CAJ | 학술논문

背景:髋部骨折在临床上很常见,治疗后常有骨质疏松和深静脉血栓形成等多种并发症,因此需要制定细致的治疗前计划.目的:对老年女性患者股骨近端结构进行测量,以帮助制定髋部骨折术前计划.方法:纳入2010年1月至2012年5月于福建医科大学附属第二医院就诊的临床需要拍骨盆平片的50岁或以上女性患者204例,应用实达易联众医用后处理软件对患者骨盆平片上股骨颈轴长、股骨颈中段宽度、股骨颈中段髓腔宽度、颈干角及髓腔闪烁指数进行测量.有股骨颈骨折的患者测量健侧,并依据患者的年龄进行分层分析.结果与结论:髋部平片测量结果显示,老年女性患者股骨颈轴长(97.14±6.16) mm,股骨颈中段宽度(33.76±3.03) mm,股骨颈中段髓腔宽度(28.28±3.48) mm,颈干角(127.05±3.43)°;髓腔闪烁指数为(3.50±0.55).分层分析结果显示,随着患者年龄的增大,髓腔闪烁指数逐渐减小,且股骨颈骨折患者明显小于非股骨颈骨折患者(P <0.01).股骨近端结构测量有助于制定髋部骨折术前计划,选择内固定安放的最佳位置,根据髓腔闪烁指数有助于选择合适的股骨假体.
배경:관부골절재림상상흔상견,치료후상유골질소송화심정맥혈전형성등다충병발증,인차수요제정세치적치료전계화.목적:대노년녀성환자고골근단결구진행측량,이방조제정관부골절술전계화.방법:납입2010년1월지2012년5월우복건의과대학부속제이의원취진적림상수요박골분평편적50세혹이상녀성환자204례,응용실체역련음의용후처리연건대환자골분평편상고골경축장、고골경중단관도、고골경중단수강관도、경간각급수강섬삭지수진행측량.유고골경골절적환자측량건측,병의거환자적년령진행분층분석.결과여결론:관부평편측량결과현시,노년녀성환자고골경축장(97.14±6.16) mm,고골경중단관도(33.76±3.03) mm,고골경중단수강관도(28.28±3.48) mm,경간각(127.05±3.43)°;수강섬삭지수위(3.50±0.55).분층분석결과현시,수착환자년령적증대,수강섬삭지수축점감소,차고골경골절환자명현소우비고골경골절환자(P <0.01).고골근단결구측량유조우제정관부골절술전계화,선택내고정안방적최가위치,근거수강섬삭지수유조우선택합괄적고골가체.
BACKGROUND: Hip fracture is commonly seen, and frequently complicated with osteoporosis and deep vein thrombosis after treatment. Therefore, the careful preoperative plan is necessary. OBJECTIVE: To measure the geometric parameters of the proximal femur in the elderly female patients and to design the preoperative plan. METHODS: The pelvis radiographs of 204 female patients aged ≥ 50 years were col ected between January 2010 and May 2012 from the Second Affiliated Hospital of Fujian Medical University. The geometric parameters, including femoral neck axis length, femoral neck width, medul ary cavity width of femoral neck, femoral neck-shaft angle and canal flare index were measured with START-SOUTHERN medical software. The geometric parameters were measured in the contralateral hip for the patients with femoral neck fracture. Stratified analysis was done according to age. RESULTS AND CONCLUSION: The measurement results of hip plain films showed the femoral neck axis length of the old female patients was (97.14±6.16) mm, the femoral neck width was (33.76±3.03) mm, the medul ary cavity width of femoral neck was (28.28±3.48) mm and the femoral neck-shaft angle was (127.05±3.43)°. The canal flare index was 3.50±0.55. Stratified analysis showed that, with aging, the canal flare index was reduced, and the canal flare index in the patients with femoral neck fracture was less than that in the non-fracture patients (P < 0.01). The measurement of the geometric parameters of the proximal femur was helpful to draw up the preoperative plan for patients with hip fracture and select the best placement of internal fixation. The canal flare index was beneficial for selecting the suitable prosthesis.