胸椎椎骨显微硬度分布特征研究

来源 :中华骨科杂志 | 被引量 : 0次 | 上传用户:whw123
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的:测量并分析胸椎椎骨Tn 1~Tn 10的显微骨硬度的分布特征及意义。n 方法:3具新鲜尸体标本(62岁男,45岁女性,58岁男性)Tn 1~Tn 10椎骨部分,分为椎体区和附件区。使用高精慢速锯精确切取若干厚约3 mm的标本,并选取11个测量区域,其中皮质骨标为1~9,松质骨标为10和11。应用维氏显微硬度测量仪测量标本表面硬度,记录并分析胸椎显微硬度分布规律。n 结果:胸椎30块椎骨合计测量330个测量区域,每个区域随机选取5个有效压痕硬度值,共获得1 650个测量值。3具尸体标本胸椎段总体皮质骨平均硬度值分别为(30.55±5.44)HV、(29.94±4.86)HV、(29.55±4.36)HV,组间比较差异有统计学意义(n F=4.680,n P=0.009);总体松质骨平均硬度值分别为(27.93±5.61)HV、(28.21±4.96)HV、(27.98±3.94)HV,组间比较差异无统计学意义(n F=0.091,n P=0.913)。3具尸体标本各自的附件区皮质骨与椎体区皮质骨硬度值比较,差异均有统计学意义(n t=7.467、4.750、6.621,均n P<0.001);3具尸体标本各自的附件区松质骨硬度值均高于椎体区松质骨硬度值(n t=1.785、3.159、3.103,n P=0.077、0.002、0.003)。3具尸体标本11个测量区域显微硬度的分布规律相似:皮质骨硬度较高的区域均为椎弓根、椎板和下终板皮质(1、2、7);皮质骨硬度值较低区域均为上终板和外周皮质(6、8、9)。3具尸体标本Tn 1~Tn 10不同节段的显微硬度分布规律相似:硬度值自上而下逐渐加大,其中皮质骨硬度值最大的椎骨均是Tn 8;松质骨硬度最大的椎骨分别是Tn 7、Tn 7、Tn 6。n 结论:上终板和外周皮质骨硬度较小,可以分散负重以保护内在较为脆弱的松质骨,椎体区向后部结构移行的椎弓根区域硬度值最大。胸椎皮质骨硬度高于松质骨,并且不同节段的硬度值自上而下逐渐加大,Tn 6~Tn 8呈现“小高峰”可能与胸椎节段生理解剖形态、自上而下承受肌肉力和身体自身重量的载荷逐步增加有关。n “,”Objective:To measure and analyze the distribution characteristics of the micro-hardness of the middle-upper thoracic vertebrae (Tn 1-Tn 10) in the human body.n Methods:Tn 1-Tn 10 vertebrae from three fresh cadavers were divided into vertebral body area and attachment area. 3 mm specimens were cut by a high-precision slow saw and 11 regions were selected and measured on each vertebrae by a Vickers microhardness tester (cortical bone: 1-9, cancellous bone: 10-11). The micro-hardness distribution of Tn 1-Tn 10 vertebrae was recorded and analyzed.n Results:A total of 330 measurement areas from 30 vertebrae were measured, and 1 650 hardness values were collected. The average hardness values of the overall cortical bone of the middle-upper thoracic vertebrae of the 3 cadavers were 30.55±5.44 HV, 29.94±4.86 HV, and 29.55±4.36 HV, respectively. The difference among the groups was statistically significant (n F=4.680, n P=0.009). The average hardness values of the overall cancellous bone were 27.93±5.61 HV, 28.21±4.96 HV, 27.98±3.94 HV, respectively. There was no significant difference among the groups (n F=0.091, n P=0.913). There were statistically significant differences between the hardness values in the attachment area and vertebral body area of each cadaver (n t=7.467, 4.750, 6.621, n P<0.001); the hardness of the cancellous bone in the attachment area of each cadaver was higher than that of the cancellous bone in the vertebral body (n t=1.785, 3.159, 3.103, n P=0.077, 0.002, 0.003). The distribution of microhardness in 11 measurement areas of 3 cadavers were similar: the hardness of the cortical bone of pedicle, lamina and inferior endplate cortex (1, 2, 7) were higher; the hardness of the cortical bone of upper endplate and peripheral cortex (6, 8, 9) were lower. The distribution patterns of the microhardness in different vertebral segments of the 3 cadavers were similar: The hardness values gradually increased from Tn 1 to Tn 10. The vertebra with the largest hardness of the cortical bone was Tn 8; and the vertebra with the largest hardness of the cancellous bone were Tn 7, Tn 7 and Tn 6, respectively.n Conclusion:The hardness of the upper endplate and peripheral cortex was low, which could disperse the load to protect the fragile cancellous bone. The hardness of the pedicle was the highest. The hardness of the cortical bone was higher than that of the cancellous bone, and the values of different segments gradually increased from top to bottom, which may be related to the physiological and anatomical morphology, and the gradual increase of the load of muscle force and body weight.
其他文献
当今世界充满了不确定性,企业面对着越来越复杂的经济环境,传统竞争优势如工艺、资源,不再对企业获取成功起决定性作用,有效的战略领导成为决胜的关键手段。现今分工专业化与合作
所谓干部任用导向,是指通过干部任用的过程和结果,对人们价值取向和功利目标产生的引导作用。实践证明,用什么样的人,就营造什么样的氛围,产生什么样的效果。认真分析和探讨
随着电力行业的高速发展,升压站的规模从35kV、110kV、220~500kV,升压站的控制模式也由就地控制模式、网络控制模式、无人值守模式逐渐演变,本文将从第二种控制模式网控模式,
灰色系统理论是以“部分信息已知,部分信息未知”的“小样本”、“贫信息”不确定性系统为研究对象,对少数据、贫信息系统的特征、运行机制和表现行为进行分析,根据信息覆盖原则
在过去20多年里,随着中国经济的快速发展,中国公路铁路等基础设施的大规模投资,建筑设备制造企业快速成长。伴随着欧债危机的爆发,中国宏观政策的调控,A公司面临着产品复杂程度增
目的:探讨食道粒细胞肉瘤的临床特点和诊治方法.方法:对1例继发于慢性髓系白血病(CML)的食道粒细胞肉瘤的临床表现、诊断及治疗进行回顾性分析.结果:老年女性72岁,因胸骨后疼
当时代的步伐迈进了21世纪,任何一个怀抱着远大理想和追求,渴望成功、追求卓越的企业,必定会深刻领悟到企业文化在公司成长发展中的重要性、必要性和迫切性,良好的企业文化将会对
随着生活水平的不断提高,市民对早餐的需求也日益多元化.在上海,除了传统的“四大金刚”外,消费者在健康、便捷、安全等方面对早餐提出了更高的要求.为满足多层次、高品质的
期刊
毛泽东同志在《实践论》中指出: “你要有知识,你就得参加变革现实的实践”。邓小平同志反复阐述,实践是检验真理的唯一标准。江泽民总书记在“七一”座谈会的讲话中再次强
市场经济的竞争归根结底是对顾客的竞争,谁能赢得顾客的心,谁最终赢得市场。“价格战”已经不是企业赢得“战利品”的有效战略手段,取而代之的是顾客满意。它不仅能够为企业赢得