| 人工全髋关节置换术中3种肢体长度测量方法比较 |
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投稿时间：2013-06-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 肖斌 |
XIAO Bin |
广州市解放军第421医院骨科, 广东 广州 510318 |
Department of Orthopaedics, the 421st Hospital of PLA, Guangzhou 510318, Guangdong, China |
xiaodcs@sina.com |
| 郭新辉 |
GUO Xin-hui |
广州市解放军第421医院骨科, 广东 广州 510318 |
Department of Orthopaedics, the 421st Hospital of PLA, Guangzhou 510318, Guangdong, China |
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| 王建华 |
WANG Jian-hua |
广州军区总医院骨科, 广东 广州 510310 |
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| 张炜剑 |
ZHANG Wei-jian |
广州市解放军第421医院骨科, 广东 广州 510318 |
Department of Orthopaedics, the 421st Hospital of PLA, Guangzhou 510318, Guangdong, China |
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| 许啸 |
XU Xiao |
广州市解放军第421医院骨科, 广东 广州 510318 |
Department of Orthopaedics, the 421st Hospital of PLA, Guangzhou 510318, Guangdong, China |
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| 期刊信息：《中国骨伤》2013年，第26卷，第10期，第863-866页 |
| DOI：10.3969/j.issn.1003-0034.2013.10.018 |
| 基金项目: |
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中文摘要:
目的: 分析人工全髋关节置换术中3种常用肢体长度测量方法的准确性,探讨影响其准确性的原因及对策.
方法: 回顾性分析2010年1月至2013年1月行人工全髋关节置换手术的患者145例,男66例,女79例;年龄48～89岁,平均66.7岁. 术中采用3种不同的肢体长度测量方法,其中31例采用健侧对照法(A法),63例采用克氏针定位测量法(B法),51例采用解剖标志定位测量法(C法).术后检查双下肢长度差,并比较这3种方法的准确性及肢体不等长的发生率.
结果: 145例患者术后获得随访,上述3种方法在手术时间、出血量上差异无统计学意义. A、B、C法术后双下肢长度差的平均值分别为(8.7±5.7)、(3.1±2.6)、(5.6±5.3) mm,各组间的差异均有统计学意义,准确性从高到低依次为B、C、A法. A、B、C法术后发生双下肢不等长的比例分别为32.3%、1.6%、11.8%,A法的发生比例较B、C法高,B法与C法之间差异无统计学意义.
结论: 上述的3种方法中克氏针定位测量法(B法)最为准确,解剖标志定位测量法(C法)其次,健侧对照法(A法)准确性最差. 建议除股骨颈骨折患者外均采用克氏针定位测量法,对于股骨颈骨折患者可采用解剖标志定位测量法. |
| 【关键词】关节成形术,置换,髋 髋假体 下肢 长度不等 |
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| Comparison of three measurements of lower extremity length during total hip arthroplasthy |
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ABSTRACT
Objective: To analyze the accuracy of three measurements of lower extremity length during total hip arthroplasty(THA),and explore the causes that influence the accuracy.
Methods: From January 2010 to January 2013,145 patients underwent THA were retrospectively analyzed. There were 66 males and 79 females,ranging in age from 48 to 89 years with an average of 66.7 years. Their lower extremities were measured by three methods during operation,among them,31 cases with reference method of contralateral legs (A method),63 cases with measurement method of Kirschner wire location (B method),and other 51 cases with measurement method of anatomical landmark (C method). The accuracy of the three measurements and the incidence rate of length inequality of lower extremity were analyzed.
Results: All patients were followed up,there was no significant differences in the operation time and the intraoperative blood loss among three groups. The difference of lower extremity length with A,B,C method were respectively (8.7±5.7),(3.1±2.6),(5.6±5.3) mm after operation; there were significant difference between any two groups. The accuracy of three methods from high to low were respectively B,C,A method. The incidence rate of length inequality of lower extremity with A,B,C method were respectively 32.3%,1.6%,11.8%,the incidence rate with A method was higher than that other two methods;and there was no significant difference between B method and C method.
Conclusion: The measurement method of Kirschner wire location has the best accuracy in the three methods and the measurement method of anatomical landmark is the second. The measurement method of Kirschner wire location is recommended in all THA except for the patients with femoral neck fracture. And the measurement method of anatomical landmark can be used in the patients with femoral neck fracture. |
| KEY WORDS Arthroplasty,replacement,hip Hip prosthesis Lower extremity Length inequality |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 肖斌,郭新辉,王建华,张炜剑,许啸.人工全髋关节置换术中3种肢体长度测量方法比较[J].中国骨伤,2013,26(10):863~866 |
| 英文格式: | XIAO Bin,GUO Xin-hui,WANG Jian-hua,ZHANG Wei-jian,XU Xiao.Comparison of three measurements of lower extremity length during total hip arthroplasthy[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(10):863~866 |
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