飞行员ACL重建术后骨道改变CT三维重建与临床效果的相关性

发布时间：2018-05-10 17:47

本文选题：三维重建 + ACL重建　；参考：《空军医学杂志》2016年06期

【摘要】：目的通过对飞行员膝关节前交叉韧带重建术后股骨、胫骨骨道的CT三维重建及骨道三轴直径改变的测定,评价骨道改变与临床随访结果的相关性。方法入选病例均为单纯前交叉韧带断裂,使用双股半腱肌股薄肌肌腱单束重建,上止点固定均采用endo-button固定,下止点采用可吸收挤压螺钉+门形钉固定。进行术前、术后6、12个月的Lysholm功能评分及骨道的CT三维重建,应用SPSS 12.0软件对随访数据资料进行统计分析。结果入组病例共21例。术前Lysholm评分27~68分,平均(48.85±11.39)分;术后6个月Lysholm评分61~92分,平均(80.31±7.96)分(P0.01)。术后12个月Lysholm评分74~96分,平均(87.31±6.74)分(P0.01)。术后6、12个月股骨骨道改变,2组间总体上差异有统计学意义(F=0.03,P0.05)。术后6、12个月胫骨骨道改变,差异无统计学意义(F=0.8 6,P0.05)。骨道改变与临床效果无统计学意义(P0.05)。结论从股骨道或者胫骨道的近点、中点、远点中任何一点都可以测量骨道的增宽改变,其结果均可进行相关的研究。其中股骨骨道的增宽较胫骨骨道明显,但二者的改变与临床效果无相关性。
[Abstract]:Objective to evaluate the correlation between bone canal changes and clinical follow-up results by measuring CT 3D reconstruction and triaxial diameter changes of femoral and tibial bone canal after anterior cruciate ligament reconstruction of knee joint in pilots. Methods all patients were treated with simple rupture of anterior cruciate ligament. Single bundle of double semitendinosus tendinosus tendinis was reconstructed with endo-button fixation at upper and end point and portal nail with absorbable compression screw at lower end point. Lysholm functional score and CT 3D reconstruction of bone tract were performed before, 6 and 12 months after operation. The follow-up data were statistically analyzed by SPSS 12.0 software. Results there were 21 cases in the group. The preoperative Lysholm score was 278.85 卤11.39, and the average Lysholm score was 80.31 卤7.96 at 6 months after operation (P 0.01). 12 months after operation, the Lysholm score was 74 to 96, with an average score of 87.31 卤6.74 (P 0.01). There was a significant difference between the two groups in the changes of femoral bone canal at 6 and 12 months after operation, and there was significant difference between the two groups in terms of F0. 03 and P0. 05. There was no significant difference in the change of tibial bone canal between 6 months and 12 months after operation, and there was no significant difference between the two groups (P 0.05, P 0. 05, P 0. 05). There was no significant difference between the changes of bone canal and clinical effect (P 0.05). Conclusion the changes of bone canal width can be measured from the proximal, midpoint and distal point of the femoral or tibial tract, and the results can be studied. The widening of the femoral bone canal was more obvious than that of the tibial bone canal, but there was no correlation between the changes and the clinical effect.
【作者单位】：空军总医院骨科;
【分类号】：R856

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