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动脉夹层的增量变形模型。

An incremental deformation model of arterial dissection.

作者信息

Li Beibei, Roper Steven M, Wang Lei, Luo Xiaoyu, Hill N A

机构信息

School of Mathematics and Statistics, University of Glasgow, Glasgow, UK.

Department of Engineering, Durham University, Durham, UK.

出版信息

J Math Biol. 2019 Apr;78(5):1277-1298. doi: 10.1007/s00285-018-1309-8. Epub 2018 Nov 19.

DOI:10.1007/s00285-018-1309-8
PMID:30456652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6453878/
Abstract

We develop a mathematical model for a small axisymmetric tear in a residually stressed and axially pre-stretched cylindrical tube. The residual stress is modelled by an opening angle when the load-free tube is sliced along a generator. This has application to the study of an aortic dissection, in which a tear develops in the wall of the artery. The artery is idealised as a single-layer thick-walled axisymmetric hyperelastic tube with collagen fibres using a Holzapfel-Gasser-Ogden strain-energy function, and the tear is treated as an incremental deformation of this tube. The lumen of the cylinder and the interior of the dissection are subject to the same constant (blood) pressure. The equilibrium equations for the incremental deformation are derived from the strain energy function. We develop numerical methods to study the opening of the tear for a range of material parameters and boundary conditions. We find that decreasing the fibre angle, decreasing the axial pre-stretch and increasing the opening angle all tend to widen the dissection, as does an incremental increase in lumen and dissection pressure.

摘要

我们为残余应力作用下且轴向预拉伸的圆柱管中的小轴对称撕裂建立了一个数学模型。当无载管沿一条母线切开时,残余应力由一个开口角度来建模。这适用于主动脉夹层的研究,在主动脉夹层中,动脉壁会出现撕裂。动脉被理想化地视为具有胶原纤维的单层厚壁轴对称超弹性管,采用霍尔扎普费尔 - 加塞尔 - 奥格登应变能函数,并且撕裂被视为该管的增量变形。圆柱体的管腔和夹层内部承受相同的恒定(血液)压力。增量变形的平衡方程由应变能函数推导得出。我们开发了数值方法来研究一系列材料参数和边界条件下撕裂的开口情况。我们发现,减小纤维角度、减小轴向预拉伸以及增大开口角度都倾向于使夹层变宽,管腔和夹层压力的增量增加也会如此。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/9d39bf510a0f/285_2018_1309_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/ba33890fa856/285_2018_1309_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/686ca99e0891/285_2018_1309_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/18782e7b8ede/285_2018_1309_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/51518ad63574/285_2018_1309_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/040bdf2367c0/285_2018_1309_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/d070ecedcfe6/285_2018_1309_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/f4fda00e9a27/285_2018_1309_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/be6d79e8d0ad/285_2018_1309_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/8cf3d8ece8fe/285_2018_1309_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/9d39bf510a0f/285_2018_1309_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/ba33890fa856/285_2018_1309_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/686ca99e0891/285_2018_1309_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/18782e7b8ede/285_2018_1309_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/51518ad63574/285_2018_1309_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/040bdf2367c0/285_2018_1309_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/d070ecedcfe6/285_2018_1309_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/f4fda00e9a27/285_2018_1309_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/be6d79e8d0ad/285_2018_1309_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/8cf3d8ece8fe/285_2018_1309_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/6453878/9d39bf510a0f/285_2018_1309_Fig10_HTML.jpg

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本文引用的文献

1
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J Eng Math. 2018;109(1):227-238. doi: 10.1007/s10665-017-9948-0. Epub 2017 Dec 13.
2
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Biomech Model Mechanobiol. 2017 Feb;16(1):139-149. doi: 10.1007/s10237-016-0806-1. Epub 2016 Jul 9.
3
Complex distributions of residual stress and strain in the mouse left ventricle: experimental and theoretical models.小鼠左心室残余应力和应变的复杂分布:实验与理论模型
Biomech Model Mechanobiol. 2003 Apr;1(4):267-77. doi: 10.1007/s10237-002-0021-0.
4
Dissection of aorta: report of a case treated by fenestration procedure.主动脉夹层:开窗手术治疗病例报告。
Ann Surg. 1957 Jul;146(1):111-16. doi: 10.1097/00000658-195707000-00013.
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Clinical, diagnostic, and management perspectives of aortic dissection.主动脉夹层的临床、诊断及管理视角
Chest. 2002 Jul;122(1):311-28. doi: 10.1378/chest.122.1.311.