中国临床解剖学杂志 ›› 2017, Vol. 35 ›› Issue (6): 610-614.doi: 10.13418/j.issn.1001-165x.2017.06.003

• 应用解剖 • 上一篇    下一篇

成人寰椎后弓部分结构测量及意义

王宾宾1,2, 马向阳2, 段明阳2, 杨进城2, 杨浩志3   

  1. 1.第二军医大学研究生院,  上海   200433; 2.广州军区广州总医院骨科医院,  广州   510010;
    3.南方医科大学,  广州   510515 
  • 收稿日期:2017-08-14 出版日期:2017-11-25 发布日期:2017-12-30
  • 通讯作者: 马向阳,主任医师,E-mail:maxy1001@126.com
  • 作者简介:王宾宾(1987-),男,江苏沛县人,医师,硕士研究生,研究方向:脊柱外科, Tel:18929556125, E-mail:371220083@qq.com

Measurements of posterior arch of atlas and its significance

WANG Bin-bin 1,2, MA Xiang-yang 2, DUAN Ming-yang 2, YANG Jin-cheng 2, YANG Hao-zhi 3   

  1. 1. Graduate School of Second Military Medical University, Shanghai 200433,China; 2. Department of Orthopedics, General Hospital of Guangzhou Military Command, Guangzhou 510010, China;3. Southern Medical University, Guangzhou 510515, China
  • Received:2017-08-14 Online:2017-11-25 Published:2017-12-30

摘要:

目的 获得成人寰椎后弓部分解剖参数,为后弓内固定钉板系统的设计提供依据。 方法 对60名成人(男30,女30)寰椎三维CT及40具干燥寰椎标本进行测量,测量指标有后结节中央及距中央5、10、15 mm处高度(矢状面垂直距离)及厚度(轴位垂直距离)、后弓水平面夹角、内侧面椎动脉沟半距、外侧面椎动脉沟半距,比较CT测量数据与标本测量数据有无差异。  结果 CT测量:后结节中央高度为(9.48±0.95)mm,厚度为(7.80±1.60)mm,后弓夹角为(130.70±12.31)°,内侧面椎动脉沟半距为(11.08±1.28)mm,外侧面椎动脉沟半距为(20.13±1.53)mm;标本测量:后结节中央高度为(9.97±2.18)mm,厚度为(7.44±1.32)mm,后弓夹角为(135.07±9.59)°,内侧面椎动脉沟半距为(11.33±0.52)mm,外侧面椎动脉沟半距为(20.86±0.84)mm。CT测得内、外侧面椎动脉沟半距均小于标本测得数据,且差异有统计学意义。  结论 CT资料可较好反映实体的解剖特征,解剖学测量可为临床实践提供有力参考。

关键词: 寰椎,  测量,  解剖学

Abstract:

Objective  To acquire partial anatomical parameters of posterior arch of atlas, and to provide a reference for design of screw-plate fixation system. Methods A total of 60 3D CT and 30 dry atlas specimens were used to measure anatomical data.The parameters included anterior-to-posterior thickness and superior-to-inferior height of the posterior ring of C1 at the midline as well as at 5mm, 10mm, 15mm lateral to the midline, angle of the posterior arch, the semi-distance of vertebral artery groove in inner surface and the semi-distance of vertebral artery groove in outer surface. The data gained from CTs and specimens was then compared. Results CTs measurement: The height of the center of posterior nodule was(9.48±0.95)mm, and the respective thickness was (7.80±1.60)mm. The angle of posterior arch was (130.70±12.31) °. The semi-distance of vertebral artery groove in inner surface and the semi-distance of vertebral artery groove in outer surface was (11.08±1.28) mm and (20.13±1.53) mm, respectively. Specimens measurement: The height and thickness of the midline was (9.97±2.18) mm and (7.44±1.32) mm, respectively. The angle of posterior arch was(135.07±9.59)°. The semi-distance of vertebral artery groove in inner and outer surface was(11.33±0.52)mm and(20.86±0.84) mm, respectively. The data of the semi-distance of vertebral artery groove gained from CTs was smaller than that measured from specimens with statistical difference. Conclusion Data measured from CT can present anatomical structure precisely and anatomical study is of referable significance in clinical practice.

Key words: Atlas,  Measurement,  Anatomy