广西梧州地区人群正常膝关节解剖参数的测量研究

发布时间：2018-07-05 03:52

本文选题：膝关节 + 三维重建　；参考：《广西中医药大学》2017年硕士论文

【摘要】：目的:许多研究已证实膝关节在不同地域、民族间存在差异。目前国内已有了关于东北、西北、华南、宁夏地区回族人群、维吾尔族人群等人群膝关节形态研究的相关报道,但对广西地区人群膝关节形态的研究则较少。本课题通过测量CT三维重建后的广西梧州地区人群正常膝关节相关形态参数,推动适用于广西地区人群人解剖特征的膝关节假体的设计与制造,以及为个性化全膝关节置换术在广西地区的推广提供一定的数据支撑。方法:筛选2014年9月~2016年12月期间在广西梧州市中医医院行膝关节三维CT扫描的患者,无膝关节外伤及疾病史。在CT图像处理工作站上进行三维重建处理,然后在工作站上测量三维重建后的膝关节图像,测量膝关节的主要形态学参数包括:股骨髁上轴横径,股骨后髁横径,股骨内后髁横径,股骨外后髁横径,股骨髁间窝横径,股骨内侧髁前后径、上下径,股骨外侧髁前后径、上下径;胫骨平台横径,胫骨内侧平台前后径、横径,胫骨外侧平台前后径、横径,胫骨内侧平台最低点至腓骨头尖端的高度差,胫骨平台后倾角。所有参数的测量由两位研究者分别完成,取二者数据的均值,若测得的数据偏差太大,则重新测量。测得的各项参数的数值进行记录,通过SPSSl7.0统计软件对其进行统计学分析,以此了解广西梧州地区人群正常膝关节的形态学特征。结果:通过测量得出:股骨髁上轴横径77.05mm±5.61mm,股骨后髁横径59.63mm±5.55mm,股骨髁间窝横径20.88mm±2.08mm,股骨内侧髁前后径57.50mm±5.00mm、上下径41.09mm±5.50mm,股骨外侧髁前后径59.67mm±3.91mm、上下径38.15mm±4.97mm;胫骨平台横径71.69mm±4.78mm,胫骨内侧平台前后径45.45mm±4.43mm、横径23.28mm±3.21mm,胫骨外侧平台前后径42.50mm±3.73mm、横径25.58mm±3.39mm,胫骨内侧平台最低点至腓骨头尖端的高度差11.61mm±1.60mm,胫骨平台后倾角为9.2°±1.4°。结论:广西梧州地区人群正常膝关节解剖形态与国内不同地域的膝关节解剖形态不尽相同。
[Abstract]:Objective: many studies have confirmed that knee joints differ in different regions and ethnic groups. At present, there have been related reports on knee joint morphology of Hui, Uygur and other people in Northeast, Northwest, South China, Ningxia and so on, but there are few researches on knee joint morphology in Guangxi. In order to promote the design and manufacture of knee joint prosthesis suitable for human anatomical characteristics of Guangxi people, the normal knee joint related morphological parameters were measured after 3D CT reconstruction in Wuzhou area of Guangxi. And for the personalized total knee arthroplasty in Guangxi area to provide certain data support. Methods: three dimensional CT scan of knee joint was performed in Wuzhou Hospital of traditional Chinese Medicine from September 2014 to December 2016. There was no history of knee joint trauma and disease. Three-dimensional reconstruction was performed on the CT image processing workstation, and then the knee joint images were measured on the workstation. The main morphologic parameters of the knee joint included the transverse diameter of the supracondylar axis of the femur, the transverse diameter of the posterior femoral condyle, and the transverse diameter of the posterior femoral condyle. Femoral posterior condyle transverse diameter, external femoral posterior condyle transverse diameter, femoral intercondylar fossa transverse diameter, medial femoral condyle anteroposterior diameter, superior and inferior diameter, lateral femoral condyle anteroposterior diameter, anterior-inferior diameter of femoral lateral condyle, tibial plateau transverse diameter, tibial medial plateau anteroposterior diameter, transverse diameter, The anteroposterior and transverse diameters of the lateral tibial plateau, the height difference from the lowest point of the medial tibial plateau to the tip of the fibular head, and the posterior inclination angle of the tibial plateau. All the parameters are measured by two researchers, and the mean values of the two data are taken. If the deviation of the measured data is too large, the data is remeasured. The values of the parameters were recorded and analyzed statistically by SPSSl7.0 to understand the morphological characteristics of normal knee joint in Wuzhou area of Guangxi province. Results: the transverse diameters of supracondylar axis of femur (77.05mm 卤5.61 mm), posterior femoral condyle (59.63mm 卤5.55 mm), intercondylar fossa of femur (20.88mm 卤2.08 mm), medial femoral condyle (57.50mm 卤5.00 mm), medial femoral condyle (41.09mm 卤5.50 mm), anterolateral femoral condyle (59.67mm 卤3.91 mm), anteroposterior condyle (59.67mm 卤4.97 mm), tibial plateau (71.69mm 卤4.78 mm), medial tibia (medial) were measured. The anteroposterior and posterior diameters of the tibia were 45.45mm 卤4.43 mm, 23.28mm 卤3.21 mm, 42.50mm 卤3.73 mm and 25.58mm 卤3.39 mm, respectively. The height difference between the medial tibial plateau and the tip of the fibula head was 11.61mm 卤1.60 mm, and the posterior inclination angle of the tibial plateau was 9.2 掳卤1.4 掳. Conclusion: the normal anatomical morphology of knee joint in Wuzhou area of Guangxi is different from that of different regions in China.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R322.72

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