中华创伤骨科杂志
中華創傷骨科雜誌
중화창상골과잡지
CHINESE JOURNAL OF ORTHOPAEDIC TRAUMA
2008年
5期
413-416
,共4页
郝跃峰%孙俊英%杨佩彦%马良波
郝躍峰%孫俊英%楊珮彥%馬良波
학약봉%손준영%양패언%마량파
髋关节%形态学参数%颈干角%CT测量
髖關節%形態學參數%頸榦角%CT測量
관관절%형태학삼수%경간각%CT측량
Osteo-parameter%Hip%Neck-shaft Angle%CT Osteometry
目的 了解国人正常髋关节周围的骨性参数,探讨其对高位髋中心技术的影响. 方法 挑选CT表现完全正常且病例资料完整的男女各30例的影像资料,采用专用图像软件测量.测量参数:髋臼上方骨质的厚度、颈干角、偏心距、股骨头直径、骨盆高度及骨盆宽度.将年龄、体质量、性别和测量的各项参数值收集整理后进行统计分析. 结果 髋臼上方骨质形态在通过股骨头中心的冠状面上呈倒漏斗形,由远及近逐渐变薄,断面呈扇形,角度逐渐增大,半径逐渐变短.两性均在髋臼上方3 cm明显变薄,平均厚度男性为3.00 cm,女性为2.85 cm.男女两性之间的骨盆高度、骨盆宽度、颈干角、股骨头直径以及髋臼上方2 cm平面的骨质厚度等参数差异有统计学意义(P＜0.05),特别是颈干角,男性平均为121.42°,女性平均为135.42°,相差达14°,男女两性最小值与最大值相差达24.1°. 结论 髋臼上方骨质允许在全髋关节翻修术时垂直上方或上内方3 cm内放置高位髋中心.正常国人髋关节周围骨性参数男女差别较大,基于性别的差异,有必要在建立数据库时进行区别.
目的 瞭解國人正常髖關節週圍的骨性參數,探討其對高位髖中心技術的影響. 方法 挑選CT錶現完全正常且病例資料完整的男女各30例的影像資料,採用專用圖像軟件測量.測量參數:髖臼上方骨質的厚度、頸榦角、偏心距、股骨頭直徑、骨盆高度及骨盆寬度.將年齡、體質量、性彆和測量的各項參數值收集整理後進行統計分析. 結果 髖臼上方骨質形態在通過股骨頭中心的冠狀麵上呈倒漏鬥形,由遠及近逐漸變薄,斷麵呈扇形,角度逐漸增大,半徑逐漸變短.兩性均在髖臼上方3 cm明顯變薄,平均厚度男性為3.00 cm,女性為2.85 cm.男女兩性之間的骨盆高度、骨盆寬度、頸榦角、股骨頭直徑以及髖臼上方2 cm平麵的骨質厚度等參數差異有統計學意義(P＜0.05),特彆是頸榦角,男性平均為121.42°,女性平均為135.42°,相差達14°,男女兩性最小值與最大值相差達24.1°. 結論 髖臼上方骨質允許在全髖關節翻脩術時垂直上方或上內方3 cm內放置高位髖中心.正常國人髖關節週圍骨性參數男女差彆較大,基于性彆的差異,有必要在建立數據庫時進行區彆.
목적 료해국인정상관관절주위적골성삼수,탐토기대고위관중심기술적영향. 방법 도선CT표현완전정상차병례자료완정적남녀각30례적영상자료,채용전용도상연건측량.측량삼수:관구상방골질적후도、경간각、편심거、고골두직경、골분고도급골분관도.장년령、체질량、성별화측량적각항삼수치수집정리후진행통계분석. 결과 관구상방골질형태재통과고골두중심적관상면상정도루두형,유원급근축점변박,단면정선형,각도축점증대,반경축점변단.량성균재관구상방3 cm명현변박,평균후도남성위3.00 cm,녀성위2.85 cm.남녀량성지간적골분고도、골분관도、경간각、고골두직경이급관구상방2 cm평면적골질후도등삼수차이유통계학의의(P＜0.05),특별시경간각,남성평균위121.42°,녀성평균위135.42°,상차체14°,남녀량성최소치여최대치상차체24.1°. 결론 관구상방골질윤허재전관관절번수술시수직상방혹상내방3 cm내방치고위관중심.정상국인관관절주위골성삼수남녀차별교대,기우성별적차이,유필요재건립수거고시진행구별.
Objective To explore the effects of osteo-parameters of Chinese normal hips on the methods applied to the hish hip centre. Methods CT scans of 60(male 30,female 30)normal hips and pelves,taken from August 2004 to October 2005,were chosen from the database of the Roentgnographic Centre in the First Afiqliated Hospital of Sooehow University.The photographic analysis software of multispiral-CT produced by Marconi Inc.in the U.S was used.Three orthopedic graduate students measured the osteo-parameters of the bilateral hips respectively and worked out the mean values.The osteo-parameters included iliac Oflseous thickness of upper acetabulum,neck-shaft angle,offset,femoral head diameter,pelvic altitude and width.Age,bedy weight,gender,and osteo-parameters were statistically analyzed. Results The osseous COnfiguration of the upper acetabulum in the coronal section across the centre of femoral head is like an inverted funnel.In the cross-section.it is like a sector whose semidiameter changes gradually shorter with its gradually increased angle.The iliac osseous thickness of upper acetabulum averages 3.00 cm in male and 2.85 cm in female.There are significant differences between male and female in pelvic width and altitude.neck-shaft angle,femoral head diameter and the iliac osseous thickness at the 2 cm level of upper acetabulum.The mean neck.shaft angle is 121.42°fer male and 135.42°for female,with difference as great as 14°. Conclusions The upper acetabulum allows tlle hish hip centre to be lecated at the 3 cm vertically superior or superolateral level in total hip revision.Since there are significant differences between male and female in the osteo-parsmeters of Chinese normal hips,it is necessary to differentiate gender differences when establishing a database to guide the research and clinic practice.
