摘要
背景:不同地区、不同民族人群的髋臼解剖参数存在一定差异,其对髋臼疾病的诊疗至关重要。然而贵州地区人群髋臼影像学参数特征目前仍不清楚。目的:分析髋臼X射线平片的影像学参数特征,为髋臼疾病诊疗、假体设计和安放提供参考。方法:收集2015年1月至2017年2月在贵州医科大学附属医院拍摄双髋关节正位X射线片的成人患者,使用医学影像软件SIEMENS Syngo.Plaza PACS测量髋臼相关影像学参数,将数据按照年龄、性别、左右侧别进行分组分析,髋臼参数之间进行Pearson相关性分析,并将获得的数据与国内外研究同类型数据进行对比。结果与结论:(1)贵州地区人群Sharp角为(39.70±3.65)°,中心边缘角为(31.10±6.03)°,前倾角为(19.17±4.26)°,外展角为(39.71±3.67)°,髋臼深度为(1.16±0.22)cm,髋臼直径为(6.45±0.52)cm,改良髋臼指数为0.33±0.03,头臼指数为(84.72±4.19)%;(2)不同年龄之间,男性和女性Sharp角存在差异(P<0.05);男性外展角存在差异(P<0.05);(3)不同性别之间,Sharp角、中心边缘角、前倾角、外展角、髋臼深度、髋臼直径存在差异,其中男性Sharp角、前倾角、外展角小于女性(P<0.05);男性中心边缘角、髋臼深度、髋臼直径大于女性(P<0.05);(4)不同侧别之间,髋臼相关参数均无明显差异;(5)贵州地区人群髋臼相关影像学参数与国内外研究同类型数据相比存在差异;总的来说,贵州地区人群髋臼影像学参数具有一定的特征,在临床诊疗髋臼疾病时应充分考虑髋臼影像学的地域独特性,以期取得更大的临床获益。
BACKGROUND:There are some differences in acetabular anatomical parameters among different regions and different populations,which are very important for the diagnosis and treatment of acetabular diseases.However,the characteristics of acetabular imaging parameters in the Guizhou population are still unclear.OBJECTIVE:To analyze the imaging parameters of acetabular plain radiographs,so as to provide a reference for the diagnosis and treatment of acetabular diseases and the design and installment of the acetabular prosthesis.METHODS:Adult patients who underwent anteroposterior radiography of both hip joints at the Affiliated Hospital of Guizhou Medical University from January 2015 to February 2017 were collected.The acetabular radiographic parameters were measured using the medical imaging software SIEMENS Syngo.Plaza PACS.The data were grouped and analyzed according to age,sex and left and right sides.Pearson correlation analysis was performed between acetabular parameters.The data in the current study were compared with domestic and foreign studies containing the same type of data.RESULTS AND CONCLUSION:(1)Sharpe angle,center edge angle,anteversion angle,abduction angle,acetabular depth,acetabular diameter,modified acetabular index,and acetabular head index were(39.70±3.65)°,(31.10±6.03)°,(19.17±4.26)°,(39.71±3.67)°,(1.16±0.22)cm,(6.45±0.52)cm,(0.33±0.03),and(84.72±4.19)%,respectively.(2)There were statistical differences in Sharp angle between males and females at different age groups(P<0.05);statistical differences in abduction angle were found in males among different age groups(P<0.05).(3)There were differences in Sharp angle,center edge angle,anteversion angle,abduction angle,acetabular depth and acetabular diameter between genders.Sharp angle,anteversion angle and abduction angle were smaller in males than those in females(P<0.05).The center edge angle,acetabular depth,and acetabular diameter were greater in males than that in females(P<0.05).(4)There were no significant differences in acetabula
作者
李琦哲
孔尧
范建楠
吴叶婷
杨华
肖银龙
孙红
Li Qizhe;Kong Yao;Fan Jiannan;Wu Yeting;Yang Hua;Xiao Yinlong;Sun Hong(Department of Orthopedics,Affiliated Hospital of Guizhou Medical University,Guiyang 550004,Guizhou Province,China;Third Department of Orthopedics,Taihe Hospital,Shiyan 442000,Hubei Province,China;Department of Infectious Disease,Affiliated Hospital of Guizhou Medical University,Guiyang 550004,Guizhou Province,China)
出处
《中国组织工程研究》
CAS
北大核心
2023年第36期5856-5863,共8页
Chinese Journal of Tissue Engineering Research
基金
贵州省卫生健康委科学技术基金(gzwjkj2020-1-120),项目负责人:孙红
贵州省卫生健康委科学技术基金(gzwjkj2021-074),项目负责人:吴叶婷。
