数字化穿支皮瓣标本的设计与制作

详细信息    查看官网全文

• 英文论文题名：Design and Manufacture of Digital Perforation Flap
• 论文作者：郭东铭 ; 谢巍 ; 谭建国 ; 李素云 ; 周小兵
• 英文论文作者：GUO Dong-ming ; XIE Wei ; TAN Jian-guo ; LI Su-yun ; ZHOU Xiao-bing ; Department of Anatomy ; Medical School of University of South China
• 年：2017
• 作者机构：南华大学人体形态中心;
• 论文关键词：穿支皮瓣 ; 乳胶 ; 羧甲基纤维素 ; 氧化铅 ; 三维重建 ; 血管造影
• 英文论文关键词：Perforating flap ; Latex ; Carboxymethylcellulose ; Lead oxide ; Three-dimensional reconstruction ; Angiography
• 会议召开时间：2017-08-07
• 会议录名称：中国解剖学会第六届全国解剖学技术学术会议论文汇编
• 语种：中文
• 分类号：R322-34
• 学会代码：ZGJP
• 会议名称：中国解剖学会第六届全国解剖学技术学术会议
• 会议地点：中国江西九江
• 主办单位：中国解剖学会科技开发和咨询工作委员会
• 学会名称：中国解剖学会
• 页数：4
• 文件大小：2772k
• 原文格式：D
• 会议级别：全国

摘要

目的探索数字化穿支皮瓣皮动脉血供,建立穿支皮瓣血管的数字化模型,为术前血管体表定位提供解剖学依据。方法选取6具新鲜成人标本分别采用羧甲基纤维素(carboxymethylcellulose,CMC)/氧化铅水凝胶及乳胶-羧甲基纤维素/氧化铅混合填充剂行一次性全身动脉造影,X线、CT扫描获取标本灌注前后及剥离皮肤序列图像数据,运用Mimics软件,在计算机上对各部重要结构进行血管三维立体重建及穿支皮瓣的显示。结果标本经X线扫描可得到清晰的动脉成像,利用Mimics17.0重建了骨骼、血管、皮肤数字化可视模型,能够清晰显头面部、躯干、四肢及手足等部位主要穿支皮瓣皮动脉的来源及其供血皮瓣的形态、分布范围、毗邻关系,该模型可任意方向旋转观察。结论以羧甲基纤维素/氧化铅水凝胶及乳胶-羧甲基纤维素/氧化铅混合填充剂的灌注技术可使X线摄影及CT扫描在标本上获得高质量的血管影像,并以此设计不同类型的皮瓣,有利于穿支皮瓣的发掘、血供评估,为数字化穿支皮瓣提供理想的技术支持。
Objective To explore the digitalized perforation flap pedicled arterial blood supply,and establishment of perforated flap vascular digital model for the preoperative vascular surface in oder to provide anatomical basis.Methods Six adult cadaver specimens were treated with carboxymethyl cellulose-lead oxide hydrogel and latex-carboxymethyl cellulose/lead oxide mixed filler and line one-time generalized arterial angiography,X-ray,CT scans were taken before and after perfusion of skin samples.Then,using Mimics software,reconstruction of the three-dimensional structure of the relevant three-dimensional vascular and perforation flap design on the computer.Results The arterial imaging was obtained by X-ray scanning and the digital visual model of bone,blood vessel and skin was reconstructed by Mimics17.0,which can clearly show the face,trunk,limbs and hands,foot and other parts of the main perforator skin flap and the source of the blood supply flap,distribution,adjoining relationship,the model can be rotated in any direction.Conclusion The perfusion technique of carboxymethyl cellulose/lead oxide hydrogel and latexcarboxymethyl cellulose/lead oxide mixed filler can make X-ray photography and CT scan to obtain highquality vascular images on specimens,and can design different types of flaps,so conducive to the design of the flap flap,blood supply assessment,for the digital perforating flap to provide the ideal technical support base.

引文

[1]Spitzer VM.The visible human:a new language for communica-tion in healt h care education[J].Caduceus,1997,13(2):42-48.
    [2]Li QY,Zhang SX,Liu ZJ,et al.The pre-styloid compartment oft he parapharyngeal space:a t here-dimensional digitized modelbased on t he Chinese visible human[J].Surg Radiol Anat,2004,(26):411-416.
    [3]郭志勇,丁红梅,尹知训,等.人体皮肤微血管构筑的三维可视化[J].中国组织工程研究与临床康复,2011,15(4):653-656.
    [4]唐茂林,章伟文,张世民等.穿支皮瓣研究进展[J].中国临床解剖学杂志,2011,29(6):602-605.
    [5]金联洲,崔怀瑞,戴开宇,等.旋髂深动脉穿支骨皮瓣3D可视化模型的制备[J].中国临床解剖学杂志,2008,26(1):8-10.
    [6]Saint-Cyr M,Wong C,Schaverien MV,et al.The perforasome theory:Vascular anatomy and clinical implications[J].Plast Reconstr Surg,2009,124(5):1529-1544.
    [7]唐茂林,徐达传.穿支皮瓣解剖学研究中存在的问题及对策[J].中国临床解剖学志,2006,24(2):225-227.
    [8]楼新法,梅劲,Geddes C R,等.明胶-氧化铅血管造影术的优化[J].中国临床解剖学杂志,2006,24(3):259-262.
    [9]张志浩,李严斌,梅劲等.应用放射造影术进行血管3D可视化研究初探[J].中国临床解剖学杂志,2006,24(3):255-258.
    [10]周小兵,李素云,李严斌,等.人体血管三维可视化[J].解剖学杂志,2008,31(2):278-281.
    [11]周小兵,范立新,周坤,等.以羧甲基纤维素为载体的标本管道造影术.[J].解剖学杂志,2008,31(2):283-284.
    [12]周小兵,范立新,石小田,等.X线填充剂新载体羧甲基纤维素最佳配比的实验研究.[J].中国临床解剖学杂志,2008,26(2):216-219.