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Results 3 cases of lesions were in the gap of"V"shape between iliac muscle and musculus psoas major on the coronal sections in the lower right abdomen closely adjacent to the cecum,which were narrowed. The lesions showed long even T1 and T2 signals similar to mucous wall particularly in T2WI image. The walls of cyst were thin and even. The cysts were round or oval in shape on transections.The cyst were cucurbits in shape in 2 cases and long cannular in a case on coronal sections and arrowy sections and borderlines of the cysts were clear. The terminal of the cysts showed taper in 2 cases. In addition, cecum polypus was found at the placket of the appendix in a case which was not shown on MRI image.

结果 3例病变均位于右下腹,冠状面位于髂肌和腰大肌形成的"V"形间隙内,与盲肠关系密切,盲肠呈外压改变;呈均匀长T1、长 T2信号;壁薄且均匀,信号与肠管壁相似,于T2WI显示较明显;于横断面分别呈圆形、类圆形及椭圆形,冠状面及矢状面2例显示呈"葫芦"状、1例呈长管状,3例末端均呈"桃尖"样变;边界均清楚。1例于阑尾开口部发生盲肠息肉,MRI未能显示。

Results When the foot was in a relaxing position, the optimal position to observe anterior talofibular ligament with MRI was transverse orientation, to calcaneofibular ligament was transverse oblique, to posterior talofibular ligament and cervical ligament was coronal and to interosseous talocalcaneal ligament was sagittal orientation. The identifying signs of the ligaments were described.

结果 当足呈自然放松位时,距腓前韧带在横断位,跟腓韧带在斜横断位,距腓后韧带在冠状位,颈韧带在冠状位,距跟骨间韧带在矢状位断面上,为最佳观测方位,并提出了各韧带在断面上的辨认标志。

Results 3 cases of lesions were in the gap of"V"shape between iliac muscle and musculus psoas major on the coronal sections in the lower right abdomen closely adjacent to the cecum,which were narrowed. The lesions showed long even T1 and T2 signals similar to mucous wall particularly in T2WI image. The walls of cyst were thin and even. The cysts were round or oval in shape on transections.The cyst were cucurbits in shape in 2 cases and long cannular in a case on coronal sections and arrowy sections and borderlines of the cysts were clear. The terminal of the cysts showed taper in 2 cases. In addition, cecum polypus was found at the placket of the appendix in a case which was not shown on MRI image.

结果 3例病变均位于右下腹,冠状面位于髂肌和腰大肌形成的&V&形间隙内,与盲肠关系密切,盲肠呈外压改变;呈均匀长T1、长 T2信号;壁薄且均匀,信号与肠管壁相似,于T2WI显示较明显;于横断面分别呈圆形、类圆形及椭圆形,冠状面及矢状面2例显示呈&葫芦&状、1例呈长管状,3例末端均呈&桃尖&样变;边界均清楚。1例于阑尾开口部发生盲肠息肉,MRI未能显示。

Spondylolysis were showed in sagittal images. Conclusion: The scan range were increased for the fourth lumbar to first sacroiliac interverteral disc and contained vertebral arch for conventional intervertebral disc. The spiral scanning were performed for lumbar spondyloschisis and with MPR along the direction of vertebral arch. The method is simple and useful for the patients suffered low-back pain.

对常规椎间盘扫描采用对L(下标 4~5)及L5~S1,椎间盘加大扫描范围,包括椎弓根层面的方法,对于轴位扫描发现或可疑峡部裂的患者再做相应椎体螺旋扫描,行平行于峡部的椎弓长轴多平面斜矢状面和矢状面重建,是腰腿痛病人CT检查的简单、实用的有效方法。

Results: The angle that adjusting the reference line on the transverse plane is 32. 85°±6.76°, on the coronal plane is 14.15°±9.02°. The facial canal appears "ㄟ" on double oblique imaging geniculate ganglion, tympanic segment, post lap segment, mastoid segment were showed clearly. The achievement ratio is 100%. The segment displaying on double oblique imaging is more than transverse plane, coronal plane and sagittal plane.

