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基于MRI图像的阴茎悬韧带及相邻结构的三维重建

[The three-dimensional reconstruction of penile suspensory ligament and adjacent structures based on the MRI image].

作者信息

Liu Yan-long, Ji Yu-jun, Wang Hong-yi, Zhang Yu-long, Li Shi-rong

机构信息

Department of Plastic and Reconstructive Surgery, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.

出版信息

Zhonghua Zheng Xing Wai Ke Za Zhi. 2012 Nov;28(6):436-9.

Abstract

OBJECTIVE

To establish a three-dimensional image of the penile suspensory ligament, and explore a stereoscopic and multi angle observation method of patient' s penile suspensory ligament.

METHODS

This study selected the patients with small penis from our hospital as subjects. The participants were conducted on magnetic resonance imaging (MRI) examination before operation. Afterwards, the results of MRI were imported into 3D reconstruction software (MIMICS 10.0), and the suspensory ligament of penis, the pubic symphysis and other related structures were reconstructed for observation.

RESULTS

The pubic symphysis, penis and corpus spongiosum can be quite clearly displayed in the thin-section MRI images. In addition, penile suspensory with patchy distribution can be visible between lower part of ligament pubic symphysis and corpus cavernosum. Finally, we can reconstruct the three-dimensional structures through MIMICS 10.0, and then precisely describe the suspensory ligament's start-stop point, the angle with cavernous body of penis and the attached area in the corpus cavernosum penis.

CONCLUSION

Based on the MRI 3D reconstruction of deep penile suspensory ligament and adjacent structures, we can carry out dynamic, three-dimensional multi angle observation of patients deep penile suspensory ligament, and can use the reconstructed image to provide certain theory basis for the judgement of the corpus cavernosum penis extension length and penile suspensory ligament depth before penis extension operation.

摘要

目的

建立阴茎悬韧带的三维图像,探索一种对患者阴茎悬韧带进行立体、多角度观察的方法。

方法

本研究选取我院阴茎短小患者作为研究对象。术前对参与者进行磁共振成像(MRI)检查。之后,将MRI结果导入三维重建软件(MIMICS 10.0),对阴茎悬韧带、耻骨联合及其他相关结构进行重建观察。

结果

在薄层MRI图像中,耻骨联合、阴茎及海绵体均可清晰显示。此外,在耻骨联合韧带下部与海绵体之间可见呈斑片状分布的阴茎悬韧带。最后,通过MIMICS 10.0重建三维结构,进而精确描述悬韧带的起止点、与阴茎海绵体的夹角以及在阴茎海绵体内的附着区域。

结论

基于阴茎深悬韧带及相邻结构的MRI三维重建,能够对患者阴茎深悬韧带进行动态、三维多角度观察,且利用重建图像可为阴茎延长术前阴茎海绵体延伸长度及阴茎悬韧带深度的判断提供一定的理论依据。

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