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鼻腔结构异常者有限元数值模型建立及气流场特征分析
  • ISSN号:0258-4646
  • 期刊名称:《中国医科大学学报》
  • 时间:0
  • 分类:R318.5[医药卫生—生物医学工程;医药卫生—基础医学]
  • 作者机构:[1]大连医科大学附属第二医院耳鼻咽喉头颈外科,辽宁大连116027, [2]大连理工大学工业装备结构分析国家重点实验室,辽宁大连116021
  • 相关基金:国家自然科学基金(10672036;11072055:10902022;11472074)
中文摘要:

目的:通过对健康人和鼻腔结构异常(鼻中隔偏曲)者鼻腔气道的三维重建,计算机建立有限元数值模型,分析2者鼻腔气道气流场分布特征,进而从生物力学角度探讨鼻腔结构与功能的关系。方法根据鼻中隔偏曲者及健康北方人(各20例)的鼻腔CT薄层扫描结果,应用表面重建有限元剖分的方法对其进行三维重建,数值模拟流经鼻腔气道的气流特征。结果鼻中隔偏曲者双侧鼻腔气流流量分布以气道宽敞侧为主,且最大气流量集中在宽敞侧总鼻道中部;鼻腔气道压强在偏曲最为明显处下降最快,占气道总压强差的79.65%。健康人双侧鼻腔气流量受鼻周期影响,以一侧鼻腔为主,最大气流量分布在总鼻道中部和下部;鼻腔气道压强于鼻阈处下降最快,约占气道总压强差的58.78%。结论用计算机模拟的方法建立鼻腔结构的数值模型,分析其解剖结构异常与气流场特征之间的关系,是一种新的研究鼻腔结构、功能与疾病相关性的可行的科学手段,可以为以优化气流路径、改变气流分布为目的的手术治疗方案及手术前后的个性化评估提供参考。

英文摘要:

Objective To analyze the airflow characteristics and investigate the relationship of the structure and the function of nasal cavity by the three-dimensional reconstruction of nasal airway of patients with structural abnormalities(nasal septum deviation)and healthy people and the estab-lishment of finite element model by computer. Methods On the basis of CT imaging of the nasal cavity in patients with structural abnormalities(na-sal septum deviation,n=20)and healthy people(n=20),three-dimensional reconstruction of nasal airway was conducted by resurfacing finite ele-ment subdivision to simulate the characteristics of airflow in nasal cavity. Results The airflow mainly went through the commodious side of the nose in patients with nasal septum deviation and the maximum fluence appeared in the middle part of meatus nasi communis. The airway pressure de-creased most significantly in the most flank-curvature part of nasal septum deviation,accounting approximately 79.65%of the total pressure. In healthy people,the bilateral airflow was affected by nasal cycle and was mainly characterized by one nasal cavity,and the maximum fluence was ob-served in the middle and the inferior part of meatus nasi communis. The airway pressure decreased most significantly in limen nasi,accounting ap-proximately 58.78%of the total pressure. Conclusion Numerical modeling of nasal cavity can be used to analyze the relationship between the nasal structural abnormalities and the airflow characteristics,which is a scientific method to analyze the association of nasal structure and function with dis-ease and can be used for pre-and post-operative individual evaluation of operative therapeutic regimen targeting at optimizing airway and altering air-flow distribution.

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期刊信息
  • 《中国医科大学学报》
  • 北大核心期刊(2011版)
  • 主管单位:辽宁省教育厅
  • 主办单位:中国医科大学
  • 主编:闻德亮
  • 地址:沈阳市沈北新区蒲河路77号
  • 邮编:110122
  • 邮箱:
  • 电话:024-31939622
  • 国际标准刊号:ISSN:0258-4646
  • 国内统一刊号:ISSN:21-1227/R
  • 邮发代号:8-175
  • 获奖情况:
  • 1997年中共中央宣传部第二届全国优秀科技期刊三等奖,1999年辽宁省教委辽宁省普通高等学校优秀自然科学...,1999年教充部全国自然科学学报优秀期刊二等奖
  • 国内外数据库收录:
  • 美国化学文摘(网络版),英国农业与生物科学研究中心文摘,波兰哥白尼索引,美国剑桥科学文摘,美国生物科学数据库,中国中国科技核心期刊,中国北大核心期刊(2004版),中国北大核心期刊(2008版),中国北大核心期刊(2011版),中国北大核心期刊(2014版),中国北大核心期刊(2000版)
  • 被引量:19896