国人跟骨的螺旋CT三维重建测量数据及临床意义

发布时间：2019-05-19 19:22

【摘要】：目的：利用螺旋CT三维重建测量国人跟骨的解剖数据，并依此研究结果为国人跟骨骨折的解剖复位标准及畸形愈合矫形术提供了一组科学、客观的参考数据。对国人跟骨钢板的研究及设计提供一些参考数据。方法：收集100例（男性50例，女性50例）正常成人的跟骨CT扫描数据，将其重建后进一步测量跟骨长、宽、高及Bohler's角及Gissane's角。将测量数据与西方人数据相比较。结果：中国男性组跟骨长、宽及高分别为（74.60±5.06）、（29.71±2.93）、（45.23±4.46）mm；女性组为（71.48±5.36）、（26.65±3.01）、（42.23±4.49）mm，以上两组间比较差异均具有统计学意义(P＜0.05)。男性组Gissane's角度为（123.3±8.5）°，女性为（122.7±8.9）°，差异无统计学意义（P0.05）。男性组Bohler's角为（35.98±4.34）°，女性组为（38.31±4.43）°，比较差异具有统计学意义(P＜0.05)。国人跟骨全长、宽度及高度与西方人数据比较差异具有统计学意义（P＜0.05)。中国成人Bohler's角及Gissane's角测量数据与西方人比较无统计学意义（P0.05）。结论：中国女性成人跟骨长、宽、高较男性明显小，跟骨Bohler's角明显大于男性，两者间Gissane's角无明显差异。与西方人相关数据相比较，，中国成人的跟骨长、宽、高明显偏小，跟骨Bohler's角及Gissane's角则基本相同。
[Abstract]:Objective: to measure the anatomical data of calcaneal bone in Chinese by spiral CT three-dimensional reconstruction, and to provide a set of scientific and objective reference data for anatomical reduction standard and orthopaedic operation of calcaneal fracture in Chinese. It provides some reference data for the research and design of calcaneal plate in Chinese. Methods: the calcaneal CT scanning data of 100 normal adults (M 50, F 50) were collected. The calcaneal length, width, height, Bohler's angle and Gissane's angle were further measured after reconstruction. Compare the measured data with the Western data. Results: the length, width and height of calcaneal bone in Chinese male group were (74.60 卤5.06), (29.71 卤2.93), (45.23 卤4.46) mm;, respectively. There was significant difference between the two groups (41.48 卤5.36), (26.65 卤3.01), (42.23 卤4.49) mm, (P < 0.05). The Gissane's angle was (123.3 卤8.5) 掳in male group and (122.7 卤8.9) 掳in female group, there was no significant difference between male group and female group (P 0.05). The angle of Bohler' s was (35.98 卤4.34) 掳in male group and (38.31 卤4.43) 掳in female group, the difference was statistically significant (P < 0.05). There were significant differences in the length, width and height of calcaneal between Chinese and Westerners (P < 0.05). There was no significant difference in Bohler's angle and Gissane's angle between Chinese adults and Westerners (P 0.05). Conclusion: the calcaneal length, width and height of Chinese female adults are significantly smaller than those of males, and the Bohler' s angle of calcaneal bone is significantly larger than that of males. There is no significant difference in Gissane's angle between the two groups. Compared with the western data, the calcaneal length, width and height of Chinese adults were significantly smaller, while the Bohler's angle and Gissane's angle of calcaneal bone were basically the same.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R816.8;R683.42

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