人下颌软硬组织爆炸伤光滑粒子流体动力学模型研究

徐帅; 黄君杰; 张纲; 谭颖徽

doi:10.16016/j.1000-5404.202005088

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人下颌软硬组织爆炸伤光滑粒子流体动力学模型研究

军事医学 | 更新时间：2026-01-09

- 人下颌软硬组织爆炸伤光滑粒子流体动力学模型研究
- Smoothed particle hydrodynamics-based simulation of blast injuries in human mandible
- 第三军医大学学报 2020年42卷第20期页码：1971-1977
- 作者机构：
  
  400037 重庆，陆军军医大学(第三军医大学)第二附属医院口腔科
- 作者简介：
  
  [谭颖徽，E-mail: tanyhxqkq@163.com TAN Yinghui, E-mail: tanyhxqkq@163.com
- 基金信息：
  
  军队“十二五”第二批重点项目(BGZ1500J001);国家自然科学基金青年科学基金(8160873);陆军军医大学第二附属医院临床重大创新特色技术项目(2018JSLC0022)
- DOI：10.16016/j.1000-5404.202005088
  中图分类号： R319;R642;R782.4
- 收稿：2020-05-12，
  
  修回：2020-08-03，
  
  纸质出版：2020-10-30
- 稿件说明：
移动端阅览
徐帅, 黄君杰, 张纲, 等. 人下颌软硬组织爆炸伤光滑粒子流体动力学模型研究[J]. 第三军医大学学报, 2020,42(20):1971-1977.

Shuai XU, Junjie HUANG, Gang ZHANG, et al. Smoothed particle hydrodynamics-based simulation of blast injuries in human mandible[J]. Journal of Third Military Medical University, 2020, 42(20): 1971-1977.
徐帅, 黄君杰, 张纲, 等. 人下颌软硬组织爆炸伤光滑粒子流体动力学模型研究[J]. 第三军医大学学报, 2020,42(20):1971-1977. DOI： 10.16016/j.1000-5404.202005088.

Shuai XU, Junjie HUANG, Gang ZHANG, et al. Smoothed particle hydrodynamics-based simulation of blast injuries in human mandible[J]. Journal of Third Military Medical University, 2020, 42(20): 1971-1977. DOI： 10.16016/j.1000-5404.202005088.

摘要

目的

建立人下颌软硬组织爆炸伤光滑粒子流体动力学模型，分析人下颌软硬组织爆炸伤致伤过程及生物力学特点。

方法

采集人颌面部CT和MRI数据，建立包含人下颌骨、咬肌软硬组织爆炸伤光滑粒子流体动力学模型，并通过与三维有限元的爆炸伤模型对比研究，分析该模型在爆炸伤研究中的有效性。

结果

建立的咬肌-下颌骨光滑粒子流体动力学模型粒子数为4 538，与人解剖结构相似，细节损失少，模拟了爆炸冲击波对下颌骨、咬肌的损伤情况，爆炸导致左侧下颌角、髁状突骨折，咬肌广泛撕裂损伤，该仿真结果与三维有限元仿真结果接近。

结论

在颌面部软硬组织爆炸伤中，光滑粒子流体动力学研究方法相对于三维有限元研究方法在组织大变形、裂纹扩展、爆炸冲击等方面具有显著优势，可作为颌面部爆炸伤模型研究的新方法。

Abstract

Objective

To establish a smoothed particle hydrodynamics (SPH) model for simulating the process and biomechanical characteristics of blast injuries in human mandible.

Methods

Based on computed tomography and magnetic resonance imaging (MRI) data of the maxillofacial region in human

we established a SPH model of blast injuries in the mandible and masseter muscles and assessed its validity by comparison with a three-dimensional finite element model (FEM).

Result

The number of particles in the SPH model of mandible is 4 538

which is similar to anatomical structure of human

with less loss of details. The SPH model simulates the explosion damage of mandible and masseter caused by blast wave. The explosion results in the fractures in the left mandibular angle and condyle

and extensively torn in the masseter muscle is. The simulation results are close to the FEM.

