中华外科杂志
中華外科雜誌
중화외과잡지
CHINESE JOURNAL OF SURGERY
2015年
5期
353-356
,共4页
肖凯%张洪%罗殿中%臧建成%程徽
肖凱%張洪%囉殿中%臧建成%程徽
초개%장홍%라전중%장건성%정휘
髋关节%髋脱位,先天性%关节疾病%人体测量术
髖關節%髖脫位,先天性%關節疾病%人體測量術
관관절%관탈위,선천성%관절질병%인체측량술
Hip joint%Hip dislocation,congenital%Joint diseases%Anthropometry
目的 研究Hartofilakidis Ⅰ型髋关节发育不良患者股骨颈前倾角的分布规律及相关因素.方法 选取2010年6月至2013年6月在解放军总医院第一附属医院骨科行保髋治疗的Hartofilakidis Ⅰ型髋关节发育不良患者资料进行研究,其中男性25例,女性161例,共340髋.年龄13.5 ～49.9岁,平均28.3岁.于影像学资料中测量股骨颈前倾角、中心边缘角、臼顶倾斜角、股骨头外移距离、股骨头上移距离,观察Shenton's线及Calve's线连续性.应用相关分析研究各因素之间相关性,并对具有相关性的因素进一步进行回归分析以明确与股骨颈前倾角关系最为密切的因素.结果 髋关节发育不良Hartofilakidis Ⅰ型患者,股骨颈前倾角较正常增大,平均28°±13°.相关与回归分析均显示股骨颈前倾角与就诊年龄呈显著负相关(r=-0.158,P=0.003;t=-6.892,P=0.000);与性别相关(r=0.332,P=0.000;t=-4.376,P=0.000);与股骨头外移距离呈显著正相关(r =0.092,P=0.000;t =3.766,P=0.000);与中心边缘角呈显著负相关(r=-0.122,P=0.024;t=2.031,P=0.043).股骨颈前倾角与臼顶倾斜角、Calve's线连续性及股骨头上移距离虽有相关性,但回归分析显示并无相关性.而股骨颈前倾角与侧别、Shenton's线连续性无明显相关.结论 髋关节发育不良Hartofilakidis Ⅰ型患者,股骨颈前倾角增大,可导致较患者因出现髋关节疼痛而就诊的时间提前,并可导致股骨头向髋关节外侧移位,在治疗中应受到关注.
目的 研究Hartofilakidis Ⅰ型髖關節髮育不良患者股骨頸前傾角的分佈規律及相關因素.方法 選取2010年6月至2013年6月在解放軍總醫院第一附屬醫院骨科行保髖治療的Hartofilakidis Ⅰ型髖關節髮育不良患者資料進行研究,其中男性25例,女性161例,共340髖.年齡13.5 ～49.9歲,平均28.3歲.于影像學資料中測量股骨頸前傾角、中心邊緣角、臼頂傾斜角、股骨頭外移距離、股骨頭上移距離,觀察Shenton's線及Calve's線連續性.應用相關分析研究各因素之間相關性,併對具有相關性的因素進一步進行迴歸分析以明確與股骨頸前傾角關繫最為密切的因素.結果 髖關節髮育不良Hartofilakidis Ⅰ型患者,股骨頸前傾角較正常增大,平均28°±13°.相關與迴歸分析均顯示股骨頸前傾角與就診年齡呈顯著負相關(r=-0.158,P=0.003;t=-6.892,P=0.000);與性彆相關(r=0.332,P=0.000;t=-4.376,P=0.000);與股骨頭外移距離呈顯著正相關(r =0.092,P=0.000;t =3.766,P=0.000);與中心邊緣角呈顯著負相關(r=-0.122,P=0.024;t=2.031,P=0.043).股骨頸前傾角與臼頂傾斜角、Calve's線連續性及股骨頭上移距離雖有相關性,但迴歸分析顯示併無相關性.而股骨頸前傾角與側彆、Shenton's線連續性無明顯相關.結論 髖關節髮育不良Hartofilakidis Ⅰ型患者,股骨頸前傾角增大,可導緻較患者因齣現髖關節疼痛而就診的時間提前,併可導緻股骨頭嚮髖關節外側移位,在治療中應受到關註.
