[1]董航,沈先月,李昊轩,等.基于三维重建技术的国人肩关节盂三维形态学测量与研究[J].中华老年骨科与康复电子杂志,2018,(02):98-104.[doi:10.3877/cma.j.issn.2096-0263.2018.02.007]
　Dong Hang,Shen Xianyue,Li Haoxuan,et al.Morphological measurement and analysis of normal glenoid fossa in Chinese population by application of three-dimensional reconstruction[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(02):98-104.[doi:10.3877/cma.j.issn.2096-0263.2018.02.007]
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基于三维重建技术的国人肩关节盂三维形态学测量与研究()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2018年02期
页码:
98-104
栏目:
三维影像
出版日期:
2018-03-31

文章信息/Info

Title:
Morphological measurement and analysis of normal glenoid fossa in Chinese population by application of three-dimensional reconstruction
作者:
董航1; 沈先月1; 李昊轩1; 乔月2; 陈尚钧3; 杨育晖1; 高忠礼1
130033 长春，吉林大学中日联谊医院骨科1，放射线科2；130021 长春，吉林大学白求恩医学院3
Author(s):
Dong Hang1;  Shen Xianyue1;  Li Haoxuan1;  Qiao Yue2;  Chen Shangjun3;  Yang Yuhui1;  Gao Zhongli1
1Department of Orthopedics, 2Department of Radiology, China-Japan Union Hospital of Jilin University, Changchun 130033, China; 3Norman Bethune College of Medicine, Jilin University, Changchun 130021, China
关键词:
关节盂;  关节成形术; 置换; 肩;  三维重建
Keywords:
Glenoid cavity;  Arthroplasty;  replacement;  shoulder;  Three-dimensional Reconstruction
DOI:
10.3877/cma.j.issn.2096-0263.2018.02.007
文献标志码:
A
摘要:
目的 利用三维重建和扫描图像校正技术对国人正常关节盂形态指标进行评估。方法 整理吉林大学中日联谊医院2013年1月至2017年6月间收治的98例国人正常肩关节CT扫描数据。其中男性36例，女性62例，年龄21～80岁，平均（51±14）岁。将患者CT数据导入Mimics软件并行三维CT重建，建立肩胛骨平面对扫描图像进行重新校正，避免扫描角度和患者姿势的影响。利用3-matic和Geomagic软件将关节盂曲面拟合成3D散点模型以确定关节盂中心和关节盂拟合平面。定量分析正常国人关节盂的高度、宽度、曲面面积、扭转角和倾斜角。结果 正常国人关节盂高度为（35.2±2.9）mm，宽度为（26.9±2.6）mm，曲面面积为（824±143）mm2；扭转角为后倾（1.01±4.07）°，倾斜角为上倾（8.89±4.71）°，以上测量参数均无侧别统计学差异。而男性关节盂高度、宽度及曲面面积显著大于女性（P＜0.01）。相关性分析表明，身高与关节盂尺寸存在显著正相关（r=0.815，P＜0.01）。结论 利用三维重建技术对关节盂进行形态学参数分析，具有较高的准确性和可重复性，对优化国人关节盂假体设计具有一定参考价值。基于欧美人设计的商用标准29 mm型关节盂假体尺寸较大，理论上适用于身高超过175 cm的国人。
Abstract:
Objective To investigate glenoid morphology and orientation in a Chinese population using 3D reconstruction and scanning image standardization. Methods Data of 98 cases of normal shoulder CT scan in China-Japan Union Hospital of Jilin University from January 2013 to June 2017 were collected. There were 36 males and 62 females, aged from 21 to 80 years, with an average of (51±14) years. The patient’s CT data were imported into Mimics software for parallel three-dimensional CT reconstruction. The scapular plane was established to recalibrate the scanned image to avoid the influence of scanning angle and patient’s posture. The 3-matic and Geomagic software were used to fit the joint glenoid surface into a 3D scatter model to determine the center of the glenoid and the plane of the glenoid fitting. Quantitatively analyze the normal human glenoid height, width, surface area, glenoid twist angle and tilt angle. Results The average height of the glenoid was (35.2±2.9) mm, the width was (26.9±2.6) mm and the surface area was (824±143) mm2. The torsion angle was posterior (1.01±4.07) ° and the tilt angle was upward (8.89±4.71)°. There was no statistical difference in the above parameters, but the height, width and surface area of glenoid in male were significantly higher than those of females (P<0.01). Correlation analysis showed that there was a significant positive correlation between height and glenoid size (r=0.815, P<0.01). Conclusion The three-dimensional reconstruction technique has high accuracy and repeatability for the analysis of glenoid morphological parameters, which is of reference value to optimize the design of glenoid prosthesis in Chinese. The predicted height of the Chinese subjects that corresponded to a glenoid width of standard 29 mm which designed based on Europeans and Americans was over 175 cm.

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备注/Memo

备注/Memo:
基金项目：吉林大学研究生创新基金资助项目（2017043）
更新日期/Last Update: 2018-03-27