Conclusion

Compared with the FEM model

the SPH model shows obvious advantages in simulating large tissue deformation

crack growth and explosion impact on the mandible

and provides a new method for studying maxillofacial blast injuries.

关键词

Keywords

references

MATHEWS Z R, KOYFMAN A. Blast injuries[J]. J Emerg Med, 2015, 49(4): 573-587. DOI: 10.1016/j.jemermed.2015.03.013.

欧阳荣键, 朱勋志, 周旭华, 等.人上颌骨爆炸冲击伤有限元仿真模拟及生物力学分析[J].军事医学, 2018, 42(8): 604-608, 615. DOI: 10.7644/j.issn.1674-9960.2018.08.009.

OUYANG R J, ZHU X Z, ZHOU X H, et al. Biomechanical analysis of blast injury to human maxilla by finite element method[J]. Mil Med Sci, 2018, 42(8): 604-608, 615. DOI: 10.7644/j.issn.1674-9960.2018.08.009.

唐震, 周中华, 张绍祥, 等.人下颌骨颏部正中位置枪弹伤的有限元动态模拟及分析[J].第二军医大学学报, 2011, 32(8): 845-850.

TANG Z, ZHOU Z H, ZHANG S X, et al. Dynamic simulation and finite element analysis of gunshot wounds to the center of mandible mental region in human[J]. Acad J Second Mil Med Univ, 2011, 32(8): 845-850.

周旭华, 朱勋志, 欧阳荣建, 等.颌面部爆炸伤造成颅底继发损伤三维有限元仿真模拟及生物力学分析[J].第三军医大学学报, 2019, 41(4): 308-314. DOI:10.16016/j.1000-5404.201810154.

ZHOU X H, ZHU X Z, OUYANG R J, et al.Three-dimensional finite element simulation and biomechanical analysis of maxillofacial blast injuries and secondary injuries to the skull base[J]. J Third Mil Med Univ, 2019, 41(4): 308-314. DOI:10.16016/j.1000-5404.201810154.

黄君杰, 徐帅, 季艳丹, 等.人下颌角撞击伤造成颞下颌关节间接损伤的有限元模拟及生物力学分析[J].第三军医大学学报, 2020, 42(15): 1511-1518. DOI:10.16016/j.1000-5404.202003344.

HUANG J J, XU S, JI Y D, et al. Finite element simulation and biomechanical analysis of indirect injury of temporomandibular joint under lateral impact on the angle of human mandible[J]. J Third Mil Med Univ, 2020, 42(15): 1511-1518. DOI:10.16016/j.1000-5404.202003344.

TADDEI L, FRISSANE H, LEBAAL N, et al. Smoothed particle hydrodynamics-based method for penetrating impacts in a biomechanical context[J]. Comput Methods Biomech Biomed Eng, 2017, 20(sup1): S199-S200. DOI: 10.1080/10255842.2017.1382931.

QIN Y, WU J H, HU Q M, et al. Computational evaluation of smoothed particle hydrodynamics for implementing blood flow modelling through CT reconstructed arteries[J]. J X-Ray Sci Technol, 2017, 25(2): 213-232. DOI: 10.3233/xst-17255.

LIU X M, WANG R Y, LI Y H, et al. Deformation of soft tissue and force feedback using the smoothed particle hydrod-ynamics[J]. Comput Math Methods Med, 2015, 2015: 1-10. DOI: 10.1155/2015/598415.

KULPER S A, FANG C X, REN X D, et al. Development and initial validation of a novel smoothed-particle hydrodynamics-based simulation model of trabecular bone penetration by metallic implants[J]. J Orthop Res, 2017, 36(4): 1114-1123. DOI: 10.1002/jor.23734.

TOMA M, NGUYEN P D H. Fluid-structure interaction analysis of cerebrospinal fluid with a comprehensive head model subject to a rapid acceleration and deceleration[J]. Brain Inj, 2018, 32(12): 1576-1584. DOI: 10.1080/02699052.2018.1502470.

MÜLLER M, SCHIRM S, TESCHNER M. Interactive blood simulation for virtual surgery based on smoothed particle hydrodynamics[J]. Technol Heal Care, 2004, 12(1): 25-31.

