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[1]駱聰聰,董一平,袁強(qiáng),等.股骨頭血供參數(shù)和平均壞死面積指數(shù)與股骨頭壞死ARCO分期的相關(guān)性分析[J].中醫(yī)正骨,2024,36(09):36-39,48.
　LUO Congcong,DONG Yiping,YUAN Qiang,et al.Analysing the correlations of femoral head blood supply parameters and mean necrotic area index with ARCO stage of femoral head necrosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2024,36(09):36-39,48.
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股骨頭血供參數(shù)和平均壞死面積指數(shù)與股骨頭壞死ARCO分期的相關(guān)性分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第36卷
期數(shù):
2024年09期
頁碼:
36-39,48
欄目:
技術(shù)研究
出版日期:
2024-09-20

文章信息/Info

Title:
Analysing the correlations of femoral head blood supply parameters and mean necrotic area index with ARCO stage of femoral head necrosis
作者:
駱聰聰1; 董一平1; 袁強(qiáng)1; 張寧2; 尤若楠1; 張穎3
(1.河南中醫(yī)藥大學(xué)研究生院,河南 鄭州 450046; 2.湖南中醫(yī)藥大學(xué)研究生院,湖南 長沙 410208; 3.河南省洛陽正骨醫(yī)院/河南省骨科醫(yī)院,河南 洛陽 471002)
Author(s):
LUO Congcong1; DONG Yiping1; YUAN Qiang1; ZHANG Ning2; YOU Ruonan1; ZHANG Ying3
1.Postgraduate College of Henan University of Chinese Medicine,Zhengzhou 450046,Henan,China 2.Postgraduate College of Hunan University of Chinese Medicine,Changsha 410208,Hunan,China 3.Luoyang Orthopedic-Traumatological Hospital,Luoyang 471002,Henan,China
關(guān)鍵詞:
股骨頭壞死;  股骨頭血供;  股骨頭壞死面積;  ARCO分期
Keywords:
femoral head necrosis;  femoral head blood supply;  femoral head necrotic area;  ARCO classification
摘要:
目的:分析股骨頭血供參數(shù)和平均壞死面積指數(shù)與股骨頭壞死國際骨微循環(huán)研究學(xué)會(Association Research Circulation Osseous,ARCO)分期的相關(guān)性,為量化評估股骨頭血供和壞死程度提供參考。方法:納入股骨頭壞死患者60例(65髖),其中ARCOⅠ期11髖、Ⅱ期23髖、Ⅲ期16髖、Ⅳ期15髖。于患者股骨頭血管造影片上測量并計算跨股骨頸的旋股內(nèi)側(cè)動脈長度與股骨頸直徑的比值、后上支持帶動脈數(shù)量、后下支持帶動脈數(shù)量等股骨頭血供參數(shù),于股骨頭軸位MRI T1加權(quán)像上測量并計算股骨頭平均壞死面積指數(shù)。比較不同ARCO分期患髖的股骨頭血供參數(shù)和平均壞死面積指數(shù),采用Spearman相關(guān)分析法分析股骨頭血供參數(shù)和平均壞死面積指數(shù)與股骨頭壞死ARCO分期的相關(guān)性。結(jié)果:不同ARCO分期患髖的跨股骨頸的旋股內(nèi)側(cè)動脈長度與股骨頸直徑的比值、后上支持帶動脈數(shù)量、后下支持帶動脈數(shù)量及股骨頭平均壞死面積指數(shù)的組間差異均有統(tǒng)計學(xué)意義(H=16.191,P=0.001; H=31.331,P=0.000; H=13.737,P=0.003; H=12.699,P=0.005)。Spearman相關(guān)分析顯示,跨股骨頸的旋股內(nèi)側(cè)動脈長度與股骨頸直徑的比值、后上支持帶動脈數(shù)量、后下支持帶動脈數(shù)量與股骨頭壞死ARCO分期均呈負(fù)相關(guān)(rs=-0.489,P=0.000; rs=-0.678,P=0.000; rs=-0.456,P=0.000),股骨頭平均壞死面積指數(shù)與股骨頭壞死ARCO分期呈正相關(guān)(rs=0.438,P=0.000)。結(jié)論:股骨頭血供參數(shù)與股骨頭壞死ARCO分期呈負(fù)相關(guān),股骨頭平均壞死面積指數(shù)與股骨頭壞死ARCO分期呈正相關(guān),這些指標(biāo)對于量化評估股骨頭血供和壞死程度具有一定的參考價值。
Abstract:
Objective:To analyze the correlations of femoral head(FH)blood supply parameters and mean necrotic area index(MNAI)with Association Research Circulation Osseous(ARCO)stage of femoral head necrosis(FHN)so as to provide a reference for quantitatively assessing the blood supply and necrotic degree of FH.Methods:Sixty FHN patients(65 hips)were enrolled in the study,with 11 hips in ARCO stageⅠ,23 hips in stageⅡ,16 hips in stageⅢ,and 15 hips in stageⅣ.The FH blood supply parameters,including the ratio of the length of medial femoral circumflex artery(MFCA)across the femoral neck to the diameter of femoral neck,the numbers of posterior superior retinacular artery(SRA)and posterior inferior retinacular artery(IRA),were measured on the angiogram of FH and then calculated.Additionally,the MNAI of FH was measured on the axial MRI T1-weighted image of the FH and then calculated.Furthermore,the FH blood supply parameters and MNAI of the affected hips in the different ARCO stages were compared,and the correlations of FH blood supply parameters and MNAI with the ARCO stage of FHN were analyzed by using Spearman's correlation analysis.Results:The differences were statistically significant in the ratio of the length of MFCA across the femoral neck to the diameter of femoral neck,the numbers of posterior SRA and IRA,MNAI among the hips in different ARCO stages(H=16.191,P=0.001; H=31.331,P=0.000; H=13.737,P=0.003; H=12.699,P=0.005).The results of Spearman correlation analysis revealed that the ratio of the length of MFCA across the femoral neck to the diameter of femoral neck,the numbers of posterior SRA and IRA were all negatively correlated with the ARCO stage of FHN(rs=-0.489,P=0.000; rs=-0.678,P=0.000; rs=-0.456,P=0.000); while,the MNAI of FH was positively correlated with the ARCO stage of FHN(rs=0.438,P=0.000).Conclusion:The FH blood supply parameters are negatively correlated with the ARCO stage of FHN; while,the MNAI is positively correlated with the ARCO stage of FHN.These indicators have a certain reference value for quantitatively assessing the blood supply and necrotic degree of FH.

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備注/Memo

備注/Memo:
基金項目:國家自然科學(xué)基金項目(81774348)
通訊作者:張穎 E-mail:[email protected]
更新日期/Last Update: 1900-01-01