腰椎间盘突出症力学特征的仿真计算方法
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国家自然科学基金资助项目(30670576),北京市教委重点项目(200810025011),首都医科大学基础临床合作课题(10JL24)


Simulation calculation on biomechanical properties of lumbar disc herniation
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    摘要:

    目的 建立腰椎间盘突出症力学特征的数值计算分析模型,为腰椎间盘突出症的力学机理提供一种检测评估方法。方法 利用健康成人L4~5腰椎运动节段CT影像, 采用Mimics 10.01医学图像处理软件和Geomagic 10.0逆向工程软件分别建立L4~5腰椎运动节段的椎骨和椎间盘,并在Ansys软件中附加腰椎相关韧带及通过改变椎间盘突出后对应的材料属性,建立腰椎L4~5运动节段有限元模型,构建正常模型和腰椎间盘突出模型;运用有限元方法模拟正常椎间盘和突出椎间盘在轴向压力、前弯、侧弯、旋转和后伸5种载荷下的生物力学特征参数。结果 椎间盘突出后,椎间盘的应力分布及传递载荷的能力改变,应力集中于纤维环后外侧;在相同的载荷情况下,突出的椎间盘的最大形变量比正常椎间盘的大;椎间盘突出模型的小关节突接触力比正常模型的小关节突接触力大。结论 椎间盘突出后,椎间盘的承载功能下降,关节突的应力水平升高,小关节的负荷增加,从而导致腰椎稳度下降。

    Abstract:

    Objective To establish a numerical calculation and analysis model of lumbar disc herniation so as to provide a method of detecting and assessing the mechanical mechanism of lumbar disc herniation. Methods Based on CT of a healthy adult, the vertebra and intervertebral disc of lumbar 4~5 segment were reconstructed by Mimics 10.01 software and Geomagic 10.0 software, respectively. By adding the lumbar attaching ligaments and transforming the corresponding material properties of the extruded disc in Ansys software, the finite element model of L4~5 was established to create the intact disc and extruded disc model. The finite element method was employed to simulate the biomechanical properties of the two models under the loads of axial compression, flexion, lateral bending, extension and rotation. Results After the lumbar disc was extruded, the stress distribution on the disc and the ability of load transfer were changed. The stress was concentrated at the posterior lateral of annulus fibrous. Under the same loads, the maximum deformation of the extruded disc was larger than that of the intact disc. The contact forces of the facet joints in the extruded disc model were larger than that in the intact disc model. Conclusions After the lumbar disc was extruded, the load-bearing capacity was decreased and the stress level of the articular process was increased, and the loads on the facet joints were also enhanced, leading to the decline of stability in the lumbar vertebrae.

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黄菊英,李海云,吴浩.腰椎间盘突出症力学特征的仿真计算方法[J].医用生物力学,2012,27(1):96-101

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  • 收稿日期:2011-07-11
  • 最后修改日期:2011-09-14
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