【摘要】：目的：通過研究1：1骨盆DR片制作方法,使之成為放射科的制片規(guī)范,探討其在人工髖關(guān)節(jié)置換術(shù)前準(zhǔn)備中的指導(dǎo)意義。方法：收集52例于2013年12月至2014年10月在廣西醫(yī)科大學(xué)第四附屬醫(yī)院行初次全髖關(guān)節(jié)置換術(shù)患者的臨床資料。通過術(shù)前以一元人民幣硬幣作為參照物制作1：1大小骨盆平片,術(shù)前應(yīng)用模板測量并預(yù)測假體型號,與術(shù)中所用實際假體大小進(jìn)行比較,分析該制作方法的準(zhǔn)確性。結(jié)果：術(shù)前規(guī)范制作的骨盆平片可用于術(shù)前計劃,并可較好的預(yù)測假體型號：術(shù)前預(yù)測髖臼假體與實際所用假體完全符合的有34例(65.4%),相差一個型號有15例(28.8%),相差≥2個型號3例(5.8%),其符合優(yōu)良率為94.2%；股骨假體與實際假體完全符合為30例(57.7%),相差1個型號18例(34.6%),相差≥2個型號號4例(7.7%),股骨假體的符合優(yōu)良率為92.3%。結(jié)論：通過術(shù)前規(guī)范制作真實尺寸骨盆平片并進(jìn)行模板測量可精確的預(yù)測術(shù)中假體型號,為全髖關(guān)節(jié)置換術(shù)提供參考依據(jù),具有一定的臨床指導(dǎo)意義。
[Abstract]:Objective: to study the method of making 1:1 pelvic DR film and to make it the standard of radiology department, and to explore its guiding significance in the preparation of artificial hip arthroplasty. Methods: the clinical data of 52 patients undergoing initial total hip arthroplasty from December 2013 to October 2014 in the fourth affiliated Hospital of Guangxi Medical University were collected. The 1:1 pelvis plain film was made with one yuan coin as reference before operation. The model of prosthesis was measured and predicted by using template before operation. The accuracy of the method was analyzed by comparing with the actual size of prosthesis used during operation. Results: the pelvis plain film made before operation can be used for preoperative planning. There were 34 cases (65.4%) with a difference of one type (28. 8%) and 3 cases (5. 8%). The excellent and good rate of predicting acetabular prosthesis before operation was 94. 2% (5. 8%). There were 30 cases (57.7%) with complete agreement between the femoral prosthesis and the actual prosthesis, 18 cases (34.6%) were different in one model, 4 cases (7.7%) were different from the actual prosthesis. The excellent and good rate of femoral prosthesis was 92.3%. Conclusion: making real size pelvic plain film and measuring template before operation can accurately predict the type of prosthesis during operation and provide reference for total hip arthroplasty. It has certain clinical significance.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R687.4

【參考文獻(xiàn)】

相關(guān)期刊論文 前6條

1 楊述華,劉勇;人工關(guān)節(jié)置換術(shù)未來發(fā)展與挑戰(zhàn)[J];國外醫(yī)學(xué).骨科學(xué)分冊;2005年01期

2 李銳;裴曉東;郝信;黃林;;數(shù)字技術(shù)在人工髖關(guān)節(jié)置換術(shù)中的應(yīng)用[J];中國骨與關(guān)節(jié)損傷雜志;2014年10期

3 王沫楠;;虛擬骨科手術(shù)系統(tǒng)人體組織建模方法綜述[J];哈爾濱理工大學(xué)學(xué)報;2011年06期

4 周一新;;骨科標(biāo)準(zhǔn)新突破 手術(shù)技術(shù)指導(dǎo)規(guī)范——《人工髖、膝關(guān)節(jié)置換術(shù)》解讀[J];中國衛(wèi)生標(biāo)準(zhǔn)管理;2011年04期

5 丁悅,劉尚禮,馬若凡,黃東生,沈慧勇,李春海;國人股骨假體設(shè)計的解剖學(xué)基礎(chǔ)[J];中國臨床解剖學(xué)雜志;2003年04期

6 杜心如,盧世璧;股骨上段髓腔解剖學(xué)研究進(jìn)展[J];中國臨床解剖學(xué)雜志;2004年06期

，

本文編號：2280927