例正常志愿者通过三维重建软件显示中立位寰枢外侧关节基本对称,齿突侧块间隙不对称者40例,占78.4%.中立位齿突偏移角度范围为(3.22±0.89)°,尽力旋转位寰枢椎(atlanto-axial joint)外侧关节面呈旋转性关节面移位,相对旋转角度范围为(33.85±2.79)°。通过配对资料相关性分析得出在一定范围内寰枢椎相对旋转角度与VBLADS无相关性。<45岁及≥45岁尽力旋转位时寰枢椎相对旋转角度之间差异有统计学意义。
结论:多层螺旋CT旋转功能位能清楚显示寰枢区的解剖结构及旋转功能,为诊断寰枢关节旋转半脱位提供理论依据。 |
| 【关键词】寰枢关节 旋转 脱位 体层摄影术,螺旋计算机 |
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| MSCT imaging research on atlanto-axial joint in rotary functional position |
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ABSTRACT
Objective:To provide quantitative foundation for the diagnosis of atlanto-axial rotatory subluxation by analyzing the various imaging features of normal atlanto-axial joints in neutral position and rotary functional position on the MSCT images.
Methods:Forty-one normal volunteers were examined by CT on the atlanto-axial joint in neutral position and rotary functional position. By the observation and measurement of atlanto-dental interval(ADI),lateral atlanta-dental space(LADS),VBLADS and rotating angle of atlas on dentate (RAAD),the imaging manifestations and anatomical characteristics were analyzed and compared. In order to compare VBLADS and RAAD and make a correlation analysis between different age groups,51 normal volunteers were divided into two groups:age younger than 45 years old group and age older than or equal to 45 years old group.
Results: The dens in neutral position deviated in an angle range of (3.22±0.89)°. The articular facets of lateral atlantoaxial joint in rotary functional position had rotatory displacement and the range of the relative rotation angle was(33.85±2.79)°. Through the correlation analysis of matching data,it could be concluded that there was no correlation between atlantoaxial relative rotation angle and VBLADS within a certain range. There were statistically differences of atlantoaxial relative rotation angle in rotary functional position between two groups.
Conclusion:MSCT imaging in rotary functional position can clearly show the anatomical structure and rotation function of a normal atlanto-axial joint,so as to provide a theoretical basis for the diagnosis of atlanto axial rotatory subluxation. |
| KEY WORDS Atlanto-axial joint Rotation Dislocations Tomography, spiral computed |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 田曼曼,林敏,钱琦,姜黄维.寰枢关节多层螺旋CT旋转功能位影像学观测[J].中国骨伤,2015,28(10):915~919 |
| 英文格式: | TIAN Man-man,LIN Min,QIAN Qi,JIANG Huang-wei.MSCT imaging research on atlanto-axial joint in rotary functional position[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(10):915~919 |
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