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骨质软化症中骨折的影像学鉴别诊断
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作者 田小丽 蔡跃增 李景学 《中国医学影像技术》 CSCD 北大核心 2008年第6期939-942,共4页
目的探讨代谢性及内分泌性骨病所致骨质软化中假骨折、真骨折和衰竭骨折的成因、诊断和鉴别诊断的意义及其临床价值。方法收集X线平片上具有骨质软化表现的病人36例,进行骨结构及骨密度的影像学分析。对18例出现骨折的病人进行骨折分类... 目的探讨代谢性及内分泌性骨病所致骨质软化中假骨折、真骨折和衰竭骨折的成因、诊断和鉴别诊断的意义及其临床价值。方法收集X线平片上具有骨质软化表现的病人36例,进行骨结构及骨密度的影像学分析。对18例出现骨折的病人进行骨折分类。对6例平片发现有假骨折线的病人行局部薄层CT扫描。对1例双侧耻骨上、下支有假骨折线的病人进行了6年的随访观察。结果所有病例均有不同程度的骨弯曲变形和骨密度异常。骨密度异常包括骨密度减低和骨密度增高。18例出现骨折线的病例中13例诊为假骨折,3例为真骨折,2例为衰竭骨折。6例有假骨折病人行局部薄层CT扫描并三维重建,显示假骨折线走行较平片更加清晰。一例双侧耻骨上、下支出现假骨折的病人经治疗6年后假骨折线消失。结论在代谢性及内分泌性骨质软化症中出现的骨折线可以是假骨折、真骨折和衰竭骨折,归纳并提出了这三种骨折的诊断标准,薄层CT扫描和三维重建技术可以更准确地显示假骨折线。假骨折线可以作为监测病情发展情况的指标之一。 展开更多
关键词 骨质软化症 骨折 衰竭骨折 真骨折
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Micro-and macro-fractures of coarse granite under true-triaxial unloading conditions 被引量:6
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作者 He Manchao Nie Wen +1 位作者 Zhao Zhiye Cheng Cheng 《Mining Science and Technology》 EI CAS 2011年第3期389-394,共6页
We studied the mechanical behavior of rock under different boundary conditions, based on the fractal characteristics of fractures in terms of microscopic and macroscopic investigations. Three rectangular granite speci... We studied the mechanical behavior of rock under different boundary conditions, based on the fractal characteristics of fractures in terms of microscopic and macroscopic investigations. Three rectangular granite specimens of similar dimensions were tested by a triaxial rock testing machine under uniaxial compression (UC), confined compression (CC) and true-triaxial unloading conditions (RB) under rock burst boundary conditions. The failure processes of these specimens were investigated via examinations of their fracture behavior on a macro-scale by laser profilometers and on a micro-scale by a scanning electron microscopic (SEM) imaging technique. The SEM images, showing the spailing features of RB frag- ments, are compared with the grain dislocations under UC and CC conditions. Based on a variogram method, two fractal parameters, i.e., fractal dimensions (Dr^d) and the scale dependent fractal parameter Kv, were induced to present the surface roughness of scanning profiles in all directions. The fitted ellipses of Dr^d distribution show that RB surface has the smallest eccentricity, followed by the CC surface, while the UC surface had the largest eccentricity. As a result of this assessment, we conclude that rocks are affected by shear traction in an intermediate stress direction, which will cause fractures generated during rock bursts to twist rather than to tilt as shown in the uniaxial compression and the confined compres- sion tests. 展开更多
关键词 Rock burstsSurface roughness Stress distribution Fractal dimension Coarse granite
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