[1]谢东波,顾兴科,陈永洪,等.基于CT三维重建图像分析肩胛骨冈盂切迹的形态学分型特征[J].中医正骨,2021,33(12):7-10.
　XIE Dongbo,GU Xingke,CHEN Yonghong,et al.Analysis on morphological classification characteristics of spinoglenoid notch based on three-dimensional CT reconstruction images[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(12):7-10.
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基于CT三维重建图像分析肩胛骨冈盂切迹的形态学分型特征()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期数:
2021年12期
页码:
7-10
栏目:
临床研究
出版日期:
2021-12-20

文章信息/Info

Title:
Analysis on morphological classification characteristics of spinoglenoid notch based on three-dimensional CT reconstruction images
作者:
谢东波; 顾兴科; 陈永洪; 张玉科; 张鹏翼; 莫玉富
(宜宾市中西医结合医院,四川 宜宾 644100)
Author(s):
XIE Dongbo; GU Xingke; CHEN Yonghong; ZHANG Yuke; ZHANG Pengyi; MO Yufu
Yibin Integrated Traditional Chinese and Western Medicine Hospital,Yibin 644100,Sichuan,China
关键词:
肩胛骨;  冈盂切迹;  成像; 三维;  肩胛上神经;  神经压迫综合征
Keywords:
scapula;  spinoglenoid notch;  imaging; three-dimensional;  suprascapular nerve;  nerve compression syndromes
摘要:
目的:分析肩胛骨冈盂切迹的形态学分型特征。方法:纳入460例接受胸部或肩部CT检查的患者,将其CT扫描数据传输至西门子影像存储与传输系统中进行单侧肩胛骨三维重建,并在CT三维重建图像上测量和记录肩胛骨冈盂切迹的形态学数据; 根据冈盂切迹的形态将460例患者分别纳入L形组、大U形组和小U形组,分析比较3组肩胛骨冈盂切迹的形态学特征。结果:L形冈盂切迹134例(L形组)、大U形103例(大U形组)、小U形223例(小U形组)。3组患者冈盂切迹至肩胛切迹、盂上结节、盂下结节的距离及冈盂切迹的深度、宽度比较,组间差异均有统计学意义(F=20.911,P=0.028; F=15.095,P=0.017; F=17.095,P=0.001; F=12.932,P=0.001; F=9.374,P=0.012); 小U形组冈盂切迹至肩胛切迹、盂上结节、盂下结节的距离及冈盂切迹的深度、宽度均小于L形组和大U形组(冈盂切迹至肩胛切迹的距离:q=1.928,P=0.029; q=2.018,P=0.030; 冈盂切迹至盂上结节的距离:q=12.012,P=0.001; q=9.253,P=0.001; 冈盂切迹至盂下结节的距离:q=9.267,P=0.001; q=5.267,P=0.001; 冈盂切迹的深度:q=3.191,P=0.001; q=4.353,P=0.001; 冈盂切迹的宽度:q=2.803,P=0.003; q=3.656,P=0.003); L形组冈盂切迹至肩胛切迹、盂上结节、盂下结节的距离及冈盂切迹的深度、宽度与大U形组比较,差异无统计学意义(q=2.803,P=0.146; q=3.128,P=0.149; q=3.412,P=0.111; q=8.453,P=1.646; q=3.780,P=0.852)。3组患者冈盂切迹至肩胛上角、肩胛下角、关节盂中央的距离及α角(以冈盂切迹顶点为顶点、以肩胛骨横轴和肩胛冈长轴为边所构成的角)比较,组间差异均无统计学意义(F=5.546,P=0.129; F=8.977,P=1.092; F=6.029,P=0.941; F=2.091,P=0.589)。结论:与L形和大U形冈盂切迹相比,小U形冈盂切迹至肩胛切迹、盂上结节、盂下结节的距离及小U形冈盂切迹的深度、宽度均小。
Abstract:
Objective:To analyze the morphological classification characteristics of spinoglenoid notch(SGN).Methods:Four hundred sixty patients who underwent chest or shoulder computed tomography(CT)examination were enrolled in the study,and their CT data were transmitted to the Siemens Picture Archiving and Communication System(PACS)for three-dimensional(3D)reconstruction of unilateral scapula.According to the morphological data of SGN measured on the 3D CT images,the 460 patients were grouped into the L-shaped group,large U-shaped group and small U-shaped group,and the morphological characteristics of SGN were analyzed and compared among the 3 groups.Results:The L-shaped SGN,large U-shaped SGN and small U-shaped SGN were found in 134 cases,103 cases and 223 cases in L-shaped group,large U-shaped group and small U-shaped group respectively.The 3 groups showed statistically significant differences in the distances from the SGN to the scapular notch(ab),supraglenoid tubercle(ae)and infraglenoid tubercle(af)as well as the depth(S1)and width(S2)of SGN(F=20.911,P=0.028; F=15.095,P=0.017; F=17.095,P=0.001; F=12.932,P=0.001; F=9.374,P=0.012.The values of ab,ae,af,S1 and S2 were smaller in small U-shaped group compared to L-shaped group and large U-shaped group(ab:q=1.928,P=0.029; q=2.018,P=0.030; ae:q=12.012,P=0.001; q=9.253,P=0.001; af:q=9.267,P=0.001; q=5.267,P=0.001; S1:q=3.191,P=0.001; q=4.353,P=0.001; S2:q=2.803,P=0.003; q=3.656,P=0.003),while there was no significant difference between L-shaped group and large U-shaped group(q=2.803,P=0.146; q=3.128,P=0.149; q=3.412,P=0.111; q=8.453,P=1.646; q=3.780,P=0.852).There was no statistical difference among the 3 groups in the distances from SGN to superior angle of scapula(ac),subscapular angle(ad)and the middle of glenoid cavity(ag)as well as the angle α between the lateral axis of the scapula and the long axis of scapular spine when the vertex was at the nadir of the SGN(F=5.546,P=0.129; F=8.977,P=1.092; F=6.029,P=0.941; F=2.091,P=0.589).Conclusion:The small U-shaped SGN has smaller ab,ae,af,S1 and S2 compared to the L-shaped SGN and large U-shaped SGN.

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备注/Memo

备注/Memo:
通讯作者:谢东波 E-mail:gualuo@126.com
更新日期/Last Update: 1900-01-01