Chen Zhuo-Wei, Joli Pierre, Feng Zhi-Qiang, Rahim Mehdi, Pirró Nicolas, Bellemare Marc-Emmanuel
Laboratoire de Mécanique et d׳Energétique d'Évry, Université d'Évry-Val d׳Essonne, Évry, France.
Laboratoire de Mécanique et d׳Energétique d'Évry, Université d'Évry-Val d׳Essonne, Évry, France; School of Mechanics and Engineering, Southwest Jiaotong University, Chengdu, China.
J Biomech. 2015 Jan 21;48(2):238-45. doi: 10.1016/j.jbiomech.2014.11.039. Epub 2014 Dec 4.
Pelvic organ prolapse (POP) occurs only in women and becomes more common as women age. However, the surgical practices remain poorly evaluated. The realization of a simulator of the dynamic behavior of the pelvic organs is then identified as a need. It allows the surgeon to estimate the functional impact of his actions before his implementation. In this work, the simulation will be based on a patient-specific approach in which each geometrical model will be carried out starting from magnetic resonance image (MRI) acquisition of pelvic organs of one patient. To determine the strain and stress in the soft biological tissues, hyperelastic constitutive laws are used in the context of finite element analysis. The Yeoh model has been implemented into an in-house finite element code FER to model these organ tissues taking into account large deformations with multiple contacts. The 2D and 3D models are considered in this preliminary study and the results show that our method can help to improve the understanding of different forms of POP.
盆腔器官脱垂(POP)仅发生于女性,且随着女性年龄增长而更为常见。然而,手术操作的评估仍不完善。因此,开发一种盆腔器官动态行为模拟器被认为是必要的。它能让外科医生在实施手术前预估其操作的功能影响。在这项研究中,模拟将基于针对特定患者的方法,即从一名患者盆腔器官的磁共振成像(MRI)采集开始构建每个几何模型。为了确定软生物组织中的应变和应力,在有限元分析中使用了超弹性本构定律。已将Yeoh模型应用于内部有限元代码FER中,以对这些器官组织进行建模,同时考虑到具有多个接触的大变形。在这项初步研究中考虑了二维和三维模型,结果表明我们的方法有助于增进对不同形式盆腔器官脱垂的理解。