剖宫产术后子宫瘢痕妊娠动脉血管网数字化三维重建及测量  

Reconstruction and Measurement of Caesarean Scar Pregnancy Arterial Network

作　　者：宋小磊 热娜 佘义梅 柯妍 夏迎洪[3] 钟朝明[3] 刘萍[4] 陈春林[4] SONG Xiao-lei;RE Na;SHE Yi-mei(Department of Gynecology,Shajing People's Hospital,Shenzhen 510000,Guangdong Province,P.R.C.)

机构地区：[1]深圳市宝安区沙井人民医院妇科,广东省深圳市510000 [2]新疆乌鲁木齐市妇幼保健院超声科,新疆维吾尔自治区乌鲁木齐市830001 [3]新疆维吾尔自治区人民医院影像科及介入手术室,新疆维吾尔自治区乌鲁木齐市830001 [4]南方医科大学附属南方医院妇产科,广东省广州市510515

出　　处：《中国数字医学》2020年第3期6-9,共4页China Digital Medicine

基　　金：新疆维吾尔自治区卫生厅青年基金资助项目(编号:2014Y11);乌鲁木齐市科学技术局基金资助项目(编号:Y141310056);乌鲁木齐市科学技术局基金资助项目(编号:Y151310020);深圳市宝安区科技创新局卫生基础研究项目(编号:2019JD227);广东省深圳市宝安区临床重点专科建设项目经费资助(编号:2020fk001)。

摘　　要：目的:探讨利用数字化三维重建技术及Mimics10.01、UGNX11.0软件建立剖宫产术后子宫瘢痕妊娠(CSP)动脉血管网并测量相关数据的可行性。方法:选取2016年10月至2018年10月就诊于乌鲁木齐市妇幼保健院、新疆维吾尔自治区人民医院、深圳市宝安区沙井人民医院的20例CSP患者,利用CT薄层扫描及CT血管成像技术采集断层图像数据集,借助相关软件重建患者骨盆、盆腔动脉血管网,并测量腹主动脉分叉角度、髂总动脉长度、髂内动脉长度、子宫动脉开口角度,并进行描述性分析。结果:测量的20例CSP患者其腹主动脉分叉角度为45.29°±10.22°,左侧子宫动脉开口角度为64.97°±24.52°,右侧子宫动脉开口角度为58.07°±27.84°;左侧髂总动脉长度为(44.47±15.68)mm,右侧髂总动脉长度为(43.89±15.78)mm,左侧髂内动脉长度为(46.18±13.98)mm,右侧髂内动脉长度为(47.45±13.95)mm。结论:借助数字化三维重建技术结合适当软件可以重建CSP数字化三维模型,并精确测量相关数据,为该疾病的个体化治疗尤其是血管性介入治疗提供了解剖学依据及相关数据支撑。Objective:To explore the feasibility of using digital three-dimensional reconstruction technology and Mimics,UGNX 11.0 software to establish caesarean scar pregnancy arterial network and to measure the relevant data.Methods:During October 2016 to October 2018,twenty cases of patients which developed caesarean scar pregnancy were selected from Urumqi Maternal and Child Health Hospital and Xinjiang Uygur Autonomous Region People’s Hospital.CT thin-slice scanning and CT angiography were used to collect image data sets.The pelvic and pelvic vascular network of patients was reconstructed with related software,and the bifurcation angle of abdominal aorta and the length of common iliac artery were measured.The length of internal iliac artery and the angle of uterine artery were analyzed.Results:According to the dates which measured in 20 CSP patients,we found that the bifurcation angle of abdominal aorta is 45.29°±10.22°,the angle of left uterine artery is 64.97°±24.52°,the angle of right uterine artery is 58.07°±27.84°,the length of left common iliac artery is(44.47±15.68)mm,the length of right common iliac artery is(43.89±15.78)mm,the length of left internal iliac artery is(46.18±13.98)mm,the length of the right internal iliac artery is(47.45±13.95)mm.Conclusion:With the help of digital three-dimensional reconstruction technology and appropriate software,the digital three-dimensional model of caesarean scar pregnancy can be reconstructed and the related data can be accurately measured,and providing anatomical basis and relevant data support for the individualized treatment of the disease,especially for uterine artery embolization.

关 键 词：CT薄层扫描技术 剖宫产术后子宫瘢痕妊娠 数据测量 个体化治疗 子宫动脉栓塞术 

分 类 号：R319[医药卫生—基础医学] R713