基于CT三维重建青少年髋骨髂后上棘的形态学分析及测量  

Morphologic analysis and measurement of the posterior superior iliac spine of the hip bone in adolescents based on CT three⁃dimensional reconstruction

作　　者：沙丽蓉 康志杰 王海燕[2] 方源 李筱贺[2] 金凤[3] 张凯 张云凤[5] 祝勇[6] 岳彤彤 SHA Li-rong;KANG Zhi-jie;WANG Hai-yan;FANG Yuan;LI Xiao-he;JING Feng;ZHANG Kai;ZHANG Yun-feng;ZHU Yong;YUE Tong-tong(Graduate School of Inner Mongolia Medical University,Hohhot 010010,China;Department of Human Anatomy,Inner Mongolia Medical University,Hohhot 010010,China;Department of Imaging,Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010010,China;Department of Orthopedics,Ulanqab Second Hospital,Inner Mongolia Ulanqab 012000,China;Department of Imaging,the Second Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010010,China;Department of Orthopedics,Cancer Hospital of Inner Mongolia Medical University,Hohhot 010010,China;School of Clinical Medicine,Baotou Medical College,Inner Mongolia Baotou 014030,China)

机构地区：[1]内蒙古医科大学研究生院,呼和浩特010010 [2]内蒙古医科大学人体解剖学教研室,呼和浩特010010 [3]内蒙古医科大学附属医院影像科,呼和浩特010010 [4]乌兰察布市第二医院骨科,内蒙古乌兰察布012000 [5]内蒙古医科大学第二附属医院影像科,呼和浩特010010 [6]内蒙古医科大学附属肿瘤医院骨科,呼和浩特010010 [7]包头医学院临床医学院,内蒙古包头014030

出　　处：《解剖学报》2024年第6期721-727,共7页Acta Anatomica Sinica

基　　金：内蒙古自然科学基金(2021MS08086);内蒙古自治区卫生健康科技项目(202201188);内蒙古医科大学“成果转化”项目(YKD2020CGZH009);内蒙古医科大学后续科研项目(2020);内蒙古自治区“草原英才”工程青年创新创业人才项目(2020);2021年内蒙古医科大学致远人才项目;内蒙古医科大学2021年度校级科研重点项目(YKD2021ZD001);内蒙古教育厅高等学校创新团队发展计划(NMGIRT2227);乌兰察布市基础研究项目;内蒙古自治区科技计划项目(2023YFHH0003)。

摘　　要：目的建立10~19岁正常青少年髋骨三维模型,分析不同性别、侧别、年龄段之间髋骨髂后上棘的形态及位置参数,为髋骨解剖学形态研究提供补充,为临床相关疾病诊断和治疗操作及定位提供参考。方法选择40名既往无脊柱骨盆疾病的10~19岁青少年患者,收集骨盆CT影像数据导入Mimics 21.0软件建立模型。髂后上棘与周围解剖标志的相对位置及参数包括髂后上棘至髂前上棘的长度(ab),髂后上棘尖端至坐骨结节的长度(ac),髂后上棘尖端至耻骨结节的长度(ae),髂后上棘尖端至耳状关节面后缘中点的长度(af),髂后上棘尖端至髂嵴转折部的长度(ag),坐骨结节至髂嵴最高点的距离(cd)。髂后上棘的局部参数包括a点的宽度(W_(0))和厚度(H_(0))。髂嵴后部的最大宽度(W_(MAX)),其与a点的距离(D_(0)),分别距离a点0.5、1、1.5 cm测量髂嵴的宽度,依次记为W_(1)、W_(2)、W_(3)。髂嵴转折部(g点)的宽度(W_(4))。依次比较不同性别、侧别、年龄段的髂后上棘与周围解剖标志的相对位置及参数和髂后上棘的局部参数。结果髂后上棘与周围解剖标志位置参数中,ac、ae、af性别间比较差异有统计学意义(P<0.05),ab、ag、cd性别间比较差异无统计学意义(P>0.05);ab、ac、ae、af、ag、cd侧别间比较差异无统计学意义(P>0.05);ab、ac、ae、af、ag、cd不同年龄段之间比较差异有统计学意义(P<0.05)。髂后上棘局部参数中,W_(0)、W_(1)、W_(2)、W_(MAX)、H_(0)性别间差异有统计学意义(P<0.05),W_(3)、W_(4)、D_(0)性别间比较差异无统计学意义(P>0.05);W_(0)、W_(1)、W_(2)、W_(3)、W_(4)、W_(MAX)、D_(0)、H_(0)侧别间比较差异无统计学意义(P>0.05);W_(0)、W_(1)、W_(2)、W_(3)、W_(4)、W_(MAX)、D_(0)、H_(0)不同年龄段间比较差异无统计学意义(P>0.05)。结论青少年女性骨盆参数总体大于男性,女性髂后上棘尖端更宽更厚,男性则相反;随着年龄增长,骨盆参数呈增大趋势,Objective To establish a normal three⁃dimensional model of the hip bone in adolescents aged 10⁃19 years old,analyze the morphology and positional parameters of the posterior superior iliac spine of the hip bone among different genders,sides,and ages,which can supplement the study of the anatomical morphology of the hip bone and to provide a reference for the diagnosis of the clinically relevant diseases and for the therapeutic manipulation and localization of the hip bone.Methods Forty adolescent patients aged 10⁃19 years without previous spinal pelvic diseases were selected,and the pelvic CT image data were collected and imported into Mimics 21.0 software to establish the model.The relative position parameters of the posterior superior iliac spine and the surrounding anatomical landmarks included the length from the posterior superior iliac spine to the anterior superior iliac spine(ab),the length from the tip of the posterior superior iliac spine to the sciatica(ac),the length from the tip of the posterior superior iliac spine to the pubic tubercle(ae),the length from the tip of the posterior superior iliac spine to the midpoint of the posterior margin of the auricular joint surfaces(af),the length from the tip of the posterior superior iliac spine to the iliac spine turn(ag),and the length from the sciatica tubercle to the highest point of the iliac spine(cd).The local parameters of the posterior superior iliac spine included the width(W_(0))and the thickness(H_(0))at point A.The maximum width of the posterior iliac spine(W_(MAX)),its distance from point a(D_(0)),and the width of the iliac spine were measured at 0.5,1,and 1.5 cm from point a,and were recorded sequentially as W_(1),W_(2),and W_(3).The width of the iliac spine at the turn of the iliac spine(point g)was measured(W_(4)).The relative positions and parameters of the posterior superior iliac spine to the surrounding anatomical landmarks and the localized parameters of the posterior superior iliac spine were compared sequentially for different g

关 键 词：髂后上棘 髋骨 数字化测量 青少年 

分 类 号：R322-3[医药卫生—人体解剖和组织胚胎学]