LI S M, ABDEL-WAHAB A, DEMIRCI E, et al. Penetration of cutting tool into cortical bone: Experimental and numerical investigation of anisotropic mechanical behaviour[J]. J Biomech, 2014, 47(5): 1117-1126. DOI: 10.1016/j.jbiomech.2013.12.019.

FERNANDEZ J W, DAS R, CLEARY P W, et al. Using smooth particle hydrodynamics to investigate femoral cortical bone remodelling at the Haversian level[J]. Int J Numer Meth Biomed Engng, 2013, 29(1): 129-143. DOI: 10.1002/cnm.2503.

CHONG K, JIANG C, RAM D, et al. Visualization of vascular injuries in extremity trauma[J]. Med Biol Eng Comput, 2017, 55(9): 1709-1718. DOI: 10.1007/s11517-017-1619-9.

陈渝斌.下颌骨火器伤有限元仿真及生物力学机制的初步研究[D].重庆: 第三军医大学, 2010. [http://cdmd.cnki.com.cn/article/cdmd-90025-2010250196.htm .

CHEN Y B. Finite element analysis and preliminary investigation of biomechanical mechanism of wound ballistics of the mandible[D]. Chongqing: Third Military Medical University, 2010.

MERKLE A C, WARD E E, O'CONNOR J V, et al. Assessing behind armor blunt trauma (BABT) under NIJ standard-0101.04 conditions usinghuman torso models[J]. J Trauma, 2008, 64(6): 1555-1561. DOI: 10.1097/TA.0b013e318160ff3a.

LEI T, XIE L X, TU W B, et al. Blast injuries to the human mandible: development of a finite element model and a preliminary finite element analysis[J]. Injury, 2012, 43(11): 1850-1855. DOI: 10.1016/j.injury.2012.07.187.

徐金中, 汤文辉.空间碎片超高速碰撞问题的SPH方法模拟[J].强度与环境, 2008, 35(5): 25-31.

XU J Z, TANG W H. Numerical simulation of hypervelocity impacts of space debris using SPH method[J]. Struct Environ Eng, 2008, 35(5): 25-31.

卞梁.高速碰撞中的SPH方法及其应用研究[D].合肥: 中国科学技术大学, 2009. [http://cdmd.cnki.com.cn/Article/CDMD-10358-2010042870.htm .

BIAN L. The SPH method and its application in hypervelocity impact[D]. Hefei: University of Science and Technology of China, 2009.

韩旭, 伍乾坤, 胡德安. SPH方法模拟高速碰撞问题的实例[C]//计算爆炸力学进展.青岛: 中国力学学会爆炸力学专业委员会, 2006: 240-245. [http://cpfd.cnki.com.cn/Article/CPFDTOTAL-AGLU200608003037.htm .

HAN X, WU Q K, HU D A. Examples of SPH method to simulate high-speed collision problems[C]//Update in computational explosion mechanics. Qingdao: Professional Committee of Explosive Mechanics, Chinese Society of Mechanics, 2006: 240-245.

SHAHRIARI S, GARCIA D. Meshfree simulations of ultrasound vector flow imaging using smoothed particle hydrodynamics[J]. Phys Med Biol, 2018, 63(20): 205011. DOI: 10.1088/1361-6560/aae3c3.

SIGALOTTI L D G, TROCONIS J, SIRA E, et al. Smoothed particle hydrodynamics simulations of evaporation and explosive boiling of liquid drops in microgravity[J]. Phys Rev E, 2015, 92: 013021. DOI: 10.1103/physreve.92.013021.

GATAA I S, MUASSA Q H. Patterns of maxillofacial injuries caused by terrorist attacks in Iraq: retrospective study[J]. Int J Oral Maxillofac Surg, 2011, 40(1): 65-70. DOI: 10.1016/j.ijom.2010.07.005.

MONAGHAN J J. Smoothed particle hydrodynamics[J]. Annu Rev Astron Astrophys, 1992, 30(1): 543-574. DOI: 10.1146/annurev.aa.30.090192.002551.

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