人颈椎终板的CT影像学测量及其意义

doi:10.13481/j.1671-587x.20150635

吉林大学学报(医学版) ›› 2015, Vol. 41 ›› Issue (06): 1279-1283.doi: 10.13481/j.1671-587x.20150635

人颈椎终板的CT影像学测量及其意义

朱宇航^1,2, 钟专³, 刘尊严⁴, 顾小艺¹, 张文婧¹, 王帅¹, 李晶⁵, 朱庆三², 李幼琼¹

1. 吉林大学基础医学院人体解剖学教研室, 吉林长春 130021;
2. 吉林大学中日联谊医院骨科, 吉林长春 130033;
3. 吉林大学第二医院骨科, 吉林长春 130041;
4. 中国人民财产保险公司长春分公司人伤分部, 吉林长春 130022;
5. 吉林大学第一医院二部放射线科, 吉林长春 130031

收稿日期:2015-03-29 发布日期:2016-01-11
通讯作者: 李晶(Tel:0431-84808318,E-mail:1269340309@qq.com) E-mail:1269340309@qq.com
作者简介:朱宇航(1991-),男,黑龙江省双鸭山市人,在读医学博士,主要从事医学骨科学方面的研究。
基金资助:
吉林省科技厅青年科研基金资助课题(201201043)

Measurement of CT image of human cervical vertebral endplate and its significance

ZHU Yuhang^1,2, ZHONG Zhuan³, LIU Zunyan⁴, GU Xiaoyi¹, ZHANG Wenjing¹, WANG Shuai¹, LI Jing⁵, ZHU Qingsan², LI Youqiong¹

1. Department of Human Anatomy, School of Basic Medical Sciences, Jilin University, Changchun 130021, China;
2. Department of Orthopedics, China-Japan Union Hospital, Jilin University, Changchun 130033, China;
3. Department of Orthopedics, Second Hospital, Jilin University, Changchun 130041, China;
4. Department of Human Injury, People's Insurance Company of China, Changchun 130022, China;
5. Department of Radiology, First Hospital, Jilin University, Changchun 130031, China

Received:2015-03-29 Published:2016-01-11

摘要/Abstract

摘要：

目的:利用颈椎CT扫描技术对中国东北地区成年人颈椎终板的形态学参数进行测量,为设计适合中国人的人造颈间盘提供准确的形态学依据。 方法:通过颈椎CT扫描获取80名健康成人的颈部CT影像学资料。利用CT影像测量技术,分别测量颈3椎骨(C3)至颈7椎骨(C7)的上终板长(APLu)、上终板宽(CMLu)、下终板长(APLl)和下终板宽(CMLl)参数,并对每个参数进行性别比较和不同颈椎节段的比较。 结果: APLu、CMLu、APLl和CMLl的参数值随颈椎节段的下降而不断增大(P_APLu=0.023,P_CMLu=0.007,P_APLl=0.035,P_CMLl<0.001);各参数男女比较差异有统计学意义(P<0.05)。本实验获得的参数值与已报道的其他国家的数值比较差异有统计学意义(P<0.05)。 结论:本研究为设计适合中国人的人造颈间盘提供了准确的形态学依据。

关键词: 计算机体层成像, 颈椎终板, 形态学, 中国人, 人造颈间盘

Abstract:

Objective To measure the morphological parameters of cervical endplate of Chinese by using computed tomography (CT) scans, and to provide an accurate morphometric basis for designing and developing the cervical disc prostheses. Methods 80 healthy subjects were scanned by CT. The parameters of each cervical vertebra from C3 to C7 were measured by CT scans including upper anteroposterior length (APLu), upper center mediolateral length (CMLu), lower anteroposterior length (APLl) and lower center mediolateral length (CMLl). These parameters were compared between genders and among different vertebral levels. Results The values of APLu, CMLu, APLl and CMLl were increased with the decreasing of cervical segment (P_APLu=0.023,P_CMLu=0.007,P_APLl=0.035, P_CMLl<0.001). There was statistically significant difference in morphological parameters between genders (P<0.05).Compared with the reported data of other different populations,the statistically significant difference in morphological parameters also existed in the study. Conclusion The study provides an accurate morphological basis for designing the suitable artificial cervical disc for Chinese population.

Key words: computed tomography, cervical endplate, morphology, Chinese, cervical disc prostheses

中图分类号:

R445.3

朱宇航, 钟专, 刘尊严, 顾小艺, 张文婧, 王帅, 李晶, 朱庆三, 李幼琼. 人颈椎终板的CT影像学测量及其意义[J]. 吉林大学学报(医学版), 2015, 41(06): 1279-1283.

ZHU Yuhang, ZHONG Zhuan, LIU Zunyan, GU Xiaoyi, ZHANG Wenjing, WANG Shuai, LI Jing, ZHU Qingsan, LI Youqiong. Measurement of CT image of human cervical vertebral endplate and its significance[J]. Journal of Jilin University Medicine Edition, 2015, 41(06): 1279-1283.

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人颈椎终板的CT影像学测量及其意义

Measurement of CT image of human cervical vertebral endplate and its significance

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