【摘要】：目的： 利用螺旋CT三維重建測量國人跟骨的解剖數(shù)據(jù)，并依此研究結(jié)果為國人跟骨骨折的解剖復(fù)位標準及畸形愈合矯形術(shù)提供了一組科學(xué)、客觀的參考數(shù)據(jù)。對國人跟骨鋼板的研究及設(shè)計提供一些參考數(shù)據(jù)。 方法： 收集100例（男性50例，女性50例）正常成人的跟骨CT掃描數(shù)據(jù)，將其重建后進一步測量跟骨長、寬、高及Bohler's角及Gissane's角。將測量數(shù)據(jù)與西方人數(shù)據(jù)相比較。 結(jié)果： 中國男性組跟骨長、寬及高分別為（74.60±5.06）、（29.71±2.93）、（45.23±4.46）mm；女性組為（71.48±5.36）、（26.65±3.01）、（42.23±4.49）mm，以上兩組間比較差異均具有統(tǒng)計學(xué)意義(P＜0.05)。男性組Gissane's角度為（123.3±8.5）°，女性為（122.7±8.9）°，差異無統(tǒng)計學(xué)意義（P0.05）。男性組Bohler's角為（35.98±4.34）°，女性組為（38.31±4.43）°，比較差異具有統(tǒng)計學(xué)意義(P＜0.05)。國人跟骨全長、寬度及高度與西方人數(shù)據(jù)比較差異具有統(tǒng)計學(xué)意義（P＜0.05)。中國成人Bohler's角及Gissane's角測量數(shù)據(jù)與西方人比較無統(tǒng)計學(xué)意義（P0.05）。 結(jié)論： 中國女性成人跟骨長、寬、高較男性明顯小，跟骨Bohler's角明顯大于男性，兩者間Gissane's角無明顯差異。與西方人相關(guān)數(shù)據(jù)相比較，，中國成人的跟骨長、寬、高明顯偏小，跟骨Bohler's角及Gissane's角則基本相同。
[Abstract]:Objective: to measure the anatomical data of calcaneal bone in Chinese by spiral CT three-dimensional reconstruction, and to provide a set of scientific and objective reference data for anatomical reduction standard and orthopaedic operation of calcaneal fracture in Chinese. It provides some reference data for the research and design of calcaneal plate in Chinese. Methods: the calcaneal CT scanning data of 100 normal adults (M 50, F 50) were collected. The calcaneal length, width, height, Bohler's angle and Gissane's angle were further measured after reconstruction. Compare the measured data with the Western data. Results: the length, width and height of calcaneal bone in Chinese male group were (74.60 鹵5.06), (29.71 鹵2.93), (45.23 鹵4.46) mm;, respectively. There was significant difference between the two groups (41.48 鹵5.36), (26.65 鹵3.01), (42.23 鹵4.49) mm, (P < 0.05). The Gissane's angle was (123.3 鹵8.5) 擄in male group and (122.7 鹵8.9) 擄in female group, there was no significant difference between male group and female group (P 0.05). The angle of Bohler' s was (35.98 鹵4.34) 擄in male group and (38.31 鹵4.43) 擄in female group, the difference was statistically significant (P < 0.05). There were significant differences in the length, width and height of calcaneal between Chinese and Westerners (P < 0.05). There was no significant difference in Bohler's angle and Gissane's angle between Chinese adults and Westerners (P 0.05). Conclusion: the calcaneal length, width and height of Chinese female adults are significantly smaller than those of males, and the Bohler' s angle of calcaneal bone is significantly larger than that of males. There is no significant difference in Gissane's angle between the two groups. Compared with the western data, the calcaneal length, width and height of Chinese adults were significantly smaller, while the Bohler's angle and Gissane's angle of calcaneal bone were basically the same.
【學(xué)位授予單位】：蘇州大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R816.8;R683.42

【參考文獻】

相關(guān)期刊論文 前10條

1 劉峻滔;劉云鵬;;跟骨Bohler's角的改變對踝關(guān)節(jié)接觸面積及壓強影響的實驗研究[J];濱州醫(yī)學(xué)院學(xué)報;2011年03期

2 李偉;潘顯明;王艷萍;權(quán)毅;張波;劉金標;鄧少林;;20例跟骨關(guān)節(jié)內(nèi)骨折的手術(shù)治療[J];重慶醫(yī)學(xué);2010年12期

3 孫曉林,靳方運,古小文,王秀花;骨圓針內(nèi)固定治療波及跟距關(guān)節(jié)的跟骨骨折[J];骨與關(guān)節(jié)損傷雜志;1995年05期

4 何建斌;盧建文;;多層螺旋CT矢狀位重建技術(shù)在跟骨骨折中的應(yīng)用[J];中國骨與關(guān)節(jié)損傷雜志;2008年01期

5 董鵬,鄧開鴻,劉敏,盧春燕;螺旋CT多平面和三維重建對跗骨骨折的診斷價值[J];華西醫(yī)學(xué);2004年01期

6 陳波;韓為清;葛琳娜;平水靜;;多層螺旋CT三維及多平面重建在跟骨骨折中的診斷價值[J];中外醫(yī)療;2010年10期

7 李西成;張英澤;張敏;趙海濤;潘進社;;跟骨的解剖和螺旋CT三維測量及其臨床意義[J];解剖與臨床;2007年04期

8 孔德海;馮德香;劉萬軍;;跟骨側(cè)位X線片在跟骨骨折臨床中的應(yīng)用及臨床體會[J];中國臨床醫(yī)學(xué)影像雜志;2011年06期

9 劉清華;余斌;金丹;張美超;胡巖君;王丹;;解剖結(jié)構(gòu)完整的踝關(guān)節(jié)有限元模型構(gòu)建及意義[J];山東醫(yī)藥;2010年14期

10 馮敏,王書智,盧鈴銓,王薇,毛存南;螺旋CT三維重建在跟骨骨折中的應(yīng)用[J];實用醫(yī)技雜志;2004年11期

本文編號：2481000