局解手术学杂志2016,Vol.25Issue(3):175-177,178,4.DOI:10.11659/jjssx.10E015106
CT三维重建测量胸骨角对应胸椎平面150例结果分析
Analysis of 150 cases from measuring sternal angle corresponded to thoracic plane by three-dimensional recon-struction of spiral CT
摘要
Abstract
Objective To measure the sternal angle corresponded to thoracic plane by three-dimensional reconstruction of spiral CT , and to explore the accurate positioning methods and the preoperative assessment of cervicothoracic junction lesions .Methods Selected 42 cases of normal bone mass , 48 cases with bone loss , and 60 cases of osteoporosis who were diagnosed by dual-energy X-ray absorptiometry , and measured the location of thoracic sternal angle corresponded to the thoracic spine and thoracic kyphosis angle through the volume recon -struction data of the 16-slice spiral CT chest examinations .Results The range of sternal angle corresponded to thoracic plane was measure-ment units ⅢtoⅥ.The measure unit Ⅳwas the most, accounting for about 55%.There was no statistical significance between the position of sternal angle corresponded to thoracic plane and the relationship of bone mass , which required further study .The position of sternal angle corresponded to thoracic plane was associated with the thoracic kyphosis angle .The larger the thoracic kyphosis angle , the lower the corre-sponding position was .Conclusion The thoracic segment corresponded to the sternal angle is not a constant or accurate plane , which is not properly concerned as an accurate positioning mark to the thoracic segment .The measurement of the thoracic sternal angle was corresponded to the thoracic spine location , and its co-relationship evaluation between the thoracic kyphosis angle was vital for the accurately positioning of cervico-thoracic junction area lesions , the pre-assessment methods of surgical treatment , approach selection , and different methods for ster-num and other such contents .This research was of important clinical significance .关键词
胸骨角/胸椎/胸椎后凸角/颈胸交界区/脊柱颈胸段/电子计算机X射线断层扫描Key words
sternal angle/thoracic vertebra/thoracic kyphosis/cervical thoracic junction/cervicothoracic spine/computed tomography分类
医药卫生引用本文复制引用
周兴宁,姚骊,李相位,吕粟..CT三维重建测量胸骨角对应胸椎平面150例结果分析[J].局解手术学杂志,2016,25(3):175-177,178,4.基金项目
国家自然科学基金面上项目 ()