解剖学报 ›› 2023, Vol. 54 ›› Issue (1): 82-86.doi: 10.16098/j.issn.0529-1356.2023.01.012

• 解剖学 • 上一篇    下一篇

基于CT三维重建的喙突形态学分型及其临床意义

郭兰前1 王定宣1* 易刚2 李焱1 任杰英1   

  1. 1.西南医科大学体育学院,四川 泸州646000; 2.西南医科大学附属中医医院骨伤科,四川 泸州 646000
  • 收稿日期:2021-10-22 修回日期:2022-01-11 出版日期:2023-02-06 发布日期:2023-02-06
  • 通讯作者: 王定宣 E-mail:13982407299@163.com
  • 基金资助:
    四川品铠医疗科技有限公司资助项目

Morphological classification and clinical significance of the coracoid process based on CT three-dimensional reconstruction

GUO  Lan-qian WANG  Ding-xuan1*  YI  Gang LI  Yan1  REN  Jie-ying1   

  1. 1.School of Physical Education, Southwest Medical University, Sichuan Luzhou 646000, China; 2.Department of Orthopedics and Traumatology, Affiliated Hospital of Traditional Chinese Medicine, Southwest Medical University, Sichuan Luzhou 646000, China
  • Received:2021-10-22 Revised:2022-01-11 Online:2023-02-06 Published:2023-02-06
  • Contact: WANG Ding-xuan E-mail:13982407299@163.com

摘要: 目的 通过对人体肩胛骨喙突的形态学进行分型,为临床治疗肩锁关节脱位提供解剖学依据。  方法 从四川省西南医科大学附属中医医院选取500例肩伤患者,并最终筛选出300例作为受试者,包含右肩159例,左肩141例,收集受试者的肩胛骨CT扫描图像以及三维重建结果。观察受试者喙突CT扫描图像的基本形态特征,并对相关参数进行测量,包括喙突尖端的最长水平距离以及其中点的厚度(cd, pp’),喙突肩胛骨上部到基底部的距离以及其中点厚度(mn, kk’),喙突尖端顶点到喙突基底部端点的距离(ab),喙突折返部的最长水平距离(ef),以及as的距离(点s是点a向mn做垂线的交点),hj的距离(点h、j分别是是喙突基底部与折返部重合的内外交点)和ik的距离(点i是点k向mn做垂线与喙突折返部的交点)。  结果 根据其喙突的基本形态特点将其分成5种类型,包括花生型占29.7%,短棒型占27.4%,瓜子型占12.6%,长棒型占17.0%,楔型占13.3%。通过数据比较发现,左侧的距离ef与距离hj均大于右侧,P<0.05。各型比较距离cd时差异均具有统计学意义,P <0.05;瓜子型在点p厚度pp’、距离ab、as对比中,和花生型、楔型、长棒型、短棒型差异均有统计学意义,P <0.05;在点k厚度kk’对比中,瓜子型与其他4种类型差异均有统计学意义,P <0.05;在距离ab对比中,短棒型对比其他4种类型差异均有统计学意义,P <0.05。  结论 通过对喙突的形态学分型,能为临床上重建喙锁韧带治疗肩锁关节脱位提供解剖学依据。

关键词: 喙锁韧带, 喙突, 解剖形态学, CT三维重建,

Abstract:

Objective To provide anatomical basis for clinical treatment of acromioclavicular joint dislocation by studying the morphology of coracoid process of human scapula.   Methods A total of 500 patients with shoulder injury were selected from the Affiliated Hospital of Traditional Chinese Medicine of Southwest Medical University in Sichuan Province, and 300 patients were selected as subjects, including 159 cases of right shoulder and 141 cases of left shoulder. CT scan images and 3D reconstruction results of scapula of the subjects were collected. The basic morphological characteristics of coracoid process CT images of the subjects were observed, and the relevant parameters were measured, including the longest horizontal distance of the coracoid process tip and the thickness of the midpoint (cd, pp’), the distance from the upper part of the coracoid process scapula to the base and the thickness of the midpoint (mn, kk’). The distance from the apex of the coracoid process to the base of the coracoid process (ab ), the longest horizontal distance of the recursion part of the coracoid process (ef), the distance of as (point s was the intersection of point a perpendicular to mn,   the distance of hj (point h and j were the intersection of the base of the coracoid process and the recursion part respectively), and ik (point i was the intersection of point k perpendicular to mn and the coracoid process retraction).   Results According to the morphological characteristics of coracoid process, they were divided into five types, including peanut 29.7%; Short rod type accounted for 27.4%; Melon seed type accounted for 12.6%; Rod type accounted for 17.0%; Wedge type accounted for 13.3%. Through data comparison, it was found that the distance ef and distance hj on the left were larger than those on the right, P<0.05. All types had statistical difference in comparison distance cd, P<0.05. The melon seed type showed statistical differences with peanut type, wedge type, long stick type and short stick type in thickness pp’, distance ab and as of point p, P<0.05. In the comparison of point K thickness kk’, there was statistical difference between melon seed type and other four types, P<0.05. In the distance ab comparison, there was statistical difference between the short bar type and the other four types, P<0.05.   Conclusion The study on the morphology of coracoid process can provide anatomical basis for clinical reconstruction of coracoid ligament to treat acromioclavicular joint dislocation.

Key words: Coracoclavicular ligament, Coracoid process, Anatomical morphology, CT three-dimensional reconstruction, Human

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