發(fā)布時(shí)間：2018-01-20 07:58

  本文關(guān)鍵詞： 全髖關(guān)節(jié)置換 髖臼橫韌帶 髖臼定位器 前傾角 外展角　出處：《福建中醫(yī)藥大學(xué)》2015年碩士論文　論文類(lèi)型：學(xué)位論文

【摘要】：目的：測(cè)量?jī)煞N髖臼杯安裝的定位方法(參照髖臼橫韌帶與使用髖臼定位器)的術(shù)后CT上髖臼角度,比較何種結(jié)果更接近髖臼角度理想值(外展45°前傾15°),從而為臨床實(shí)踐提供理論依據(jù)。方法：收集我院2013年1月至2015年3月行人工全髖關(guān)節(jié)置換術(shù)的病例共60例。其中,男性29例,女性31例；年齡55-75歲,平均為65.2歲；體質(zhì)指數(shù)(Body Mass Index, BMI)平均為25.97Kg/m2。包括髖關(guān)節(jié)骨性關(guān)節(jié)炎30例,股骨頭壞死10例,股骨頸骨折(按Garden分型法均為Ⅳ型)8例,類(lèi)風(fēng)濕性關(guān)節(jié)炎6例,強(qiáng)直性脊柱炎累及髖關(guān)節(jié)6例,隨機(jī)化分為：A組即參照髖臼橫韌帶定位髖臼假體30例；B組即利用髖臼定位器安裝髖臼假體30例。從年齡、性別、BMI及Hariss評(píng)分方面對(duì)照比較兩組是否存在差異。本研究以外展角45°,前傾角15°作為理想標(biāo)準(zhǔn),運(yùn)用三維CT測(cè)量術(shù)后髖臼杯的外展角和前傾角,評(píng)價(jià)哪組髖臼角度更接近理想值。對(duì)獲得的數(shù)據(jù)采用SPSS18.0統(tǒng)計(jì)軟件包進(jìn)行相關(guān)分析及處理。結(jié)果：兩組病例在年齡、性別、BMI及Hariss評(píng)分方面比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),兩組具有可比性。CT顯示所有假體均獲得理想的骨性固定,無(wú)1例假體松動(dòng)。A組術(shù)后的外展角平均能44.97±2.99°,B組術(shù)后的外展角平均51.80±5.08°,兩組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。A組的前傾角平均15.13±2.73°,B組的前傾角平均18.13±4.88°,兩組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05),說(shuō)明A組更接近髖臼角度理想值。結(jié)論：參照髖臼橫韌帶定位髖臼假體安裝比使用髖臼定位器,術(shù)后CT上測(cè)量髖臼前傾角、外展角更接近理想值,定位方法更簡(jiǎn)單、準(zhǔn)確、可靠。
[Abstract]:Objective: to measure the acetabular angle on CT of two kinds of acetabular cup fixing methods (referring to acetabular transverse ligament and using acetabular locator). The results were closer to the ideal value of acetabular angle (abduction 45 擄forward 15 擄). Methods: from January 2013 to March 2015, 60 cases of total hip arthroplasty were collected, including 29 males and 31 females. Age 55-75 years, average 65.2 years; The average body Mass index (BMI) was 25.97 kg / m2. There were 30 cases of hip osteoarthritis and 10 cases of osteonecrosis of femoral head. There were 8 cases of femoral neck fracture (according to Garden classification), 6 cases of rheumatoid arthritis and 6 cases of ankylosing spondylitis involving hip joint. 30 cases of acetabular prosthesis were randomly divided into two groups: group A: 30 cases were located according to transverse acetabular ligament; There were 30 cases of acetabular prosthesis installed with acetabular locator in group B. there were differences in age, sex and Hariss score between the two groups. The abduction angle of this study was 45 擄. The abduction angle and anteversion angle of acetabular cup were measured by 3D CT with 15 擄anteversion angle as the ideal standard. To evaluate which group of acetabular angle is closer to the ideal value. The data obtained were analyzed and processed by SPSS18.0 statistical software package. Results: two groups of patients in age and sex. There was no significant difference in BMI and Hariss scores between the two groups (P 0.05). The average abduction angle of group A was 44.97 鹵2.99 擄and that of group B was 51.80 鹵5.08 擄. The difference between the two groups was statistically significant. The average antegrade angle of group A was 15.13 鹵2.73 擄and that of group B was 18.13 鹵4.88 擄. The difference between the two groups was statistically significant (P 0.05), indicating that group A was closer to the ideal value of acetabular angle. Conclusion: according to the acetabular transverse ligament location, the acetabular prosthesis installation is better than the use of acetabular locator. After operation, the acetabular anteversion angle was measured on CT, the abduction angle was closer to the ideal value, and the localization method was simpler, more accurate and more reliable.
【學(xué)位授予單位】：福建中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類(lèi)號(hào)】：R687.42

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 朱天岳;髖臼外展角和前傾角的動(dòng)態(tài)測(cè)量及其臨床意義[J];中華骨科雜志;1995年08期

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本文編號(hào)：1447458