中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Trauma
2015年
10期
913-916
,共4页
关节成形术,置换,髋%成像,三维%术前计划
關節成形術,置換,髖%成像,三維%術前計劃
관절성형술,치환,관%성상,삼유%술전계화
Arthroplasty,replacement,hip%Imaging,three-dimensional%Preoperative planning
目的 探讨螺旋CT相关参数测量在预防全髋关节置换术(THA)患者肢体不等长、术后脱位的指导作用. 方法 收治86例初次行单侧THA患者,按随机数字表法分成两组:研究组45例通过螺旋CT三维重建技术测量健侧髋臼前倾角、外展角、股骨颈截骨处与股骨头旋转中心距离、大转子尖与股骨头旋转中心距离,以此规划患侧THA;对照组41例不进行参数测量.对比手术前后疗效,验证螺旋CT三维重建术前相关参数测量在预防THA患者肢体不等长及术后脱位等的指导作用. 结果 86例患者均获随访,研究组随访时间(11.2±6.2)个月,对照组随访时间(11.6±6.2)个月.关节功能随访情况:研究组术后3个月Haris评分(87.2±5.4)分;对照组术后3个月Harris评分(80.9±7.9)分(P＜0.05).研究组术后肢体不等长(0.4±0.2)cm;对照组为(1.1±0.4)cm(P＜0.05).两组术后3个月内脱位各1例. 结论 术前CT三维重建参数测量在THA术中具有一定的指导意义.
目的 探討螺鏇CT相關參數測量在預防全髖關節置換術(THA)患者肢體不等長、術後脫位的指導作用. 方法 收治86例初次行單側THA患者,按隨機數字錶法分成兩組:研究組45例通過螺鏇CT三維重建技術測量健側髖臼前傾角、外展角、股骨頸截骨處與股骨頭鏇轉中心距離、大轉子尖與股骨頭鏇轉中心距離,以此規劃患側THA;對照組41例不進行參數測量.對比手術前後療效,驗證螺鏇CT三維重建術前相關參數測量在預防THA患者肢體不等長及術後脫位等的指導作用. 結果 86例患者均穫隨訪,研究組隨訪時間(11.2±6.2)箇月,對照組隨訪時間(11.6±6.2)箇月.關節功能隨訪情況:研究組術後3箇月Haris評分(87.2±5.4)分;對照組術後3箇月Harris評分(80.9±7.9)分(P＜0.05).研究組術後肢體不等長(0.4±0.2)cm;對照組為(1.1±0.4)cm(P＜0.05).兩組術後3箇月內脫位各1例. 結論 術前CT三維重建參數測量在THA術中具有一定的指導意義.
목적 탐토라선CT상관삼수측량재예방전관관절치환술(THA)환자지체불등장、술후탈위적지도작용. 방법 수치86례초차행단측THA환자,안수궤수자표법분성량조:연구조45례통과라선CT삼유중건기술측량건측관구전경각、외전각、고골경절골처여고골두선전중심거리、대전자첨여고골두선전중심거리,이차규화환측THA;대조조41례불진행삼수측량.대비수술전후료효,험증라선CT삼유중건술전상관삼수측량재예방THA환자지체불등장급술후탈위등적지도작용. 결과 86례환자균획수방,연구조수방시간(11.2±6.2)개월,대조조수방시간(11.6±6.2)개월.관절공능수방정황:연구조술후3개월Haris평분(87.2±5.4)분;대조조술후3개월Harris평분(80.9±7.9)분(P＜0.05).연구조술후지체불등장(0.4±0.2)cm;대조조위(1.1±0.4)cm(P＜0.05).량조술후3개월내탈위각1례. 결론 술전CT삼유중건삼수측량재THA술중구유일정적지도의의.
Objective To investigate the clinical significance of preoperative three-dimensional CT scan parameters to restore postoperative limb length and reduce postoperative dislocation in patients with total hip arthroplasty (THA).Methods Clinical data of two groups involving 86 cases that had primary unilateral THA were included.In study group 45 cases were operated on with the measurement of contralateral acetabular anteversion, acetabular abduction angle, distance from femoral neck osteotomy to the center of rotation of the femoral head and distance from femoral trochanter tip to the center of rotation based on three-dimensional CT scan.Another 41 cases under conventional surgery which not used these parameters served as control.Surgical efficacy was compared to verify the role of CT scan parameters in restoring postoperative limb length and reducing postoperative dislocation.Results Period of follow-up was (11.2 ± 6.2) months in study group and (11.6 ± 6.2) months in control group.Harris hip score in study group was (87.2 ± 5.4) points versus (80.9 ± 7.9) points in control group three months after operation (P ＜ 0.05).Limb length discrepancy in study group was (0.4 ± 0.2) cm versus (1.1 ± 0.4) cm in control group (P ＜ 0.05).Each group had one dislocation three months after operation.Conclusion The parameter measurement with three-dimensional CT scan has some guiding significance in THA.
