臀腰部皮穿支及其相互关系的数字化模型

郭宇; 石小田; 刘蒙蒙; 田丰源; 刘婉婷; 陈飞; 汤宾燕; 邱勋永

doi:10.13418/j.issn.1001-165x.2014.01.004

中国临床解剖学杂志 ›› 2014, Vol. 32 ›› Issue (1) : 12-15. DOI: 10.13418/j.issn.1001-165x.2014.01.004

应用解剖

臀腰部皮穿支及其相互关系的数字化模型

郭宇¹，石小田¹，　刘蒙蒙²，　田丰源²，　刘婉婷³，　陈飞³，　汤宾燕³，　邱勋永⁴

作者信息 +

Digital model of the perforators and their relationships in the lumbar and gluteal regions

GUO Yu¹, SHI Xiao-tian¹, LIU Meng-meng², TIAN Feng-yuan², LIU Wan-ting³, CHEN Fei ³, TANG Bin-yan³, QIU Xun-yong⁴

Author information +

文章历史 +

摘要

目的　建立臀腰部穿支血管数字化模型，为临床上臀腰部跨区穿支皮瓣的设计与安全截取提供形态学基础。方法　3例新鲜男尸行动脉血管聚乙烯醇-氧化铈造影灌注，1例新鲜女尸行动脉血管明胶-氧化铅一次性全身整体造影灌注。64排螺旋CT无间距扫描采集数据集，利用Mimics软件对臀腰部穿支血管进行渲染、提取、定位、配准与数字化构建。结果　臀上、下动脉，腰动脉，肋间后动脉主干及其分支X线摄影图像清晰，血管显影密度均匀。构建的臀腰部皮穿支血管3D可视化模型形象逼真，空间立体感强；穿支血管蒂、血管体及各穿支吻合区清晰可见。结论　在臀腰部可设计截取多种形式的跨区穿支皮瓣。

Abstract

Objective　To build digitized visible model of the perforators and their relationships, and to provide morphological data of an algorithm to safely elevate the cross-boundary perforator flaps in the lumbar and gluteal regions. Method Three bodies underwent whole body polyvinyl alcohol - cerium oxide injection, and one body was perfused with gelatin-lead oxide. The cadavers were scanned using a 64 row spiral CT. The computed tomographic data were transformed to digital imaging and communications in medicine format and imported to a personal computer. 3D-reconstructions of lumbar and gluteal regions were then performed using Materialise’s Interactive Medical Image Control System Software (MIMICS). Results The 3D reconstructed model of the lumbar and gluteal regions can display the modality, spatial location and the adjacent relationship of the perforators and vascular net clearly. Conclusion It is feasible to design various cross-boundary perforator flaps in lumbar and gluteal regions.

导出引用

郭宇, 石小田, 刘蒙蒙, 田丰源, 刘婉婷, 陈飞, 汤宾燕, 邱勋永. 臀腰部皮穿支及其相互关系的数字化模型[J]. 中国临床解剖学杂志. 2014, 32(1): 12-15 https://doi.org/10.13418/j.issn.1001-165x.2014.01.004

GUO Yu, DAN Xiao-Tian, LIU Meng-Meng, TIAN Feng-Yuan, LIU Wan-Ting, CHEN Fei, SHANG Bin-Yan, QIU Xun-Yong. Digital model of the perforators and their relationships in the lumbar and gluteal regions[J]. Chinese Journal of Clinical Anatomy. 2014, 32(1): 12-15 https://doi.org/10.13418/j.issn.1001-165x.2014.01.004

中图分类号： R323.43

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