正常成年人脊椎内脂肪分布的特点及其生物力学意义
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Fat distribution feature and its biomechanics significant analy- sis in vertebrae of health adults
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    摘要:

    目的观察正常成年人胸腰椎内脂肪分布的特点,并借鉴以往胸腰椎生物力学研究结果,分析脊椎内脂肪分布(T1WI像上表现为高信号)和脊椎内生物力学特点之间的相互关系。方法选取56例正常成年人胸腰椎MR图像,在矢状T1WI像上将每个脊椎分成16个观察点,观察T11-L5脊椎内各观察点信号强度的分布特点,并进行统计学处理。将观测结果与以往研究的脊椎内生物力学特点相对照。结果56例健康成人392个脊椎内各观察点高信号的发生率明显不同,其中椎弓根内高信号的发生率最高(98%),椎体后上缘边缘部位高信号发生率(92%)高于中间部位(69%),椎体后下缘中间部位高信号的发生率(50%)高于边缘部位(9%),椎体前缘无高信号分布,上下终板下有部分高信号分布(16%),统计学处理结果显示除椎体后下缘边缘部位高信号的发生率与终板下比较差异无显著性意义外,其余各观察点之间两两比较差异均有显著性意义(P<0.0033)。结论椎弓根和椎体后上缘的高信号发生率明显高于脊椎其它部位,前两者也是脊椎内应力最高的部位。

    Abstract:

    Objective To analyze the interrelation between fat distribution feature inside vertebrae and its biomechanics feature through observing fat distribution feature inside vertebrae of health adult and associated it with the researched results of biomechanics feature of vertebral. Method This study include 56 health adult’s MR imaging material of T11- L5,we divided every vertebrae into 16 area, observed and noted the signal intensity of every area, made statistical analysis to the incidences of hyper-intensity signal among different area. At last, compare the study results to the biomechanics feature inside vertebrae researched. Results The incidences of hyper-intensity signal in different area are obviously different, it is the highest in Pedicle of vertebral arch (98%); the incidence in marginal (92%) is higher than it in intermedius (69%) in post-superior border, but the incidence in intermedius (50%) is higher than it in marginal (9%) in post-inferior border, there is no hyper-intensity signal distribution in anterior border and a few of signal distribution under end-plate (16%). The results of statistics analysis showed the difference of incidence in different area have obviously significance except it between the marginal in post-inferior border and under end-plate (P>0.0033). Conclusion The incidences of hyper-intensity signal in pedicle of vertebral arch and in post-superior border are obviously higher than other areas in vertebrae, both area bear the greatest stress in vertebrae according to the biomechanics study results.

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于明安,肖德贵.正常成年人脊椎内脂肪分布的特点及其生物力学意义[J].医用生物力学,2007,22(4):407-411

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