本文選題：三維重建 + ACL重建　； 參考：《空軍醫(yī)學雜志》2016年06期

【摘要】：目的通過對飛行員膝關節(jié)前交叉韌帶重建術后股骨、脛骨骨道的CT三維重建及骨道三軸直徑改變的測定,評價骨道改變與臨床隨訪結果的相關性。方法入選病例均為單純前交叉韌帶斷裂,使用雙股半腱肌股薄肌肌腱單束重建,上止點固定均采用endo-button固定,下止點采用可吸收擠壓螺釘+門形釘固定。進行術前、術后6、12個月的Lysholm功能評分及骨道的CT三維重建,應用SPSS 12.0軟件對隨訪數(shù)據(jù)資料進行統(tǒng)計分析。結果入組病例共21例。術前Lysholm評分27~68分,平均(48.85±11.39)分;術后6個月Lysholm評分61~92分,平均(80.31±7.96)分(P0.01)。術后12個月Lysholm評分74~96分,平均(87.31±6.74)分(P0.01)。術后6、12個月股骨骨道改變,2組間總體上差異有統(tǒng)計學意義(F=0.03,P0.05)。術后6、12個月脛骨骨道改變,差異無統(tǒng)計學意義(F=0.8 6,P0.05)。骨道改變與臨床效果無統(tǒng)計學意義(P0.05)。結論從股骨道或者脛骨道的近點、中點、遠點中任何一點都可以測量骨道的增寬改變,其結果均可進行相關的研究。其中股骨骨道的增寬較脛骨骨道明顯,但二者的改變與臨床效果無相關性。
[Abstract]:Objective to evaluate the correlation between bone canal changes and clinical follow-up results by measuring CT 3D reconstruction and triaxial diameter changes of femoral and tibial bone canal after anterior cruciate ligament reconstruction of knee joint in pilots. Methods all patients were treated with simple rupture of anterior cruciate ligament. Single bundle of double semitendinosus tendinosus tendinis was reconstructed with endo-button fixation at upper and end point and portal nail with absorbable compression screw at lower end point. Lysholm functional score and CT 3D reconstruction of bone tract were performed before, 6 and 12 months after operation. The follow-up data were statistically analyzed by SPSS 12.0 software. Results there were 21 cases in the group. The preoperative Lysholm score was 278.85 鹵11.39, and the average Lysholm score was 80.31 鹵7.96 at 6 months after operation (P 0.01). 12 months after operation, the Lysholm score was 74 to 96, with an average score of 87.31 鹵6.74 (P 0.01). There was a significant difference between the two groups in the changes of femoral bone canal at 6 and 12 months after operation, and there was significant difference between the two groups in terms of F0. 03 and P0. 05. There was no significant difference in the change of tibial bone canal between 6 months and 12 months after operation, and there was no significant difference between the two groups (P 0.05, P 0. 05, P 0. 05). There was no significant difference between the changes of bone canal and clinical effect (P 0.05). Conclusion the changes of bone canal width can be measured from the proximal, midpoint and distal point of the femoral or tibial tract, and the results can be studied. The widening of the femoral bone canal was more obvious than that of the tibial bone canal, but there was no correlation between the changes and the clinical effect.
【作者單位】： 空軍總醫(yī)院骨科;
【分類號】：R856

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本文編號：1870268