基于薄层CT图像三维数字化重建人体手太阴肺经  

Three-dimensional reconstruction of the Lung Meridian of Hand-Taiyin with continuous thin-section CT image

作　　者：梁惠娇[1] 梁真娇[2] 王小平[3] 

机构地区：[1]南方医科大学小榄医院中药房,广东中山528415 [2]南方医科大学小榄医院妇产科,广东中山528415 [3]南方医科大学小榄医院骨外科,广东中山528415

出　　处：《中西医结合学报》2012年第12期1400-1404,共5页Journal of Chinese Integrative Medicine

摘　　要：目的:探索手太阴肺经的解剖物质基础及其在人体上的三维定位。方法:采集1位正常成人女性循手太阴肺经取穴施针得气后的左上肢连续薄层CT图像集,对图像针尖部位周围结缔组织进行观察,利用数字医学技术构建出活体手太阴肺经诸穴位及经络所在部位的三维立体影像,再与传统中医经络走行线进行对比。结果:所观察的8个手太阴肺经穴位针尖到达处结缔组织结构,与骨膜相关者5个,与血管、神经鞘相关的有3个。实现了手太阴肺经诸穴位及经络在正常活体上的三维空间重建及可视化。重建所得数字化部分手太阴肺经经络走行线与经典针灸图中对应经络连线十分吻合。结论:没有发现手太阴肺经及所属穴位有特异性实体组织结构,中医的经络解剖学基础可能是筋膜结缔组织。OBJECTIVE： To explore anatomical material basis of the lung meridian and its three-dimensional position in vivo . METHODS ： Continuous thin-section CT image sets were collected from a normal adult female volunteer＇ s left upper extremity after she was acupunctured at 8 acupoints in Lung Meridian of Hand-Taiyin （LU）. The connective tissue around the needle-tip of LU acupoints in continuous thin-section CT image sets was observed. The LU acupoints and part of the meridian were three-dimensional reconstructed in vivo and displayed with digital medical technology based on the CT-scan data. Then, the images were compared with traditional meridian records. RESULTS： The connective tissue structure around the needle-tip of the eight LU acupoints was observed as follows, 5 acupoints were closely related to periosteum and 3 of them were closely related to blood vessels and nerve sheath. Three-dimensional reconstruction of anatomical position of the Lung Meridian of Hand-Taiyin was successfully completed in vivo, and the traveling course of meridian was similar to classical meridian illustration in traditional Chinese medicine. CONCLUSION： There is no specific entity of anatomical structure of LU acupoints and the meridian. The fascia and connective tissue may be the anatomical basis of meridian.

关 键 词：经络 经络线检测 肺经 穴位 肺经 经络实质 成像 三维 非治疗性人类实验 

分 类 号：R224[医药卫生—中医基础理论]