THA术后静态结构对功能影响分析
发布时间：2019-05-07 00:00
【摘要】：目的:探讨全髋关节置换术后相关静态结构客观参数的不同对髋关节功能的影响及意义。方法:回顾性分析遵义医学院附属医院2015-2016年符合纳入标准的131例(153例髋)行全髋关节置换术的临床资料为试验组;纳入同期健康成年人30例(60例髋)的临床资料为对照组。将试验组术后临床资料采用髋关节Harris评分分为优良组及非优良组,采用Adobe Photoshop CS6软件测量对照组、优良组及非优良组的双侧股骨头旋转中心的垂直距离及水平距离、髋臼上移及内移、双侧股骨偏心距、双侧外展肌力臂、双侧体重力臂、下肢长度差及髋臼假体外展角;并采用比值关系对双侧股骨头旋转中心的垂直距离及水平距离、双侧股骨偏心距比值、双侧外展肌力臂与体重力臂进行比较分析。结果:优良组的随访时间与非优良组的平均随访时间相比无统计学差异(P0.05)。对照组组内比较股骨头旋转中心比值、股骨偏心距比值:右侧与左侧的比值、左侧与右侧的比值两组相比较未见统计学明显的差异性(P0.05)。对照组、优良组与非优良组股骨头旋转中心的垂直距离比值三组组间比较具有统计学差异(P0.05);对照组、优良组与非优良组股骨头旋转中心的水平距离比值三组组间比较均未见统计学差异(P0.05)。优良组髋臼假体上移、内移与非优良组髋臼假体上移、内移相比未见统计学差异(P0.05)。对照组与优良组双侧股骨偏心距比值、外展肌力臂与体重力臂比值相比均未见显著性差异(P0.05);对照组与非优良组、优良组与非优良组双侧股骨偏心距比值、外展肌力臂与体重力臂比值相比具有统计学差异(P0.05)。优良组下肢长度差与非优良组下肢长度差相比具有统计学差异(P0.05)。优良组的外展角与非优良组的外展角相比具有显著性差异(P0.05)。结论:尽可能或接近解剖位置上重建髋关节的股骨头旋转中心、重建或适当增大股骨偏心距、恢复下肢长度、髋臼假体外展角置于30o-50o,髋关节功能可得到更好的恢复。
[Abstract]:Objective: to investigate the effect and significance of objective parameters of static structure on hip function after total hip arthroplasty (THR). Methods: the clinical data of 131 patients (153 hips) who met the inclusion criteria in the affiliated Hospital of Zunyi Medical College from 2015 to 2016 were analyzed retrospectively. The clinical data of 30 healthy adults (60 hips) in the same period were included as the control group. The clinical data of the experimental group were divided into good group and non-excellent group by Harris score. The vertical distance and horizontal distance of the rotation center of the femoral head in the control group, the excellent group and the non-excellent group were measured by Adobe Photoshop CS6 software. Acetabular upward and inward displacement, bilateral femoral eccentricity, bilateral abductor muscle arm, bilateral weight arm, lower limb length difference and acetabular pseudo-external angle; The vertical distance and the horizontal distance of the rotation center of the femoral head, the ratio of the eccentric distance of the femur, the arm of abductor muscle and the arm of body weight were compared and analyzed by using the ratio relationship between the rotation center of the femoral head and the rotation center of the femoral head. Results: there was no significant difference in the follow-up time between the excellent group and the non-excellent group (P0.05). In the control group, there was no significant difference in the ratio of rotation center of femoral head, the ratio of femoral eccentricity between the right side and the left side, and the ratio between the left side and the right side (P0.05). The vertical distance ratio of rotation center of femoral head in control group, excellent group and non-excellent group had statistical difference (P0.05). There was no significant difference in the horizontal distance ratio of femoral head rotation center between control group, excellent group and non-excellent group (P0.05). There was no significant difference in acetabular prosthesis between excellent group and non-excellent group (P0.05). There was no significant difference in the ratio of femoral eccentricity, abductor arm and weight arm between the control group and the excellent group (P0.05). The ratio of bilateral femoral eccentricity, abductor arm and weight arm were significantly different between the control group and the non-excellent group, the excellent group and the non-excellent group (P0.05). The difference of lower limb length between excellent and good group was statistically different from that of non-excellent group (P0.05). The abduction angle of excellent group was significantly different from that of non-excellent group (P0.05). Conclusion: reconstruction of femoral head rotation center of hip joint as far as possible or close to anatomical position, reconstruction or appropriate increase of femoral eccentricity, restoration of lower limb length, acetabular pseudo-external angle of 30o ~ 50o, hip joint function can be better recovered.
【学位授予单位】：遵义医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.4
本文编号：2470600
[Abstract]:Objective: to investigate the effect and significance of objective parameters of static structure on hip function after total hip arthroplasty (THR). Methods: the clinical data of 131 patients (153 hips) who met the inclusion criteria in the affiliated Hospital of Zunyi Medical College from 2015 to 2016 were analyzed retrospectively. The clinical data of 30 healthy adults (60 hips) in the same period were included as the control group. The clinical data of the experimental group were divided into good group and non-excellent group by Harris score. The vertical distance and horizontal distance of the rotation center of the femoral head in the control group, the excellent group and the non-excellent group were measured by Adobe Photoshop CS6 software. Acetabular upward and inward displacement, bilateral femoral eccentricity, bilateral abductor muscle arm, bilateral weight arm, lower limb length difference and acetabular pseudo-external angle; The vertical distance and the horizontal distance of the rotation center of the femoral head, the ratio of the eccentric distance of the femur, the arm of abductor muscle and the arm of body weight were compared and analyzed by using the ratio relationship between the rotation center of the femoral head and the rotation center of the femoral head. Results: there was no significant difference in the follow-up time between the excellent group and the non-excellent group (P0.05). In the control group, there was no significant difference in the ratio of rotation center of femoral head, the ratio of femoral eccentricity between the right side and the left side, and the ratio between the left side and the right side (P0.05). The vertical distance ratio of rotation center of femoral head in control group, excellent group and non-excellent group had statistical difference (P0.05). There was no significant difference in the horizontal distance ratio of femoral head rotation center between control group, excellent group and non-excellent group (P0.05). There was no significant difference in acetabular prosthesis between excellent group and non-excellent group (P0.05). There was no significant difference in the ratio of femoral eccentricity, abductor arm and weight arm between the control group and the excellent group (P0.05). The ratio of bilateral femoral eccentricity, abductor arm and weight arm were significantly different between the control group and the non-excellent group, the excellent group and the non-excellent group (P0.05). The difference of lower limb length between excellent and good group was statistically different from that of non-excellent group (P0.05). The abduction angle of excellent group was significantly different from that of non-excellent group (P0.05). Conclusion: reconstruction of femoral head rotation center of hip joint as far as possible or close to anatomical position, reconstruction or appropriate increase of femoral eccentricity, restoration of lower limb length, acetabular pseudo-external angle of 30o ~ 50o, hip joint function can be better recovered.
【学位授予单位】：遵义医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.4
【相似文献】
相关会议论文 前1条
1 胡红云;彭彦琴;;中国传统悲剧审美心理结构体系建构[A];第十二届全国心理学学术大会论文摘要集[C];2009年
相关硕士学位论文 前2条
1 徐云梁;THA术后静态结构对功能影响分析[D];遵义医学院;2017年
2 任仁;基于广义Tellegen定理的电力网络静态结构脆弱性研究[D];辽宁工业大学;2015年
，本文编号：2470600
本文链接：https://www.wllwen.com/yixuelunwen/waikelunwen/2470600.html
最近更新
教材专著
