汉族与蒙古族胫骨近端部分数字化解剖形态的测量与对比

发布时间：2018-05-22 09:10

本文选题：关节成形术 + 置换　；参考：《中国组织工程研究》2015年53期

【摘要】：背景:在进行国人膝关节假体设计以及全膝关节置换时,不仅要考虑到国人胫骨近端解剖特点和几何形态上的差异,同时也还应该注意不同种族间的差异性。目的:通过对汉族与蒙古族胫骨近端的C T断层扫描及三维重建测量,对比其在蒙、汉族之间的解剖形态学差异,为全膝关节置换的假体选择提供数据参考。方法:收集于关节外科就诊的患者60例,其中汉族组、蒙古族组各30例,各组均男15例,女15例,年龄(36.00±7.22)岁。16排螺旋CT扫描仪(美国GE公司Lightspeed 16)对其进行螺旋扫描,层厚0.625 mm,扫描图像以DICOM格式导出存盘。再利用Mimics 15.0三维重建软件进行数字化三维重建测量。分别对胫骨平台宽、胫骨平台内侧前后径和外侧前后径进行测量,以观察其在性别、侧别和民族间是否具有差异性。结果与结论:以上各指标值在左、右侧别间差异均无显著性意义(P0.05)。胫骨平台宽、胫骨平台内侧前后径和胫骨平台外侧前后径在男、女性别间和汉族、蒙古族之间差异均存在显著性意义(P0.05),具体表现在:(1)胫骨近端的形态学测量参数无论汉族组还是蒙古族组在性别间差异均存在显著性意义,且男性各均值大于女性。(2)部分参数指标在汉族与蒙古族间存在着一定的差异性,提示在施行人工全关节置换时,应根据国人形态特征、性别、民族、地区等差异正确地选择并放置假体。(3)数字化三维重建技术和个体化设计可以针对不同人群选择适合的假体,从而确保患者在全膝关节置换后获得良好的修复效果。
[Abstract]:Background: in the design of Chinese knee joint prosthesis and total knee arthroplasty, we should not only take into account the anatomical characteristics and geometry of the proximal tibia, but also pay attention to the differences among different races. Objective: to compare the anatomical and morphological differences of the proximal tibia between Han and Mongolian by CT tomography and 3D reconstruction, so as to provide a data reference for the prosthesis selection of total knee arthroplasty. Methods: a total of 60 patients, including 30 in Han nationality group and 30 in Mongolian nationality group, were included in this study. There were 15 males and 15 females in each group. The age was 36.00 卤7.22 years old. 16-row spiral CT scanner (GE Lightspeed 16) was performed. The slice thickness is 0.625 mm and the scanned image is exported in DICOM format. Then Mimics 15.0 software is used to measure the digital 3D reconstruction. The width of tibial plateau, medial anteroposterior and lateral anteroposterior diameters of tibial plateau were measured to observe whether there were differences in sex, side and nationality. Results and conclusion: there was no significant difference between the above indexes in left and right side (P 0.05). The width of tibial plateau, medial anteroposterior diameters of tibial plateau and lateral anteroposterior diameters of tibial plateau were in male, female and Han nationality. There were significant differences in the morphological parameters of the proximal tibia between the Han nationality and the Mongolian nationality both in the Han nationality and the Mongolian nationality. There are some differences between Han nationality and Mongolian nationality in some parameter indexes of male mean value is larger than female. It is suggested that in carrying out artificial total joint replacement, we should take into account the morphological characteristics, sex and nationality of Chinese people. The digital 3D reconstruction technology and individualized design can be used to select suitable prostheses for different population groups, so as to ensure that patients can get good results after total knee arthroplasty.
【作者单位】：内蒙古医科大学第二附属医院关节外科;内蒙古医科大学第二附属医院小儿骨科;北京市朝阳急诊抢救中心骨四科;内蒙古医科大学第二附属医院手足显微Ⅱ科;内蒙古医科大学基础医学院人体解剖学教研室;内蒙古自治区中医医院骨科;
【基金】：内蒙古自然科学基金资助项目(2015MS0897)~~
【分类号】：R687;R816.8

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