Membrane labyrinth, Human embryo, Serial section,3-D reconstruction, Congenital inner ear malformation
,"/> <span style="font-size:14px;line-height:2;">膜迷路的三维重建及解剖结构测量</span>
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发育医学电子杂志  2022, Vol. 10 Issue (1): 12-18    DOI: :10.3969/j.issn.2095-5340.2022.01.003
  结构畸形   论著 |
膜迷路的三维重建及解剖结构测量
陈世泽 金海南 包玉玲 许东元 崔春莲 金哲悟
(1. 延边大学医学院形态学实验中心,吉林 延吉 133002;2. 延边大学附属医院 耳鼻咽喉头颈外
科,吉林 延吉 133000;3. 江南大学无锡医学院 解剖学教研室,江苏 无锡 214122)
Three-dimensional reconstruction and anatomic structure measurement of the membranous labyrinth
Chen Shize, Jin Hainan, Bao Yuling, et al
(1. ExperimentalCenter of Morphology, Medical College of Yanbian University, Jilin, Yanji 133002, China; 2. Department of Otolaryngology-Head and Neck Surgery, Affiliated Hospital of Yanbian University, Jilin, Yanji 133002,China; 3. Department of Anatomy, Wuxi School of Medicine, Jiangnan University, Jiangsu, Wuxi 214122,China)
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摘要 【摘要】 目的  观测不同妊娠周龄人胚胎、正常成人及先天性内耳畸形患者膜迷路的三维建模,分析膜迷
路空间立体结构数据。 方法 利用7、10、12 及16 周龄的人胚胎连续序列切片与正常成人内耳和先天性
内耳畸形患者影像学资料进行比较分析。人胚胎标本利用数字切片扫描获得高清二维图。测量不同妊娠周龄人胚胎与成人内耳结构。应用Mimics 21.0 软件进行膜迷路三维建模。 结果 数字切片扫描后高清二维图中清楚分辨内耳各结构,三维重建优于影像学结果。7、10、12、16 周龄胚胎、正常成人及内耳畸形患者的前、后侧半规管总膜脚的夹角分别为157.36o、155.19o、153.79o、150.58o、121.36o 121.88o,耳蜗相对于前庭部分内弯,分别为130.15o、120.68o、146.12o、112.73o、104.61o 及121.88o。除内耳畸形患者以外的外侧半规管的平面与颅骨水平轴面的夹角分别为36.86o、21.08o、18.37o、15.25o 15.65o。7、10与16 周龄与正常成人内耳的3 条半规管均互相垂直,12 周龄人胚胎的前侧半规管与后、外侧半规管的夹角<90o。胚胎标本中绕蜗轴螺旋管在16 周与12 周龄已形成2.5 圈,10 周龄时为2 圈,而7 周龄时尚未形成1 圈。先天性内耳畸形患者前庭囊状扩张大小约6.1 mm × 4.6 mm,外侧半规管显示不清。结论 通过不同方法成功重建出发育阶段及出生后人内耳膜迷路,反映内耳各结构的空间位置关系并得出相关解剖测量值,推测先天性内耳畸形在胚胎期的发育停滞时间,为婴幼儿早期耳聋的诊断提供了初步依据。
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关键词:  膜迷路  人胚胎  连续切片  三维重建  先天性内耳畸形    
Abstract: 【Abstract】 Objective To observe the three-dimensional modeling of the membrane labyrinth of human
embryo and fetus of different period, adults and congenital inner ear malformations patient, analyze the
difference of the three-dimensional reconstruction data of labyrinth space. Methods Imaging data of

human embryos at 7, 10, 12 and 16 weeks of age were compared with normal adult inner ear and congenital inner ear malformations. High-resolution 2D images of human embryo specimens were obtained by digital slice scanning. The inner ear structure of human embryo and adult was measured at different gestation weeks. Mimics 21.0 software was used for 3D modeling of membrane labyrinth. Results The structure of the inner ear were clearly distinguished in high-definition 2D images after digital slice scanning and 3D reconstruction of histological images were clearly than MRI imaging. The angles of the anterior and posterior semicircular canal common membrane feet of the 6 groups, each of 7, 10, 12, 16-week, normal adults and inner ear deformities was 157.36o, 155.19o, 153.79o, 150.58o, 121.36o and 121.88o. The cochlea curved median side of vestibule, each angle was 130.15o, 120.68o, 146.12o, 112.73o, 104.61o and 121.88o, respectively. Except of patients with inner ear malformation, the angles between the plane of the lateral semicircular canal and the horizontal axis of the skull were 36.86o, 21.08o, 18.37o, 15.25o and 15.65o. The three semicircular canals of the inner ear of 7, 10, 16-week and adults were vertical to each other. The angle between the anterior semicircular canal and the posterior and lateral semicircular canals in 12-week was less than 90o. The spiral tube around the worm axis in specimen were formed 2.5 circles at 16 weeks and 12 weeks, 2 circles at 10 weeks, and less than 1 circle at 7 weeks. In patients with congenital inner ear malformations, the size of the vestibular cystic dilation was about 6.1 mm x 4.6 mm, and the lateral semicircular canal was unclear. Conclusions Different methods are used to reconstruct the labyrinth of the inner ear during the development stage and after birth, which can reflect the spatial position of the inner ear structures and obtain the relevant anatomical

measurement values, so we can predict the developmental stagnation time of congenital inner ear malformation in the embryonic stage, providing a preliminary basis for the diagnosis of early deafness in infants.

Key words:  Membrane labyrinth')" href="#">Membrane labyrinth    Human embryo    Serial section    3-D reconstruction    ear malformation
')" href="#"> Congenital inner ear malformation
收稿日期:  2020-11-18                     发布日期:  2022-01-28     
基金资助: 江苏省“六大人才高峰”高层次人才选拔培养对象(SZCY-001)| 无锡市卫计委科研项目(N20202008)
通讯作者:  金哲悟    E-mail:  Email:zwjin@jiangnan.edu.cn
引用本文:    
陈世泽 金海南 包玉玲 许东元 崔春莲 金哲悟. 膜迷路的三维重建及解剖结构测量[J]. 发育医学电子杂志, 2022, 10(1): 12-18.
Chen Shize, Jin Hainan, Bao Yuling, et al. Three-dimensional reconstruction and anatomic structure measurement of the membranous labyrinth. Journal of Developmental Medicine(Electronic Version), 2022, 10(1): 12-18.
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