外伤性复发性肩关节不稳合并Bankart骨性损伤CT三维重建容积再现技术(VRT)精准测量在术前规划中的应用研究  

Application of accurate measurement of CT three-dimensional reconstruction volume reconstruction technology(VRT)in preoperative planning of traumatic recurrent shoulder instability complicated with Bankart bone injury

作　　者：姚鼎铭 梅语 王贵生 代俊楠 郭轶智 YAO Dingming;MEI Yu;WANG Guisheng;DAI Junnan;GUO Yizhi(The Third Medical Center of PLA General Hospital,Beijing 100039,China)

机构地区：[1]解放军总医院第三医学中心,北京100039

出　　处：《中国急救复苏与灾害医学杂志》2022年第8期1059-1061,1065,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：科技部国家重点研发计划(编号:2019YFC0118104);首都特色临床应用研究课题(编号:Z181100001718013);解放军总医院军事转化课题(编号:ZH19023)。

摘　　要：目的分析CT三维重建容积再现技术(VRT)在复发性肩关节不稳合并Bankart骨性损伤患者术前规划中的应用价值。方法95例复发性肩关节不稳合并Bankart骨性损伤的肩关节接受多层螺旋CT扫描,进行三维重建容积再现技术(VRT)成像,对图像进行分析、测量,制定关节镜手术方案。结果缺损面积比5%~10%患者13例,缺损面积比10%~20%患者54例,缺损面积比大于20%患者28例,术后随访复发率2.1%。结论CT三维重建容积再现技术(VRT)成像,能立体的显示、精准的测量关节盂骨性缺损情况,指导复发性肩关节不稳患者关节镜手术方式制定,术后效果良好。Objective To analyze the value of three-dimensional reconstruction volume rendering technology(VRT)of CT in the preoperative planning of patients with recurrent shoulder joint instability and Bankart bone injury.Methods Ninety-five patients with recurrent shoulder joint instability combined with Bankart bone injury underwent multi-slice spiral CT scans,and performed three-dimensional reconstruction volume rendering technology(VRT)imaging.The images were analyzed and measured,and arthroscopic surgery plans were made.Results There were 13 patients with a defect area ratio of 5%~10%,54 patients with a defect area ratio of 10%~20%,and 28 patients with a defect area ratio more than 20%.The postoperative follow-up recurrence rate was 2.1%.Conclusion CT three-dimensional reconstruction volume rendering technology(VRT)imaging can display the glenoid defect in three dimensions and promote accurate measurement,guide the formulation of arthroscopic surgery methods for patients with recurrent shoulder joint instability,and have good postoperative results.

关 键 词：去肱骨头 CT三维重建 容积再现技术(VRT) 复发性肩关节不稳 Bankart骨性损伤 

分 类 号：R687.4[医药卫生—骨科学]