首页|基于有限元法探索女性肛门内括约肌损伤对肛管压力的影响

基于有限元法探索女性肛门内括约肌损伤对肛管压力的影响

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目的 基于有限元法模拟女性不同程度肛门内括约肌(internal anal sphincter,IAS)损伤对肛管应力-压力的影响.方法 运用Mimics软件构建1名健康成年女性的肛管曲面模型,参考既往研究结果应用ABAQUS软件从生物力学角度分析IAS不同损伤工况下的应力-压力分布特点.结果 从底部5mm竖切高度下,对I AS不同深度的损伤显示随深度的增加肛管静息压下降,但收缩压变化不明显;不同离底高度的损伤表明离底15mm以上时对肛管压力的影响很小;不同高度的损伤显示损伤超过10mm后肛管压力受损明显增大并出现模型塌陷变形.结论 所获肛门括约肌复合体有限元模型在进行IAS损伤模拟时可较准确体现肛管的应力-压力分布特点,同时提示临床应重视中段肛管IAS的诊疗.
Exploring the Impact of Female Anal Sphincter Injury on Anal Canal Pressure Using Finite Element Analysis
Objective To investigate the influence of different degrees of internal anal sphincter(IAS)damage in women on anal stress-pressure using finite element analysis.Methods A surface model of the anal canal of a healthy adult woman was constructed using Mimics software.Based on previous research data,ABAQUS software was used to analyze the stress-pressure distribution characteristics of IAS under different damage conditions from a biomechanical perspective.Results From a vertical incision height of 5mm at the base,damage to IAS at different depths showed a decrease in anal resting pressure with increasing depth,but no significant change in squeeze pressure.Damage at different heights from the base showed minimal impact on anal pressure when above 15mm from the base.Damage at different heights showed a significant increase in anal pressure impairment and model collapse deformation when the damage exceeded 10mm.Conclusion The finite element model of the anal sphincter complex obtained accurately reflects the stress-pressure distribution characteristics of the anal canal during IAS damage simulation,highlighting the importance of diagnosing and treating the mid-anal canal IAS in clinical practice.

Anal Sphincter ComplexMagnetic Resonance ImagingInternal Anal SphincterFinite ElementBiomechanics

余求祥、王东东、董鹏举、陈正光

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北京中医药大学东直门医院放射科(北京 100700)

中日友好医院肛肠科二部(北京 100029)

内蒙古土默特右旗医院外科(内蒙古包头 014100)

肛门括约肌复合体 磁共振成像 肛门内括约肌 有限元 生物力学

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(12)