手掌筋膜间隙的断面解剖学观察及计算机三维重建  

Serial thin cross-sectional anatomy and computerized three-dimensional reconstruction of metacarpal fascial spaces of hand

作　　者：白桂有[1] 张正治[1] 可金星[1] 苟俊[1] 孙伟[1] 潘峰[1] 程昌志[1] 

机构地区：[1]第三军医大学中心实验室,重庆400038

出　　处：《中华外科杂志》2004年第20期1225-1227,共3页Chinese Journal of Surgery

摘　　要：目的　为手掌筋膜间隙感染的手术治疗建立三维可视化模型。方法　采用新鲜人体手标本的冰冻薄层 (0 2mm)断面切片 ,对手掌部的断面进行解剖学观察 ,并用计算机对手掌筋膜间隙进行三维重建。结果　重建的三维图像比较清晰的显示了掌中间隙和鱼际间隙与掌骨的立体形态、空间位置和毗邻关系 ,并能与断面形态相互参照。结论　筋膜间隙的薄层断面解剖和三维重建 。Objective To build three-dimentional (3-D) visible model for surgical treatment of infection of fascial spaces of hand. Methods Serial thin cross-sections (0.2 mm) of hand were made by cryomicrotome, and the thin cross-sections of metacarpal parts were observed. A personal computer was employed to reconstruct 3-D model of metacarpal fascial space. Results The shapes, locations and adjacent relations of the midpalmar space, thenar space and metacarpal bones were displayed clearly from computerized 3-D model, which could be the cross-reference of the cross-sections expediently. Conclusion(The computerized) 3-D reconstruction of metacarpal fascial spaces can provide some guidance for surgical treatment of infection and other diseases of metacarpal fascial spaces.

关 键 词：筋膜间隙 手掌 断面解剖学 计算机三维重建 感染 观察 手术治疗 体形 标本 形态 

分 类 号：R682.3[医药卫生—骨科学]