| 全髋关节置换术中臼杯外展角的影像学研究 |
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Received:August 16, 2018
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| 作者 | Author | 单位 | Unit | E-Mail |
| 崔瑞开 |
CUI Rui-kai |
吉林大学中日联谊医院骨关节科, 吉林 长春 130031 |
Department of Orthopaedics and Joint, China-Japan Union Hospital Affiliated to Jilin University, Changchun 130031, Jilin, China |
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| 左建林 |
ZUO Jian-lin |
吉林大学中日联谊医院骨关节科, 吉林 长春 130031 |
Department of Orthopaedics and Joint, China-Japan Union Hospital Affiliated to Jilin University, Changchun 130031, Jilin, China |
jlzuojianlin@163.com |
| 吴海贺 |
WU Hai-he |
内蒙古自治区人民医院, 内蒙古 呼和浩特 010000 |
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| 高建朋 |
GAO Jian-peng |
吉林大学中日联谊医院骨关节科, 吉林 长春 130031 |
Department of Orthopaedics and Joint, China-Japan Union Hospital Affiliated to Jilin University, Changchun 130031, Jilin, China |
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| 高忠礼 |
GAO Zhong-li |
吉林大学中日联谊医院骨关节科, 吉林 长春 130031 |
Department of Orthopaedics and Joint, China-Japan Union Hospital Affiliated to Jilin University, Changchun 130031, Jilin, China |
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| 期刊信息：《中国骨伤》2018年31卷，第12期，第1096-1099页 |
| DOI：10.3969/j.issn.1003-0034.2018.12.004 |
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目的：通过对全髋关节置换术后患者双髋正位X线上相关参数的测量，分析各参数间关系，探讨全髋关节置换术中安放髋臼的可靠解剖标志及参考标准，精确控制髋臼外展角。
方法：收集整理2016年1月至2017年6月行全髋关节置换的182例患者235髋，符合纳入标准的128例157髋。其中男91例，女37例；左髋82例，右髋75例；年龄22~78岁，平均55.1岁。在术后双髋正位X线上测量：外展角（β），髂骨厚度（a），髋臼上缘臼杯置入深度（b），坐骨厚度（c），髋臼下缘臼杯置入深度（d），髋臼磨挫深度（e），并对测量参数进行统计分析。
结果：β与b呈正相关（r=0.424，P=0.000），β与d呈负相关（r=-0.407，P=0.000），β与b/a呈正相关（r=0.419，P=0.000），β与d/c呈负相关（r=-0.472，P=0.000），并且β与b/a呈线性相关（t=5.753，P=0.000），β与d/c呈线性相关（t=-6.671，P=0.000）。
结论：术中主要以臼杯外缘距坐骨外缘的距离d来控制外展角，而臼杯外缘距离正常髋臼上缘的距离b可作为参考。 |
| [关键词]:关节成形术,置换,髋 放射摄影术 髋臼 解剖标志 |
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| Radiological study on the cup abduction angle during total hip arthroplasty |
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Abstract:
Objective: To analyze the relationship among the parameters by measuring the relevant parameters of the anteroposterior X-ray of both hips in patients after total hip arthroplasty,to discuss the reliable anatomical markers and reference standards of acetabulum placement in total hip arthroplasty,and finally to accurately control the abduction angle of acetabulum.
Methods: From January 2016 to June 2017,282 patients (235 hips) underwent total hip arthroplasty and 128 patients(157 hips) met the inclusion criteria. There were 91 males and 37 females,82 cases of the left hip and 75 cases of the right hip;ranging in age from 22 to 78 years old,with a mean of 55.1 years old. The abduction angle(β),ilium thickness (a),acetabular cup insertion depth (b),ischial thickness (c),acetabular cup insertion depth(d),acetabular abrasion and contusion depth(e) were measured on the postoperative AP X-ray of both hips,and the data were compared.
Results: There was a positive correlation between β and b (r=0.424,P=0.000),a negative correlation between β and d (r=-0.407,P=0.000),a positive correlation between β and b/a (r=0.419,P=0.000),a negative correlation between β and d/c (r=-0.472,P=0.000). There was a linear relationship between β and b/a (t=5.753,P=0.000) and a linear relationship between β and d/c (t=-6.671,P=0.000).
Conclusion: The outreach angle is mainly controlled by the distance between the outer edge of the cup and the outer edge of the cup in the inferior portion(d) during the operation. The distance b from the outer edge of the cup can be used as a reference. |
| KEYWORDS:Arthroplasty,replacement,hip Radiography Acetabulum Anatomic landmarks |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 崔瑞开,左建林,吴海贺,高建朋,高忠礼.全髋关节置换术中臼杯外展角的影像学研究[J].中国骨伤,2018,31(12):1096~1099 |
| 英文格式: | CUI Rui-kai,ZUO Jian-lin,WU Hai-he,GAO Jian-peng,GAO Zhong-li.Radiological study on the cup abduction angle during total hip arthroplasty[J].zhongguo gu shang / China J Orthop Trauma ,2018,31(12):1096~1099 |
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