中国组织工程研究 ›› 2023, Vol. 27 ›› Issue (36): 5856-5863.doi: 10.12307/2023.776

• 骨科植入物相关临床实践 Clinical practice of orthopedic implant • 上一篇    下一篇

贵州地区人群髋臼参数测量及临床意义

李琦哲1,孔  尧2,范建楠1,吴叶婷3,杨  华1,肖银龙1,孙  红1   

  1. 贵州医科大学附属医院,1骨科,3感染科,贵州省贵阳市   550004;2十堰市太和医院骨三科,湖北省十堰市   442000
  • 收稿日期:2022-10-18 接受日期:2022-12-14 出版日期:2023-12-28 发布日期:2023-03-25
  • 通讯作者: 孙红,贵州医科大学在读博士,主治医师,贵州医科大学附属医院骨科,贵州省贵阳市 550004
  • 作者简介:李琦哲,男,1986年生,汉族,2017年贵州医科大学毕业,硕士,主治医师,主要从事骨与关节运动损伤与修复研究。 孔尧,男,汉族,2017年贵州医科大学毕业,硕士,主治医师,主要从事骨与关节运动损伤与修复研究。
  • 基金资助:
    贵州省卫生健康委科学技术基金(gzwjkj2020-1-120),项目负责人:孙红;贵州省卫生健康委科学技术基金(gzwjkj2021-074),项目负责人:吴叶婷

Measurement and clinical significance of acetabular parameters in the Guizhou population

Li Qizhe1, Kong Yao2, Fan Jiannan1, Wu Yeting3, Yang Hua1, Xiao Yinlong1, Sun Hong1   

  1. 1Department of Orthopedics, 3Department of Infectious Disease, Affiliated Hospital of Guizhou Medical University, Guiyang 550004, Guizhou Province, China; 2Third Department of Orthopedics, Taihe Hospital, Shiyan 442000, Hubei Province, China
  • Received:2022-10-18 Accepted:2022-12-14 Online:2023-12-28 Published:2023-03-25
  • Contact: Sun Hong, Doctoral candidate, Attending physician, Department of Orthopedics, Affiliated Hospital of Guizhou Medical University, Guiyang 550004, Guizhou Province, China
  • About author:Li Qizhe, Master, Attending physician, Department of Orthopedics, Affiliated Hospital of Guizhou Medical University, Guiyang 550004, Guizhou Province, China Kong Yao, Master, Attending physician, Third Department of Orthopedics, Taihe Hospital, Shiyan 442000, Hubei Province, China
  • Supported by:
    the Science and Technology Fund of Guizhou Provincial Health Commission, Nos. gzwjkj2020-1-120 (to SH), gzwjkj2021-074 (to WYT)

摘要:


文题释义:

髋臼:髋臼位于髋骨外侧面中央,呈半球形深凹,直径30-50 mm,表面覆盖厚约2 mm的透明关节软骨,呈半月形分布。
髋关节置换:是将人工假体,包含股骨部分和髋臼部分,利用骨水泥和螺钉固定在正常的骨质上,以取代病变的关节,重建患者髋关节的正常功能,是一种较成熟、可靠的治疗手段。
发育性髋关节发育不良:是指与婴儿和幼儿髋关节发育相关的一系列疾病,包括髋臼和股骨近端的发育异常以及髋关节的力学不稳定性。

背景:不同地区、不同民族人群的髋臼解剖参数存在一定差异,其对髋臼疾病的诊疗至关重要。然而贵州地区人群髋臼影像学参数特征目前仍不清楚。
目的:分析髋臼X射线平片的影像学参数特征,为髋臼疾病诊疗、假体设计和安放提供参考。
方法:收集2015年1月至2017年2月在贵州医科大学附属医院拍摄双髋关节正位X射线片的成人患者,使用医学影像软件SIEMENS 
Syngo.Plaza PACS测量髋臼相关影像学参数,将数据按照年龄、性别、左右侧别进行分组分析,髋臼参数之间进行Pearson相关性分析,并将获得的数据与国内外研究同类型数据进行对比。

