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[1]保超宇,潘斯學(xué),盧鈺,等.X線影像下確定成人尺骨冠突置釘安全區(qū)的可行性研究[J].中醫(yī)正骨,2022,34(12):14-17.
　BAO Chaoyu,PAN Sixue,LU Yu,et al.A feasibility study of determining safe zone of coronoid process of ulna in adults by X-ray imaging[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2022,34(12):14-17.
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X線影像下確定成人尺骨冠突置釘安全區(qū)的可行性研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期數(shù):
2022年12期
頁(yè)碼:
14-17
欄目:
臨床研究
出版日期:
2022-12-02

文章信息/Info

Title:
A feasibility study of determining safe zone of coronoid process of ulna in adults by X-ray imaging
作者:
保超宇1; 潘斯學(xué)2; 盧鈺1; 何光雄2; 韓翔宇2; 夏吉良2; 陳帥2; 邱榮能2; 向俊宜1
(1.云南省中醫(yī)醫(yī)院,云南 昆明 650021; 2.云南中醫(yī)藥大學(xué),云南 昆明 650500)
Author(s):
BAO Chaoyu1; PAN Sixue2; LU Yu1; HE Guangxiong2; HAN Xiangyu2; XIA Jiliang2; CHEN Shuai2; QIU Rongneng2; XIANG Junyi1
1.Yunnan Provincial Hospital of Traditional Chinese Medicine,Kunming 650021,Yunnan,China 2.Yunnan University of Chinese Medicine,Kunming 650500,Yunnan,China
關(guān)鍵詞:
尺骨;  尺骨冠突;  放射攝影術(shù);  置釘安全區(qū);  成年人;  可行性研究
Keywords:
ulna;  coronoid process of ulna;  radiography;  safe zone;  adult;  feasibility studies
摘要:
目的:探討X線影像下確定成人尺骨冠突置釘安全區(qū)的可行性。方法:收集2020年7月至2021年11月在云南省中醫(yī)醫(yī)院就診的102例成人患者的肘關(guān)節(jié)X線片資料,根據(jù)性別分為男性組和女性組,測(cè)量并比較2組患者標(biāo)準(zhǔn)肘關(guān)節(jié)側(cè)位X線片上的尺骨冠突置釘最大頭傾角、置釘安全角范圍、置釘危險(xiǎn)區(qū)、置釘安全區(qū),采用Pearson相關(guān)分析分別分析2組患者尺骨冠突置釘安全角范圍與尺骨冠突置釘安全區(qū)的相關(guān)性。結(jié)果:男性組和女性組的尺骨冠突置釘最大頭傾角、置釘安全角范圍、置釘危險(xiǎn)區(qū)的組間差異均無(wú)統(tǒng)計(jì)學(xué)意義[84.15°±4.42°,82.70°±5.47°,t=1.432,P=0.155; 37.54°±6.00°,37.54°±7.43°,t=0.003,P=0.998;(26.58±4.78)mm,(25.68±5.03)mm,t=0.914,P=0.363],男性組的尺骨冠突置釘安全區(qū)大于女性組[(33.16±5.40)mm,(29.41±5.60)mm,t=3.399,P=0.001]。男性組和女性組的尺骨冠突置釘安全角范圍均與尺骨冠突置釘安全區(qū)呈正相關(guān)(r=0.658,P=0.000; r=0.688,P=0.000)。結(jié)論:X線影像下確定成人尺骨冠突置釘安全區(qū)具有可行性,男性尺骨冠突置釘安全區(qū)大于女性,且置釘安全角范圍與置釘安全區(qū)呈正相關(guān),臨床上應(yīng)根據(jù)患者性別選擇不同的置釘安全區(qū)。
Abstract:
Objective:To explore the feasibility of determining safe zone of coronoid process of ulna in adults by X-ray imaging.Methods:Elbow radiographs of 102 adult patients treated in the Yunnan Provincial Hospital of Traditional Chinese Medicine from July 2020 to November 2021 were collected and divided into a male group and a female group according to the gender.The maximum head-tilting angle,safe angle range,risk zone,and safe zone of screw fixation in coronoid process of ulna on standard lateral elbow radiographs were measured and compared between the two groups.By virtue of Pearson correlation analysis,the correlation between the safe angle range and safe zone of screw fixation in coronoid process of ulna in the two groups was analyzed.Results:There were no significant differences in maximum head-tilting angle,safe angle range,and risk zone of screw fixation in coronoid process of ulna between the male group and the female group(84.15°±4.42° vs 82.70°±5.47°,t=1.432,P=0.155; 37.54°±6.00° vs 37.54°±7.43°,t=0.003,P=0.998; 26.58±4.78 vs 25.68±5.03 mm,t=0.914,P=0.363),while the safe zone of coronoid process of ulna in the male group was larger than that in the female group(33.16±5.40 vs 29.41±5.60 mm,t=3.399,P=0.001).The safe angle ranges of screw fixation in coronoid process of ulna in the male group and the female group were positively correlated with the safe zone of coronoid process of ulna(r=0.658,P=0.000; r=0.688,P=0.000).Conclusion:It is feasible to determine the safe zone of coronoid process of ulna in adults by X-ray imaging.The safe zone of coronoid process of ulna in males is larger than that in females,and the safe angle range is positively correlated with the safe zone.Different safe zones of coronoid process of ulna should be selected clinically according to the gender of patients.

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(收稿日期:2022-02-12 本文編輯:時(shí)紅磊)

備注/Memo

備注/Memo:
通訊作者:向俊宜 E-mail:[email protected]
更新日期/Last Update: 1900-01-01