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[通过计算机断层扫描三维重建法确定女性次髎穴(BL 32)的位置]

[The location of Ciliao (BL 32) acupoint by three-dimensional reconstruction of computed tomography in women].

作者信息

Wang Rong, Song Yan-Feng, Zhang Wen-Ju, Ye You-Qiang

机构信息

Fujian College of Chinese Medicine, Fuzhou, China.

出版信息

Zhen Ci Yan Jiu. 2010 Aug;35(4):307-10.

Abstract

OBJECTIVE

To determine the location of Ciliao (BL 32) by the help of three-dimensional (3-D) surface reconstruction of computed tomography (CT) so as to provide a reference for clinical application.

METHODS

A total of 106 female volunteer subjects were enrolled in the present study. A CT scanner was used to scan the subjects' pelvis, and the collected image data was processed by Dextroscope workstation. The distances and angels of Ciliao(BL 32) in the 3-D space were measured.

RESULTS

A linear correlation existed between the inter-iliac distance (L 1) and sacro-foremen distance (L 2, with the regression equation being Y = 20.219 + 0.25X), and between the sacro-iliac distance and sacral foremen-iliac distance (with the regression equation being Y = -14.007 + 0.446X), which were used to determine the location of BL 32. A linear correlation also existed between the body weight and the needling depth (with the regression equation being Y = -18.893 + 0.988X). So, the suitably inserted straight depth of acupuncture needle could be determined according to the woman's body weight. The oblique angle of the 2nd sacral foremen was (30.08 +/- 4.26), and the depth of the 2nd sacral foramen was (20.13 +/- 2.11) mm.

CONCLUSION

In accordance with the results obtained from CT 3-D reconstruction, oblique needling of an acupuncture needle for Ciliao (BL 32) is highly recommended.

摘要

目的

借助计算机断层扫描(CT)的三维(3-D)表面重建确定次髎穴(BL 32)的位置,为临床应用提供参考。

方法

本研究共纳入106名女性志愿者。使用CT扫描仪扫描受试者骨盆,并通过Dextroscope工作站处理采集的图像数据。测量3-D空间中次髎穴(BL 32)的距离和角度。

结果

髂间距离(L 1)与骶前孔距离(L 2,回归方程为Y = 20.219 + 0.25X)之间以及骶髂距离与骶前孔 - 髂骨距离之间(回归方程为Y = -14.007 + 0.446X)存在线性相关性,用于确定BL 32的位置。体重与针刺深度之间也存在线性相关性(回归方程为Y = -18.893 + 0.988X)。因此,可根据女性体重确定合适的针刺直入深度。第2骶前孔的斜角为(30.08±4.26),第2骶孔深度为(20.13±2.11)mm。

结论

根据CT三维重建结果,强烈推荐对次髎穴(BL 32)进行斜刺。

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