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[1]宋兵華,孫俊英,倪增良,等.全膝關(guān)節(jié)置換術(shù)前CT測量股骨后髁角的臨床意義[J].中醫(yī)正骨,2015,27(07):38-39.
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全膝關(guān)節(jié)置換術(shù)前CT測量股骨后髁角的臨床意義()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年07期
頁碼:
38-39
欄目:
影像診斷
出版日期:
2015-07-31

文章信息/Info

作者:
宋兵華1孫俊英2倪增良1何斌1童舜誼1
1.浙江省蘭溪市人民醫(yī)院,浙江 蘭溪 321100;
2.蘇州大學附屬第一醫(yī)院,江蘇 蘇州 215006
關(guān)鍵詞:
關(guān)節(jié)成形術(shù)置換 體層攝影術(shù)X線計算機 股骨后髁角
摘要:
目的:探討全膝關(guān)節(jié)置換術(shù)(total knee arthroplasty,TKA)前應(yīng)用CT測量股骨后髁角(posterior condylar angle,PCA)的臨床意義。方法:選取86例出生或久居蘇浙滬地區(qū)的成年人,共涉及106膝,男47例53膝,女39例53膝; 年齡19~55歲,中位數(shù)38.5歲; 左膝34例,右膝32例,雙膝20例。所有膝關(guān)節(jié)均無任何損傷、病變、骨骼畸形、骨質(zhì)退變及內(nèi)外翻畸形。垂直于股骨干解剖軸對股骨遠端進行CT薄層掃描,選取經(jīng)過股骨內(nèi)、外上髁層面的CT圖像,采用Auto CAD軟件測量PCA。結(jié)果:本組受試者PCA1.65°~7.49°(4.80°±1.23°),男女PCA比較,差異無統(tǒng)計學意義(4.94°±1.24°,4.67°±1.21°,t=1.134,P=0.259); 左右膝PCA比較,差異無統(tǒng)計學意義(4.87°±1.24°,4.73°±1.22°,t=0.587,P=0.558)。使用矩法對樣本行偏度系數(shù)和峰度系數(shù)計算,經(jīng)雙側(cè)檢驗P值均大于0.05,符合正態(tài)分布。結(jié)論:PCA存在較大的個體差異,但不同性別及雙側(cè)PCA之間不存在差異。術(shù)前利用CT測定PCA,確定術(shù)中股骨后髁截骨的旋轉(zhuǎn)角度可能有助于提高TKA手術(shù)的成功率。

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備注/Memo

備注/Memo:
2014-11-07收稿 2015-01-23修回
通訊作者:宋兵華 E-mail:[email protected]
更新日期/Last Update: 2015-07-30