CAJ | 학술논문

目的：探讨正常国人股骨近端参数的特点，为设计出更好的符合国人解剖特点的假体提供解剖学依据。方法随机挑选40～60岁及61～90岁的男性及女性成人共80名，按年龄及性别分成4组，每组各20名，拍摄标准髋关节前后位CR片，由PACS医学图像处理系统测量出股骨头直径、颈长、颈干角、偏心距、股骨头垂直高度、干骺端宽度T+20、T、T-20、峡部直径、髓腔扩张指数、干骺端扩张指数等参数，总体数据与Noble等所测量的西方人相关数据进行比较，再在各组之间相互进行比较。结果正常成人股骨近端解剖数据与欧美人数据有多处存在差别，特别是偏心距、髓腔宽度、股骨头直径、CFI等方面。按性别及年龄进行比较，发现性别对解剖数据影响较大，另外年龄对女性的影响更加明显。结论建立股骨近端参数数据库，并依此设计出符合中国成人，特别是符合不同年龄及性别的国人的假体对提高假体使用寿命是十分必要的。
목적：탐토정상국인고골근단삼수적특점，위설계출경호적부합국인해부특점적가체제공해부학의거。방법수궤도선40～60세급61～90세적남성급녀성성인공80명，안년령급성별분성4조，매조각20명，박섭표준관관절전후위CR편，유PACS의학도상처리계통측량출고골두직경、경장、경간각、편심거、고골두수직고도、간후단관도T+20、T、T-20、협부직경、수강확장지수、간후단확장지수등삼수，총체수거여Noble등소측량적서방인상관수거진행비교，재재각조지간상호진행비교。결과정상성인고골근단해부수거여구미인수거유다처존재차별，특별시편심거、수강관도、고골두직경、CFI등방면。안성별급년령진행비교，발현성별대해부수거영향교대，령외년령대녀성적영향경가명현。결론건립고골근단삼수수거고，병의차설계출부합중국성인，특별시부합불동년령급성별적국인적가체대제고가체사용수명시십분필요적。
Objective To measure the anatomical parameters of the proximal femur in healthy Chinese subjects with dif-ferent ages and genders. Methods Healthy Chinese subjects randomly selected were divided into 4 groups with 20 cases in each group:young males (40~60y), old males (60~90y), young females (40~60y) and old females (60~90y). Standard antero-posterior radiographs were prepared and the parameters were measured by PACS software. The parameters included diameter of femoral head, length of femoral neck, neck- shaft angle, offset, height of femoral head, the width of bone medul ary cavity at the plane of the lesser trochanter, 20mm above and below the lesser trochanter, diameter of the isthmus, canal flare index (CFI), metaphyseal canal flare index (MCFI). The parameters were compared between Chinese and Westerners and among each age and sex groups of Chinese subjects. Results There were significant differences in proximal femoral parameters between Chi-nese and westerners. There were significant differences between two genders in Chinese subjects and the aging affected the parameters significantly for females. Conclusion The database of proximal femora of healthy Chinese is important for design and manufacture of domestic prosthesis.