목적 연구Hartofilakidis Ⅰ형관관절발육불량환자고골경전경각적분포규률급상관인소.방법 선취2010년6월지2013년6월재해방군총의원제일부속의원골과행보관치료적Hartofilakidis Ⅰ형관관절발육불량환자자료진행연구,기중남성25례,녀성161례,공340관.년령13.5 ～49.9세,평균28.3세.우영상학자료중측량고골경전경각、중심변연각、구정경사각、고골두외이거리、고골두상이거리,관찰Shenton's선급Calve's선련속성.응용상관분석연구각인소지간상관성,병대구유상관성적인소진일보진행회귀분석이명학여고골경전경각관계최위밀절적인소.결과 관관절발육불량Hartofilakidis Ⅰ형환자,고골경전경각교정상증대,평균28°±13°.상관여회귀분석균현시고골경전경각여취진년령정현저부상관(r=-0.158,P=0.003;t=-6.892,P=0.000);여성별상관(r=0.332,P=0.000;t=-4.376,P=0.000);여고골두외이거리정현저정상관(r =0.092,P=0.000;t =3.766,P=0.000);여중심변연각정현저부상관(r=-0.122,P=0.024;t=2.031,P=0.043).고골경전경각여구정경사각、Calve's선련속성급고골두상이거리수유상관성,단회귀분석현시병무상관성.이고골경전경각여측별、Shenton's선련속성무명현상관.결론 관관절발육불량Hartofilakidis Ⅰ형환자,고골경전경각증대,가도치교환자인출현관관절동통이취진적시간제전,병가도치고골두향관관절외측이위,재치료중응수도관주.
Objective To observe the distribution law and study the factors related to the femoral neck anteversion angle among the patients with developmental dysplasia of the hip of Hartofilakidis type Ⅰ.Methods Among the patients with hip dysplasia of Hartofilakidis type Ⅰ who was admitted to Department of Orthopaedic Surgery,the First Affiliated Hospital of People's Liberation Army General Hospital from June 2010 to June 2013,a total of 340 hips (25 male and 161 female) were included in the study.The average age was 28.3 years,ranging from 13.5 to 49.9 years.The observation index included:femoral neck anteversion angle,lateral center-edge angle,acetabular index angle,lateral displacement of the femoral head,superior displacement of the femoral head,continuity of Shenton's line and Calve's line.The correlation between different factors was analyzed,and the factor closest to femoral neck anteversion angle was analyzed further by regression analysis.Results Among the patients of developmental dysplasia of the hip of Hartofilakidis type Ⅰ,the femoral neck anteversion angle increased,with an average of 28° ± 13°.Correlation and regression analysis showed significant negative correlation with treatment age (r =-0.158,P =0.003;t =-6.892,P =0.000);positive correlation with gender(r =0.332,P =0.000;t =-4.376,P =0.000);significant positive correlation with lateral displacement of the femoral head (r =0.092,P =0.000;t =3.766,P =0.000);significant negative correlation with central-edge angle (r =-0.122,P =0.024;t =2.031,P =0.043).The femoral neck anteversion angle showed correlation with acetabular index angle,continuity of Calve's line and superior displacement of the femoral head in correlation analysis,not in regression analysis,however,it did not show correlation with side and continuity of Shenton's line.Conclusion Among the patients of developmental dysplasia of the hip of Hartofilakidis type Ⅰ,the increasing of the femoral neck anteversion angle may not only lead to early onset and therefore early treatment of pain in the hip joint but also the lateral displacement of the femoral head that requires immediate medical attention.
