期刊文献+

血管造影CT在椎动脉-寰椎复合体解剖分型中的应用 被引量:5

Clinic significance of anatomy classifications of vertebral artery-atlas complex
原文传递
导出
摘要 目的探坩麻川血管造影CT(computed tomography angiography,CTA)对椎动脉-寰椎复合体进行分制的临床意义。方法应用Mimics软件对225例患者的CTA资料进行三维重建,将椎动脉V3段与寰椎后弓峡部区域重建为椎动脉-寰椎复合体,根据二者关系进行分型。A型为常规型,椎动脉V3段位于寰椎后弓峡部之上,其中椎-寰上间距大于1.8am为A1型、0.6-1.8mm为A2型、小于0.6mm为A3型;B型为椎动脉变异型,其中B1为远离型、B2为后弓下走行型;C型为骨结构变异型,其中骨环结构闭合为Cl型,骨环结不小闭合为C2型。测量A1、A2型的椎-寰fi间隙。 Objective TO evaluate the clinical significance of classifying vertebral artery-atlas com- plex using angiographic CT (computed tomography angiography, CTA). Methods The CTA data of 225 pa- tients were reconstructed three-dimensionally in Mimics. The region of V3 segment of vertebral artery and isthmus of atlas's posterior arch were reconstructed as vertebral artery-atlas complex, classify according to the relationship of the two. The complex types were classed into 3 types and 7 subtypes. Type A was conven- tional type, which means V3 segment locates above the islhmus of atlas. The distance between vertebral artel7 and atlas was larger than 1.8 mm in A1 subtype. The distance was between 1.8 and 0.6 mm in A2, and less than 0.6 mm in A3. Type B was variation of vertebral artery.
作者 王爽 王欢
出处 《中华骨科杂志》 CAS CSCD 北大核心 2013年第6期635-639,共5页 Chinese Journal of Orthopaedics
基金 国家自然科学基金(81271995)
关键词 寰椎 椎动脉 解剖学 局部 骨螺丝 骨折固定术 Atlas: Vertebral artery: Anatomy, regional Bone screws Fracture fixation, internal
  • 相关文献

参考文献23

  • 1Lapsiwala SB, Anderson PA, Oza A, et al. Biomechanical comparison of four C1 to C2 rigid fixative techniques: anterior transarticular, posterior transarticular, C1 to C2 pedicle, and C1 to C2 intralaminar screws. Neurosurgery, 2006, 58(3): 516-521.
  • 2Stulik J, Vyskoeil T, Sebesta P, et al. Atlantoaxial fixation using the polyaxial screw-rod system. Eur Spine J, 2007, 16 (4): 479- 484.
  • 3郝定均,贺宝荣,许正伟,郭华,刘团江,王晓东.寰椎椎弓根螺钉和侧块螺钉技术的临床疗效比较[J].中华骨科杂志,2011,31(12):1297-1303. 被引量:26
  • 4马向阳,尹庆水,钟世镇,刘景发,夏虹,吴增晖,徐达传,丁自海.寰枢关节后部神经血管丛与寰椎椎弓根螺钉固定的解剖关系[J].中国临床解剖学杂志,2005,23(5):454-457. 被引量:24
  • 5Gebauer M, Barvencik F, Briem D, et al. Evaluation of anatomic landmarks and safe zones for screw placement in the atlas via the posterior arch. Eur Spine J, 2010, 19(1): 85-90.
  • 6Peng CW, Chou BT, Bendo JA, et al. Vertebral artery injury in cervical spine surgery: anatomical considerations, management, and preventive measures. Spine J, 2009, 9(1): 70-76.
  • 7Gupta T. Quantitative anatomy of vertebral artery groove on the posterior arch of atlas in relation to spinal surgical procedures. Surg Radiol Anat, 2008, 30(3): 239-242.
  • 8Joaquim AF, Ghizoni E, Rubino PA, et al. Lateral mass screw fixation of the atlas: surgical technique and anatomy. World Neurosurg, 2010, 74(2-3): 359-362.
  • 9Christensen DM, Eastlack RK, Lynch JJ, et al. C1 anatomy and dimensions relative to lateral mass screw placement. Spine (Phila Pa 1976), 2007, 32(8): 844-848.
  • 10郝定均,方向义,吴起宁,贺宝荣,陈博,郭华,王晓东.经寰椎后弓上颈椎稳定性重建的解剖学研究[J].中华骨科杂志,2011,31(4):339-342. 被引量:14

二级参考文献74

共引文献176

同被引文献63

引证文献5

二级引证文献30

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部