CAJ | 학술논문

目的探讨维吾尔族胫骨平台几何学特点与汉族的不同及临床意义.方法自2008年5月至2009年7月在新疆医科大学第六附属医院及合作医院分别随机抽取病房、门诊患者(膝关节正常,且胫骨未受累)及健康志愿者汉族49例、维吾尔族45例,并分别按性别进行分组.通过CT及三维重建技术测量胫骨平台相应几何参数,包括线性参数:胫骨平台宽、胫骨内侧平台宽、胫骨内侧平台前后径、胫骨外侧平台宽和胫骨外侧平台前后径.结果同一民族组内比较,男性胫骨平台各项线性指标均明显大于女性(P＜0.01);维吾尔族受试组大于同性别的汉族受试组(P＜0.05);维吾尔族受试组胫骨平台的内外侧宽及内外侧前后径分别要比同性别的汉族受试组更接近(P＜0.05).结论汉族和维吾尔族在胫骨平台几何学特征方面存在着一定的差异,针对维吾尔族的全膝关节置换技术及膝关节假体设计理念应建立在其膝关节自身几何学特点的基础之上.
목적 탐토유오이족경골평태궤하학특점여한족적불동급림상의의.방법 자2008년5월지2009년7월재신강의과대학제륙부속의원급합작의원분별수궤추취병방、문진환자(슬관절정상,차경골미수루)급건강지원자한족49례、유오이족45례,병분별안성별진행분조.통과CT급삼유중건기술측량경골평태상응궤하삼수,포괄선성삼수:경골평태관、경골내측평태관、경골내측평태전후경、경골외측평태관화경골외측평태전후경.결과 동일민족조내비교,남성경골평태각항선성지표균명현대우녀성(P＜0.01);유오이족수시조대우동성별적한족수시조(P＜0.05);유오이족수시조경골평태적내외측관급내외측전후경분별요비동성별적한족수시조경접근(P＜0.05).결론 한족화유오이족재경골평태궤하학특정방면존재착일정적차이,침대유오이족적전슬관절치환기술급슬관절가체설계이념응건립재기슬관절자신궤하학특점적기출지상.
Objective To compare the difference and clinical significance of geometrical characteristics of tibial plateau between Uighur nationality and Han people by computed tomography scan and three-dimensional reconstruction. Methods A total of 49 inpatients and outpatients were randomly selected (normal knee without any tibial involvement ) and volunteers of Han people and 45 ones of the uighur nationality at our hospital and cooperative hospitals. Then the subjects were divided into groups according to gender. The following linear geometric parameters of tibial plateau were measured: width of tibial plateau (WTP), width of medial tibial plateau (WMTP), sagittal length of medial tibial plateau (SLMTP), width of lateral tibial plateau (WLTP) and sagittal length of lateral tibial plateau (SLLTP). Results ( 1 ) Males were greater than females in linear parameters in the same group ( P ＜ 0. 01 ); ( 2 ) the groups of Uighur nationality were greater than groups of Han people in linear parameters in the same gender( P ＜ 0.05 ); ( 3 )the gaps between WMTP and WLTP, SLMTP and SLLTP of Uighur nationality were all more approximate than those of Han people ( P ＜ 0. 05 ). Conclusion The geometrical characteristics of tibial plateau have some visible discrepancy between Uighur nationality and Chinese Han people. The prosthetic design concept and technology of total knee replacement targeting the Uighur nationality should take into consideration the discrepancy.