【摘要】：[目的]通過對(duì)新疆哈薩克族和漢族脛骨平臺(tái)幾何參數(shù)的比較,建立起新疆哈薩克族脛骨平臺(tái)特征性幾何參數(shù)數(shù)據(jù)庫(kù),掌握漢族與哈薩克族民族間解剖上所存在的差異性,為哈薩克族手術(shù)技巧及手術(shù)器械的個(gè)體化設(shè)計(jì)及選擇提供數(shù)據(jù)資料。[方法]在本院和合作醫(yī)院分別隨機(jī)抽取病房、門診患者及健康志愿者漢族100例(200膝,其中男100膝,女100膝)、哈薩克族100例(200膝,其中男100膝,女100膝),年齡25~50歲,平均35歲。通過CT和三維重建技術(shù)完成脛骨平臺(tái)薄層掃描及3D影像資料。用Volume Rendering軟件實(shí)現(xiàn)膝關(guān)節(jié)脛骨平臺(tái)幾何參數(shù)的測(cè)定,包括測(cè)量脛骨平臺(tái)線性參數(shù)與角度參數(shù),并進(jìn)行統(tǒng)計(jì)學(xué)分析。[結(jié)果]測(cè)量結(jié)果分別按照性別分組與族別配對(duì)分組,脛骨平臺(tái)各項(xiàng)線性指標(biāo)男性組均大于女性組,在同一民族之內(nèi),差異更加顯著(P0.05)。同一性別相比較,哈薩克族的相關(guān)線性制表明顯大于漢族(P0.05),女性之間的差異尤為顯著(P0.01)。脛骨平臺(tái)角度參數(shù)比較,脛骨平臺(tái)后傾角與內(nèi)翻角同一族別中男女無(wú)明顯差異,但同一性別中,哈薩克族明顯大于漢族。[結(jié)論]哈薩克族的脛骨平臺(tái)線性參數(shù)與角度參數(shù)均與國(guó)人平均水平有差異;只有充分考慮到哈薩克族解剖的特異性,才能很好的完成手術(shù),預(yù)防圍手術(shù)期并發(fā)癥。
[Abstract]:[objective] by comparing the geometric parameters of tibial plateau between Kazak and Han nationality in Xinjiang, we established the database of characteristic geometric parameters of tibial plateau of Kazak nationality in Xinjiang, and grasped the anatomical differences between Han nationality and Kazak nationality. To provide data for individual design and selection of Kazak surgical techniques and instruments. [methods] A total of 100 patients (200 knees, 100 male and 100 female) and 100 Kazakh (100 knees, 100 male and 100 female) were randomly selected from our hospital and the cooperative hospital. The average age was 35 years (25 ~ 50 years). Thin layer scanning and 3 D imaging of tibial plateau were performed by CT and 3 D reconstruction. The geometric parameters of tibial plateau of knee joint were measured by Volume Rendering software, including the linear parameter and angle parameter of tibial plateau, and the statistical analysis was carried out. [results] the results showed that the tibial plateau linear index in male group was larger than that in female group, and the difference was more significant in the same ethnic group (P0.05). Compared with the same sex, the correlation linear table of Kazak was significantly larger than that of Han (P0.05), especially the difference between women (P0.01). Comparison of tibial plateau angle parameters showed that there was no significant difference between male and female in tibial plateau posterior inclination angle and varus angle, but in the same sex, Kazak nationality was obviously larger than Han nationality. [conclusion] the linear parameters and angle parameters of tibial plateau of Kazakh people are different from the average level of Chinese, only when the specificity of the anatomy of Kazakh nationality is fully considered, the operation can be completed well and the perioperative complications can be prevented.
【作者單位】： 新疆托里縣人民醫(yī)院;新疆維吾爾自治區(qū)人民醫(yī)院;
【基金】：新疆塔城市青年科研項(xiàng)目
【分類號(hào)】：R68
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本文編號(hào)：2265260