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Results:When unilateral anterior superior iliac spine loaded by transient stress,0-10 ms,stress distributed from posterior superior iliac spine to anterior superior iliac spine,and on the last 10 ms,there were greater stress distribution around cacroiliac joint,acetabulum and pubic branch.When unilateral positive backside of ilium loaded,between 0 ms and 20 ms,stress transmitted along vertical direction of ilium,and after 20 ms,there were greater stress distribution on cacroiliac joint,both pubic branch,ischium branch and acetabulum.

结果:冲击载荷作用于单侧髂前上棘时,0~10ms主要的应力沿髂后上棘到髂前上棘分布,在冲击后期10ms以后,骶髂关节、髋臼和耻骨支都会产生较大的应力分布;作用于单侧髂骨正后方部位时,0~20ms主要的应力沿髂骨纵行传导,应力分布并没有在冲击峰值10ms时达到最大,而是从20ms之后,应力开始向骶髂关节、双侧耻骨支、坐骨支以及髋臼等部位传导并可见到明显的应力分布。

The arteries were embolized based on the arterial supply to the sacrum, resulting in occlusion of the internal iliac, lateral sacral, lumbar, iliolumbar, and median sacral arteries.

在供应骶骨的动脉的基础上进行动脉栓塞,从而闭塞了髂内动脉、骶横动脉、腰动脉、髂腰动脉以及骶中央动脉。

BACKGROUND: Iliosacral screw fixing the sacroiliac joint after reduction can provide the stability of the pelvis.

背景:骶髂螺钉直接固定复位后的骶髂关节,可提供足够的骨盆稳定性,其生物力学稳定性优于其他常用的内固定。

OBJECTIVE: By studying the adult pelvic posterior ring CT measurement of the parameters of screw fixation of the iliosacral joint to provide related morphological data for the application of iliosacral screw fixation in iliosacral, and to explore the variability of the parameters.

目的:通过对成人骨盆后环的CT测量,为临床用骶髂螺钉固定骶髂关节提供形态学依据,并探讨钉道参数的变异性相关因素。

BACKGROUND: The entry point and direction of screw, iliosacral screw length, S1 pedicle screw shape and iliosacral joint adjacent structure understandings are key factors for successful iliosacral screw fixation.

背景:正确地选择进针点、进针方向和骶髂螺钉长度,以及对S1椎弓根形状和骶髂关节毗邻结构解剖的了解成为骶髂关节螺钉置入成败的关键。

Objective Creating a 3D finite element model of a full pelvis with sacroiliac joint fracture. Comparing the biomechanical properties of the model where the fracture part was fixated by using a new sacroliliac anatomy type Bar-plate internal fixation system to iliosacral screw fixation and front reconstruction plate fixation.

目的 建立使用新型的骶髂关节解剖型棒-板内固定系统对骶髂关节骨折脱位进行固定的三维有限元模型,并与骶髂关节螺钉、和前路重建钢板固定进行对比,验证和分析其力学性能。

Then, one side of sacroiliac joint related ligaments was deleted to simulate the case of sacroiliac joint fracture. Using a new sacroliliac bar-plate internal fixation system with anatomic plate to fix the fracture part, and the comparing models using iliosacral screw fixation and front reconstruction plate fixation were also generated. Finally, all models were simulated under same loading conditions.

去掉模型一侧的骶髂关节韧带群模拟骨折脱位,使用新型的SABP内固定系统进行固定模拟,同时分别使用骶髂关节螺钉和前路重建钢板固定建立对比模型,进行加载计算,分析受力情况。

In this experiment, we were successful to establish the finite element model of pelvis after subtotal sacrectomy. The calculated result was similar with the reference. The model could be used to evaluate different ways to reconstruct the sacroiliac joint.

成功建立了保留骶髂关节活动的骶骨次全切除术后骨盆的有限元模型,计算结果与文献中报道的结果较好地吻合,可认为有效,能够用于各种骶髂关节重建方式的有限元评价。

After bilateral dissection of internal and external iliac vessels, the transplanted uterus was placed in orthotopic position, the cervix was sutured to the vaginal vault, uterosacral ligament was reconstructed and extended, uterine vessels were anastomosed to respective external iliac veins and arteries.

经过清理双侧髂内血管和髂外血管,移植的子宫被放置在原来的正常位置。医生对患者的子宫颈与阴道穹窿进行了缝合,又重建并延伸了子宫骶韧带,同时将子宫血管分别与髂外静脉和髂外动脉进行缝合。

ObjectiveTo find out the reason of sacro-iliac articulation malposition misdiagnosed as single prolapse of lumbar intervertebral disc, define the essential point of diagnosing sacro-iliac articulation malposition, and choose the best treatment.

目的明确骶髂关节错位误诊单纯腰椎间盘突出症的原因,确认骶髂关节错位的诊断要点,以便选择最佳的治疗方法。

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