| 髋臼后壁解剖学测量及定量分析 |
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Received:February 20, 2014
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| 作者 | Author | 单位 | Unit | E-Mail |
| 汤洋 |
TANG Yang |
上海市交通大学医学院附属第三人民医院骨科, 上海 201999 |
Department of Orthopaedics, the 3rd People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai 201999, China |
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| 章云童 |
ZHANG Yun-tong |
第二军医大学附属长海医院骨科, 上海 200433 |
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| 张春才 |
ZHANG Chun-cai |
第二军医大学附属长海医院骨科, 上海 200433 |
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| 王攀峰 |
WANG Pan-feng |
第二军医大学附属长海医院骨科, 上海 200433 |
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| 赵雪 |
ZHAO Xue |
第二军医大学附属长海医院骨科, 上海 200433 |
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| 陆雄伟 |
LU Xiong-wei |
上海市交通大学医学院附属第三人民医院骨科, 上海 201999 |
Department of Orthopaedics, the 3rd People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai 201999, China |
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| 胡小鹏 |
HU Xiao-peng |
上海市交通大学医学院附属第三人民医院骨科, 上海 201999 |
Department of Orthopaedics, the 3rd People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai 201999, China |
6169261@qq.com |
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| 期刊信息：《中国骨伤》2014年27卷，第12期，第1024-1028页 |
| DOI：10.3969/j.issn.1003-0034.2014.12.012 |
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目的: 通过对髋臼后壁厚度的解剖学测量及定量分析,探讨髋臼后上壁的形态特点及临床意义,为髋臼骨折的临床治疗提供理论参考.
方法: 选取15具经甲醛浸泡处理的成年防腐尸体骨盆标本(男8具,女7具),清除多余软组织后对髋臼整个后壁采用角度分区法,分别测量不同层面不同分割点的后壁厚度,对测量结果进行统计学分析.
结果: 距臼缘5 mm处测量的髋臼后上壁平均厚度波动于(6.47±0.61) mm至(7.43±0.71) mm之间,髋臼后下壁平均厚度波动于(5.62±0.51) mm至(6.33±0.61) mm之间,臼顶平均厚度波动于(7.71±0.74) mm至(8.27±0.99) mm之间,距臼缘5 mm处髋臼后上壁厚度与髋臼后下壁厚度比较差异无统计学意义(P>0.05),但臼顶厚度较髋臼后上壁增厚较显着(P<0.05);距臼缘10 mm处测量的髋臼后上壁厚度波动于(8.81±0.67) mm到(13.35±0.89) mm之间,髋臼后下壁厚度波动于(7.02±0.63) mm至(7.66±0.69) mm之间,臼顶平均厚度波动于(14.46±0.97) mm至(17.05±1.35) mm之间,距臼缘10 mm处髋臼后上壁厚度较髋臼后下壁增厚较显着(P<0.05),臼顶厚度较髋臼后上壁增厚显着(P<0.01);距臼缘15 mm处测量的髋臼后上壁厚度波动于(12.08±0.78) mm至(19.84±1.03) mm之间,髋臼后下壁厚度波动于(10.17±0.76) mm至(11.12±0.77) mm之间,臼顶平均厚度波动于(23.23±1.12) mm至(26.01±1.53) mm之间,距臼缘15 mm处髋臼后上壁厚度较髋臼后下壁增厚显着(P<0.01),臼顶厚度较髋臼后上壁增厚显着(P<0.01).
结论: 整个髋臼后缘厚度从髋臼后下壁→髋臼后上壁→臼顶部呈现逐渐增厚趋势,这种趋势随着测量点距臼缘距离的不断增加而愈加明显.髋臼后上壁除了传统意义上维持“头臼对应”稳定性功能外,还可能参与髋臼部分负重. |
| [关键词]:髋臼 解剖学 器官测量 定量评价 |
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| Anatomic measurements and quantitative analysis of posterior acetabular wall |
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Abstract:
Objective: To explore morphological character and clinical significance of superior-posterior acetabular wall by anatomically measuring and quantitatively analyzing thickness of posterior acetabular wall,then provide a theoretical reference for clinical treatment of acetabular fracture.
Methods: Fifteen adult formalin-preserved cadaveric pelvises (8 males and 7 females) were used for this investigation. Excess soft tissue was removed and the whole acetabular posterior walls were marked with “angle” sector method and the thickness was measured with caliper in different levels of the different split points. The measurement results were validated and analyzed statistically.
Results: At 5 mm away from acetabular rim,the average thickness of superior-posterior acetablar wall fluctuated between (6.47±0.61) mm and (7.43±0.71) mm;the average thickness of inferior-posterior acetabuluar wall fluctuated between (5.62 ±0.51) mm and (6.33±0.61) mm;the average thickness of acetabular roof fluctuated between (7.71± 0.74) mm and (8.27±0.99) mm. There was no statistical difference between average thickness of superior-posterior wall of acetabulum and inferior-posterior wall of acetabulum(P>0.05),but the average thickness of acetabular roof was significantly larger than superior-posterior acetabular wall (P<0.05). At 10 mm away from the acetabular rim,the average thickness of superior-posterior acetabular wall fluctuated between (8.81±0.67) mm and (13.35±0.89)mm;the average thickness of inferior- posterior acetabular wall fluctuated between(7.02±0.63) mm and (7.66±0.69) mm;the average thickness of acetabular roof fluctuated between (14.46±0.97) mm and (17.05±1.35) mm. Comparatively,the average thickness of superior-posterior acetabular wall was significantly larger than inferior- posterior wall of acetabulum(P<0.05),and the average thickness of acetabular roof was significantly larger than superior-posterior acetabular wall(P<0.01). At 15 mm away from the acetabular rim,the average thickness of superior-posterior acetabular wall fluctuated between(12.08±0.78) mm and(19.84 ±1.03) mm;the average thickness of inferior-posterior acetabular wall fluctuated between(10.17±0.76) mm and(11.12±0.77) mm;the average thickness of acetabular roof fluctuated between (23.23±1.12) mm and (26.01±1.53) mm. Comparatively,the average thickness of superior-posterior wall of acetabulum was significantly larger than inferior-posterior acetabular wall(P<0.01),and the average thickness of acetabular roof was significantly larger than superior-posterior acetabular wall(P<0.01).
Conclusion: The thickness of entire acetabular posterior edge revealed an increasing tendency from inferior-posterior wall to the superior-posterior wall to acetabular roof. And this trend became more obvious with increasing distance away from acetabular rim. Therefore,the superior-posterior acetabular wall could not only maintain the stability of hip joint but also bear loading. |
| KEYWORDS:Acetabulum Anatomy Organ size Evaluation studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 汤洋,章云童,张春才,王攀峰,赵雪,陆雄伟,胡小鹏.髋臼后壁解剖学测量及定量分析[J].中国骨伤,2014,27(12):1024~1028 |
| 英文格式: | TANG Yang,ZHANG Yun-tong,ZHANG Chun-cai,WANG Pan-feng,ZHAO Xue,LU Xiong-wei,HU Xiao-peng.Anatomic measurements and quantitative analysis of posterior acetabular wall[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(12):1024~1028 |
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