临床骨科杂志
臨床骨科雜誌
림상골과잡지
JOURNAL OF CLINICAL ORTHOPAEDICS
2015年
4期
429-431,432
,共4页
沈永辉%周健%章小君%李秋月
瀋永輝%週健%章小君%李鞦月
침영휘%주건%장소군%리추월
自动角度测量仪%前倾角%测量效果%全髋关节置换术
自動角度測量儀%前傾角%測量效果%全髖關節置換術
자동각도측량의%전경각%측량효과%전관관절치환술
auto angle measuring device%anteversion angle%measurement outcome%total hip joint replacement
目的：设计一种自动角度测量仪用于全髋关节置换术( THA)中前倾角的测量，并对其效果作出评价。方法选取60例行THA患者，对照组及实验组各30例，分别通过CT及自动角度测量仪测定外展角和前倾角，根据Harris评分等指标对手术效果进行评估。结果术中测定实验组前倾角14．57°~16．39°(15．23°±2．13°)，对照组前倾角13．68°~17．16°(16．37°±2．98°)，两组比较差异有统计学意义(P<0．05)；实验组前倾角更接近于理想值15°。对照组Harris评分术前为51~65(58±8．94)分，术后第4周为63~81(74±7．95)分，第12周为67~85(78±6．84)分；实验组Harris评分术前为49~68(60±8．73)分，术后第4周为69~85(82±7．76)分，第12周为74~90(84±6．58)分；两组术前Harris评分比较差异无统计学意义(P>0．05)，术后第4周和术后第12周Harris评分比较差异均有统计学意义( P<0．05)。结论自动角度测量仪因其准确简便的特点具有良好的临床应用前景。
目的：設計一種自動角度測量儀用于全髖關節置換術( THA)中前傾角的測量，併對其效果作齣評價。方法選取60例行THA患者，對照組及實驗組各30例，分彆通過CT及自動角度測量儀測定外展角和前傾角，根據Harris評分等指標對手術效果進行評估。結果術中測定實驗組前傾角14．57°~16．39°(15．23°±2．13°)，對照組前傾角13．68°~17．16°(16．37°±2．98°)，兩組比較差異有統計學意義(P<0．05)；實驗組前傾角更接近于理想值15°。對照組Harris評分術前為51~65(58±8．94)分，術後第4週為63~81(74±7．95)分，第12週為67~85(78±6．84)分；實驗組Harris評分術前為49~68(60±8．73)分，術後第4週為69~85(82±7．76)分，第12週為74~90(84±6．58)分；兩組術前Harris評分比較差異無統計學意義(P>0．05)，術後第4週和術後第12週Harris評分比較差異均有統計學意義( P<0．05)。結論自動角度測量儀因其準確簡便的特點具有良好的臨床應用前景。
목적：설계일충자동각도측량의용우전관관절치환술( THA)중전경각적측량，병대기효과작출평개。방법선취60례행THA환자，대조조급실험조각30례，분별통과CT급자동각도측량의측정외전각화전경각，근거Harris평분등지표대수술효과진행평고。결과술중측정실험조전경각14．57°~16．39°(15．23°±2．13°)，대조조전경각13．68°~17．16°(16．37°±2．98°)，량조비교차이유통계학의의(P<0．05)；실험조전경각경접근우이상치15°。대조조Harris평분술전위51~65(58±8．94)분，술후제4주위63~81(74±7．95)분，제12주위67~85(78±6．84)분；실험조Harris평분술전위49~68(60±8．73)분，술후제4주위69~85(82±7．76)분，제12주위74~90(84±6．58)분；량조술전Harris평분비교차이무통계학의의(P>0．05)，술후제4주화술후제12주Harris평분비교차이균유통계학의의( P<0．05)。결론자동각도측량의인기준학간편적특점구유량호적림상응용전경。
Objective To design an automatic angle measuring instrument for total hip arthroplasty ( THA) in the measurement of anteversion angle and evaluate the effect. Methods 60 cases of patients with THA were selected, the control group and the experimental group were 30 cases in each, abduction and anteversion angles were determined respectively by CT and automatic angle measuring instrument, the effect of operation were evaluated according to the Harris score. Results Intraoperative determination of the experimental group before the angles were 14. 57° ~16. 39°(15. 23° ± 2. 13°), the control group before the angles were 13. 68°~17. 16° (16. 37° ± 2. 98°), there was significant difference between two groups ( P<0. 05 ) . The experimental group before the dip was more close to the ideal value of 15 degrees. The control group the Harris score before operation was 51~65 (58 ± 8. 94), the fourth week after the operation was 63~81 (74 ± 7. 95), the twelfth week for 67~85 (78 ± 6. 84); the experiment group the Harris score before operation was 49~68 ( 60 ± 8. 73 ) , the fourth week after the operation for 69 ~85 ( 82 ± 7. 76) scores, the twelfth week for 74~90 (84 ± 6. 58) scores. No statistical significance between two groups in pre-operative Harris score difference (P>0. 05), after the fourth week and the twelfth week after operation, Harris score difference was statistically significant (P<0. 05). Conclusions Regarding the precise and convenient benefit of the auto angle measuring device has a broad prospect of clinical application.
