本文選題：關(guān)節(jié)成形術(shù) + 置換��； 參考：《中國(guó)組織工程研究》2017年27期

【摘要】：背景:目前國(guó)內(nèi)及國(guó)外膝關(guān)節(jié)的測(cè)量較多,但是關(guān)于北方局部地區(qū)尤其內(nèi)蒙古地區(qū)的測(cè)量較少,局部地區(qū)脛骨平臺(tái)后傾角與國(guó)人甚至國(guó)外人種的數(shù)據(jù)是否有差異目前研究較少。目的:測(cè)量蒙古族人正常膝關(guān)節(jié)脛骨內(nèi)側(cè)平臺(tái)后傾角的大小,比較不同測(cè)量方法間的差異,以期得到蒙古族正常原始的脛骨內(nèi)側(cè)平臺(tái)后傾角數(shù)據(jù)。方法:GE64排螺旋CT掃描60名蒙古族志愿者雙膝關(guān)節(jié)的脛骨上段和股骨下段各20 cm,連續(xù)水平掃描獲得數(shù)據(jù),Mimics 16.0建立膝關(guān)節(jié)三維模型,模型經(jīng)光順、填充、分離、切割等處理,在切割后模型斷面上,測(cè)量脛骨中上段前側(cè)骨皮質(zhì)延長(zhǎng)線(xiàn)(A方法),脛骨骨干解剖軸(B方法),脛骨后側(cè)骨皮質(zhì)延長(zhǎng)線(xiàn)的垂線(xiàn)(C方法)和脛骨平臺(tái)上緣線(xiàn)的交角,得到不同測(cè)量方法的后傾角值(90°減去測(cè)得的角度)。結(jié)果與結(jié)論:①A方法測(cè)得的脛骨平臺(tái)后傾角為(11.16±3.39)°,B方法為(8.60±3.29)°,C方法為(5.30±4.40)°,其中A、B方法測(cè)得結(jié)果與王業(yè)華及羅吉偉報(bào)道的數(shù)據(jù)相近(P0.05);②A,B,C方法測(cè)量所得的左側(cè)脛骨平臺(tái)后傾角度比較,差異有顯著性意義(P0.05),A,B,C方法測(cè)量所得的右側(cè)脛骨平臺(tái)后傾角度比較,差異亦有顯著性意義(P0.05);但左右側(cè)別之間差異無(wú)顯著性意義(P0.05);③左側(cè)、右側(cè)脛骨平臺(tái)后傾角度分別在不同性別間比較,差異均無(wú)顯著性意義(P0.05);④結(jié)果提示,蒙古族人膝關(guān)節(jié)脛骨內(nèi)側(cè)平臺(tái)后傾角較小,A、B方法測(cè)得的結(jié)果與王業(yè)華及羅吉偉報(bào)道的數(shù)據(jù)近似,但脛骨平臺(tái)后傾角個(gè)體差異較大,術(shù)中截骨應(yīng)根據(jù)個(gè)體情況來(lái)決定。
[Abstract]:Background: there are many knee joint measurements at home and abroad, but there are few measurements in northern regions, especially in Inner Mongolia, and there is little research on the difference between tibial plateau posterior dip angle in local area and the data of Chinese and even foreign people. Objective: to measure the posterior inclination of the medial tibial plateau of the normal Mongolian knee and compare the differences among different measuring methods in order to obtain the normal original data of the posterior inclination of the medial tibial plateau. Methods the upper tibia and the lower femur of 60 Mongolian volunteers were scanned with 20 cm each of the upper tibia and the lower femur of 60 Mongolian volunteers. The 3D model of the knee joint was established by continuous horizontal scanning with Mimics 16.0. The model was treated by fairing, filling, separating, cutting and so on. On the model section after cutting, the intersections of the anterior cortical lengthening line of the middle and upper tibia, the anatomical axis B of the tibial diaphysis, the vertical line C of the posterior cortical lengthening line of the tibia were measured, and the intersection of the upper margin line of the tibial plateau was measured. The inclination of different measuring methods is 90 擄minus the measured angle. Results and conclusion the posterior inclination angle of tibial plateau measured by the 1: 1A method was 11.16 鹵3.39 擄B method was 8.60 鹵3.29 擄C method was 5.30 鹵4.40 擄, and the results obtained by Achib method were similar to the data reported by Wang Yihua and Luo Jiwei, and the angle of left tibial plateau retroversion measured by P0.052ABBCmethod was similar to that obtained by Wang Yihua and Luo Jiwei method. There was a significant difference between the right tibial plateau tilting angle measured by P0.05AZB C method, but there was no significant difference between the left and the right side of the tibial plateau, but there was no significant difference between the left side and the right side, but there was no significant difference between the left side and the right side, but there was no significant difference between the left side and the left side, but there was no significant difference between the left and right sides. There was no significant difference in the right tibial plateau retroversion angle between the two genders. The results suggested that there was no significant difference between the two sexes. The results obtained by the small posterior inclination angle of the medial tibial plateau of the knee joint of the Mongolians were similar to those reported by Wang Yehua and Luo Jiwei, but the individual differences of the posterior inclination angle of the tibial plateau were quite large, so the osteotomy during the operation should be decided according to the individual situation.
【作者單位】： 內(nèi)蒙古醫(yī)科大學(xué)附屬醫(yī)院骨科;
【基金】：內(nèi)蒙古自治區(qū)高等學(xué)�？茖W(xué)研究項(xiàng)目(NJ09112),項(xiàng)目名稱(chēng):蒙古族正常膝關(guān)節(jié)三維幾何形態(tài)測(cè)量及相關(guān)研究 內(nèi)蒙古自治區(qū)衛(wèi)生和計(jì)劃生育委員會(huì)醫(yī)療衛(wèi)生科研項(xiàng)目(201301054),項(xiàng)目名稱(chēng):蒙古族人正常膝關(guān)節(jié)三維幾何形態(tài)測(cè)量及相關(guān)研究~~
【分類(lèi)號(hào)】：R68;R816.8

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