结果:面神经管双斜位图像需要在横断位参考图像上旋转参考线的角度为32.85°±6.76°,在冠状位参考图像上旋转参考线的角度为14.15°±9.02°;在面神经管双斜位图像上,面神经管表现为&ㄟ&形,由前向后同时显示出膝状神经节、鼓室段、后膝部和乳突段;面神经管双斜位成像成功率为100%,面神经管行程的显示程度大于横断位、冠状位和矢状位。

Shoulder angle in sagittal view was increase sustained, but elbow angle in sagittal view was from increase to decrease in second pull phase of snatch. This result indicated that the upper arm was leaving forward the trunk, and the movement of elbow was from extention to flexion, in second pull phase of snatch.

肩关节矢状面角度在发力过程中持续增加时,肘关节矢状面角度则是先增加而后减少,这意谓著参与者的上臂在发力的过程中是有向前逐渐偏离躯干的情况产生,并且肘部的动作是先伸展而后屈曲。

MPR oblique images have a high sensitivity and specificity and require the least scan designators in diagnosis of LVA.

笔者用高分辨CT斜矢状位多平面重组图像对LVA进行研究,试图验证多平面重组斜矢状位上诊断LVA的可靠性,寻找一种诊断LVA的最佳方法,为VA扩大的诊断提供可靠依据。

The odontoid vertebra space in the model was divided into lattices and the stress area of the odontoid vertebra was identified by force loading and analyses. It was found that the structure of the stress concentration area was closely related to the development of split sections. Therefore,when the odontoid process is attacked by the external force along its vertical plane,its waist is likely to break and type II fracture occurs. And the break also possibly appears in its base,in this way,type HI fracture occurs.

确定其材料性质、单元类型并控制好网格划分精度后,通过力的加载与分析,找出枢椎的结构应力区,根据结构的应力集中区与其断裂时断裂面走向的密切关系,从而判断出当外部载荷沿齿突中性矢状面不同角度作用,即齿突受到来自其矢状面的外部冲击时,容易在齿突腰部发生断裂,形成枢椎齿突Ⅱ型骨折,也可能在基底部发生断裂,形成枢椎齿突Ⅲ型骨折。

From the simulations, we can see the distributions and transmission of strain and stress in model under different loadings, and the results explained the fractures very well. 4. Similarly, a axis FEM model was constructed to simulate the axis fracture, emphasized on the odontoid process. Three kind of odontoid process fracture were analysed on this model, which occurred respectively on the tip, the middle and the fundus. The results gave the best angle to fracture the odontoid process of the axis.

四、建立了枢椎的三维有限元模型,对枢椎齿状突骨折机理进行了理论上的研究,重点针对临床上齿突骨折的三种分类:1、齿突尖骨折;2、齿突腰部骨折;3、齿突基底部骨折,赋予齿状突在矢状面沿各种角度下受力条件,模拟衰椎前弓、襄椎横韧带以及CZ-3棘间韧带对枢椎造成的暴力破坏,确定了最可能引起齿状突暴力骨折的受力角度。

Similarly, a axis FEM model was constructed to simulate the axis fracture, emphasized on the odontoid process. Three kind of odontoid process fracture were analysed on this model, which occurred respectively on the tip, the middle and the fundus. The results gave the best angle to fracture the odontoid process of the axis.

四、建立了枢椎的三维有限元模型,对枢椎齿状突骨折机理进行了理论上的研究,重点针对临床上齿突骨折的三种分类:1、齿突尖骨折:2、齿突腰部骨折:3、齿突基底部骨折,赋予齿状突在矢状面沿各种角度下受力条件,模拟寰椎前弓、寰椎横韧带以及C2-3棘间韧带对枢椎造成的暴力破坏,确定了最可能引起齿状突暴力骨折的受力角度。

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