结果与结论:①贵州地区人群Sharp角为(39.70±3.65)°,中心边缘角为(31.10±6.03)°,前倾角为(19.17±4.26)°,外展角为(39.71±3.67)°,髋臼深度为(1.16±0.22) cm,髋臼直径为(6.45±0.52) cm,改良髋臼指数为0.33±0.03,头臼指数为(84.72±4.19)%;②不同年龄之间,男性和女性Sharp角存在差异(P < 0.05);男性外展角存在差异(P < 0.05);③不同性别之间,Sharp角、中心边缘角、前倾角、外展角、髋臼深度、髋臼直径存在差异,其中男性Sharp角、前倾角、外展角小于女性(P < 0.05);男性中心边缘角、髋臼深度、髋臼直径大于女性(P < 0.05);④不同侧别之间,髋臼相关参数均无明显差异;⑤贵州地区人群髋臼相关影像学参数与国内外研究同类型数据相比存在差异;总的来说,贵州地区人群髋臼影像学参数具有一定的特征,在临床诊疗髋臼疾病时应充分考虑髋臼影像学的地域独特性,以期取得更大的临床获益。

https://orcid.org/0000-0002-4195-501X (孙红) 

中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱;骨折;内固定;数字化骨科;组织工程

关键词: 贵州地区人群, 成人, 髋臼, 影像学, 发育性髋关节发育不良, 人工髋关节置换, 髋臼假体

Abstract: BACKGROUND: There are some differences in acetabular anatomical parameters among different regions and different populations, which are very important for the diagnosis and treatment of acetabular diseases. However, the characteristics of acetabular imaging parameters in the Guizhou population are still unclear. 
OBJECTIVE: To analyze the imaging parameters of acetabular plain radiographs, so as to provide a reference for the diagnosis and treatment of acetabular diseases and the design and installment of the acetabular prosthesis. 
METHODS: Adult patients who underwent anteroposterior radiography of both hip joints at the Affiliated Hospital of Guizhou Medical University from January 2015 to February 2017 were collected. The acetabular radiographic parameters were measured using the medical imaging software SIEMENS Syngo.Plaza PACS. The data were grouped and analyzed according to age, sex and left and right sides. Pearson correlation analysis was performed between acetabular parameters. The data in the current study were compared with domestic and foreign studies containing the same type of data. 
RESULTS AND CONCLUSION: (1) Sharpe angle, center edge angle, anteversion angle, abduction angle, acetabular depth, acetabular diameter, modified acetabular index, and acetabular head index were (39.70±3.65)°, (31.10±6.03)°, (19.17±4.26)°, (39.71±3.67)°, (1.16±0.22) cm, (6.45±0.52) cm, (0.33±0.03), and (84.72±4.19)%, respectively. (2) There were statistical differences in Sharp angle between males and females at different age groups (P < 0.05); statistical differences in abduction angle were found in males among different age groups (P < 0.05). (3) There were differences in Sharp angle, center edge angle, anteversion angle, abduction angle, acetabular depth and acetabular diameter between genders. Sharp angle, anteversion angle and abduction angle were smaller in males than those in females (P < 0.05). The center edge angle, acetabular depth, and acetabular diameter were greater in males than that in females (P < 0.05). (4) There were no significant differences in acetabular parameters between the sides. (5) There were differences in the acetabular imaging parameters of the population in the Guizhou district when compared with the same type of data from domestic and foreign studies. Taken together, the acetabular imaging parameters of the population in Guizhou have certain characteristics. The regional features of acetabular imaging parameters should be fully considered in the clinical diagnosis and treatment of acetabular diseases to achieve greater clinical benefits.

Key words: Guizhou population, adult, acetabulum, imaging, developmental dysplasia of hip, total hip arthroplasty, acetabular prosthesis

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