基于CT的骨盆前环断层的解剖学研究及临床实践

doi:10.3969/j.issn.1009-976X.2022.01.014

摘要/Abstract

摘要： 目的探索骨盆前环常用断层的解剖学特点,为临床骨盆疾患的治疗提供参考。方法选取2017年1月~2021年3月在我院行骨盆CT检查的患者图像资料107例,其中男性53例,女性54例。分别测量髂前上棘后方2 cm、4.5 cm横断面处左右两侧最大的直线深度、通道的宽度、最小倾斜角度及髂嵴间的距离,测量髂前下棘横断面处左右两侧最大的直线深度及其倾斜角度、通道的宽度、最小倾斜角度、髂前下棘间的距离,比较男、女两组之间的差别。结果男、女两组在髂前上棘后2 cm处最大直线深度、通道的宽度、最小倾斜角度之间的差异无统计学意义（P>0.05）,而在髂嵴间的距离在男、女两组之间的差异有统计学意义（P<0.05）。男、女两组在髂前上棘后4.5 cm处最大的直线深度、通道的宽度、最小倾斜角度、髂嵴间的距离之间的差异有统计学意义（P<0.05）。男、女两组在髂前下棘处最大直线深度、通道的宽度之间的差异有统计学意义（P<0.05）,而在获取最大深度时的倾斜角度、最小倾斜角度和髂前下棘间的距离之间的差异无统计学意义（P>0.05）。左、右两侧之间各参数的比较差异无统计学意义（P>0.05）。结论了解骨盆前环常用断层的解剖学特点,可提高临床操作的安全性,减少并发症的发生。

关键词: 骨盆前环, CT断层扫描, 解剖学

Abstract: Objective To explore the anatomical features of the common anterior pelvic ring sections and to provide reference for the treatment of clinical pelvic disorders. Methods The image data of 107 patients who underwent pelvic CT examination in our hospital from January 2017 to March 2021 were selected, including 53 males and 54 females. The maximum linear depth, the width of the channel, the minimum inclination angle and the distance between the iliac crests were measured at the 2 cm and 4.5 cm cross-sections behind the anterior superior iliac spine. The maximum linear depth and oblique angle, the width of the channel, the minimum oblique angle and the distance between the anterior inferior iliac spine were measured at the transverse section of the anterior inferior iliac spine. The differences between the male and female groups were compared. Results There were no statistically significant differences between the male and female groups in the maximum straight-line depth, channel width and minimum inclination angle at 2 cm behind the anterior superior iliac spine （P>0.05）, while there were statistically significant differences in the distance between the iliac crest between the male and female groups （P<0.05）. There were statistical differences in the maximum straight-line depth, channel width, minimum inclination angle and the distance between the level of inter-iliac-crest line at 4.5 cm behind the anterior superior iliac spine between the male and female groups （P<0.05）. There were statistically significant differences in the maximum straight-line depth at the anterior inferior iliac spine, and the width of the channel between the male and female groups （P<0.05）, while there were no statistically significant differences in the inclination angle and the minimum inclination angle when obtaining the maximum depth and the distance between the anterior inferior iliac spine （P>0.05）. There was no statistical difference in parameters between left and right sides （P>0.05）. Conclusion Understanding the anatomical features of the common sections of the anterior pelvic ring can improve the safety of clinical operation and reduce the incidence of complications.

Key words: anterior pelvic ring, CT tomography, anatomy

中图分类号:

R683.3

许国华, 杨明明, 梁观宝. 基于CT的骨盆前环断层的解剖学研究及临床实践[J]. 岭南现代临床外科, 2022, 22(01): 79-83.

XU Guo-hua, YANG Ming-ming, LIANG Guan-bao. Anatomical study and clinical practice of anterior pelvic ring section based on CT[J]. Lingnan Modern Clinics In Surgery, 2022, 22(01): 79-83.

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