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Results The representation of the structures of ill ears on CTVE and its comparison with coronal and axial CT film and operation: In 24 purulent otitis media, CTVE had a coincidence of 91.7% with operation of handle of malleus, 95.8% of head of malleus,95.8% of long limb of incus ,100% of short limb of incus, 87.5% of limbs of stapes.

结果:24耳慢性化脓性中耳炎中CTVE显示锤骨柄、砧骨长脚骨质破坏与手术所见的符合率为91.7%(22/24),显示锤骨头骨质破坏的符合率为95.8%(23/24),显示砧骨短脚骨质破坏的符合率为100%(24/24),显示镫骨脚骨质破坏的符合率为87.5%(21/24)。

Results: Both MIP and SSD 3D images could direct display the shape, size and correlation of malleus and incus, the incus-stapedial joint was like"L-shape" structure, but it was difficult to exhibit the footplate, anterior and posterior crura of stepes.Cholesteatomas was found in 12 cases with chronic otitis media, that 3D images exhibited varying degrees of destruction of the auditory ossides, and the display ability of SSD 3D image was slightly better than that of MIP 3D image.

结果:MIP和SSD 3D重建都能直观地观察锤、砧骨的形态、大小及相互关系,砧镫关节呈"L"形,镫骨前后脚及底板显示欠佳。18例中耳炎患者中12例胆脂瘤形成,3D重建显示有不同程度的听小骨破坏,SSD 3D的显示效果略好于MIP 3D。

MethodsTraditional gradient force, gradient plus pressure force and gradient vector flow force were used in active contour models to segment malleus, incus, eardrum and some shared surface images. The segmentation results were compared. ResultsBoth the gradient force and the GVF force resulted in satisfactory results when the initial contours were close to the boundary.

将传统的梯度外力、梯度加压力及梯度矢量流外力应用于主动轮廓模型,分别对砧骨、锤骨、砧骨和锤骨间的共享狭窄面及鼓膜等图像进行图像分割,比较图像分割的结果,选择收敛速度快、分割结果准确的方法。

Results: The satisfactory MPR images of cochlea, bony semicircular canals, internal auditory meatus and other intratemporal structures can be obtained. The SSD images could show some important bony marks of temporal bone and spatial relationships between them clearly. On coronal plane, SSD images can vividly demonstrate the shape and spatial relationships of malleus and incus. A series images were obtained as the virtual endoscope moved from the external auditory canal to the middle ear cavity.

结果:MPR能在不同切面显示耳蜗、半规管、内耳道及面神经管垂直段等结构,显示率为100%;SSD能清晰显示颞骨重要的骨性结构,如内耳门、颈静脉孔等,冠状位切割后的SSD图像能生动地显示锤骨、砧骨的立体形态及空间关系;CTVE可模仿内窥镜从外耳向中耳移动,清晰显示骨性外耳道、鼓室内侧壁及听骨链等结构。

RESULTS Cochlea,semicircular canal,scutum,internal auditory canal,vertical segment of facial nerve canal were clearly shown in all cases by different slices of MPR images.3D CT can vividly demonstrate the shape and spatial relation-ships of malleus and incus.

三维CT能生动地显示锤骨、砧骨的立体形态及空间关系。

Thirst is an impediment for crawling hooves across the Sahara, eyes are stars breakfast among the dunes shifting ridges, windy nudges challenging our camels, their throaty calls streaking across the terrain, a dust storm spirals from the sky, creates a stamping on the ground, the measure of sun's anvil.

横越撒哈拉大沙漠,对于爬行的足蹄,干渴是一大障碍,眼是星辰早餐,在层层沙丘不断变幻的峰脊之间,风力绵绵,挑战着我们的骆驼,他们喉头发出嘶叫,刮过地貌,一场沙尘暴盘旋,由天而降,重创出一条印迹在地上,留作太阳砧骨的标记。

The most common form of these ossicular chain lesions following head injury is incudostapedial joint separation.

听小骨链断离的型式以砧骨磴骨关节分离(incudostapedial joint separation)最为常见。

Ten patients with temporal bone fracture and trauma of ear,whose CT scan of temporal bone showed that Malleoincudal joint irregular shape in the axial view and incudostapedial joint dislocation in the coronal view,were included in this study,Virtual endoscopy showed Malleoincudal joint separation,incudostapedial joint dislocation and interruption,ossicular chain disruptio...

虚拟耳镜示锤砧关节分离,砧镫关节脱位,听骨链中断。手术经颞线下开放上鼓室,保留完整的外耳道后上壁,充分暴露上、后鼓室和听骨链,检查并行听骨链成形术。结果:砧骨长脚骨折1耳,将砧骨改型后行锤-镫连接术;锤砧和砧镫关节脱位6耳,砧骨完全脱落3耳,行砧骨复位双关节固定术。10耳均行上鼓室进路鼓室探查术,术后语频听力平均提高25~50dB。结论:完壁式上鼓室进路鼓室探查术治疗外伤性听骨链中断疗效满意。

Results: Both MIP and SSD 3D images could direct display the shape, size and correlation of malleus and incus, the incus-stapedial joint was like"L-shape" structure, but it was difficult to exhibit the footplate, anterior and posterior crura of stepes.Cholesteatomas was found in 12 cases with chronic otitis media, that 3D images exhibited varying degrees of destruction of the auditory ossides, and the display ability of SSD 3D image was slightly better than that of MIP 3D image.

结果:MIP和SSD 3D重建都能直观地观察锤、砧骨的形态、大小及相互关系,砧镫关节呈&L&形,镫骨前后脚及底板显示欠佳。18例中耳炎患者中12例胆脂瘤形成,3D重建显示有不同程度的听小骨破坏,SSD 3D的显示效果略好于MIP 3D。

The most common form of ossicular chain lesion following head injury is incudo-stapedial joint separation.

听小骨链断离的形式以砧骨镫骨关节分离(incudo-stapedial joint separation)最为常见。

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