Chinese Journal of Tissue Engineering Research ›› 2013, Vol. 17 ›› Issue (9): 1625-1632.doi: 10.3969/j.issn.2095-4344.2013.09.016
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Cai Si-qing1, Cai Dong-lu1, Yan Li-sheng1, Pan Yuan-cheng2, Zhuang Hua-feng2, Li Yi-zhong2
Received:
2012-11-08
Revised:
2012-11-17
Online:
2013-02-26
Published:
2013-02-26
Contact:
Li Yi-zhong, Master, Professor, Chief physician, Department of Surgery, the Second Clinical College of Fujian Medical University, Quanzhou 362000, Fujian Province, China
doctorlyz@sina.com
About author:
Cai Si-qing, Chief physician, Associate professor, Department of Imaging, the Second Clinical College of Fujian Medical University, Quanzhou 362000, Fujian Province, China
siqingcai@yahoo.com.cn
CLC Number:
Cai Si-qing, Cai Dong-lu, Yan Li-sheng, Pan Yuan-cheng, Zhuang Hua-feng, Li Yi-zhong. Geometry measurement of the proximal femur in the preoperative plan of hip fractures[J]. Chinese Journal of Tissue Engineering Research, 2013, 17(9): 1625-1632.
所有患者的股骨近端几何结构参数测量结果见表1。按年龄进行分层分析发现,50-59岁组骨折比例占14%,60-69岁组占18%,70岁及以上组占49%。随着年龄的增大,骨折比率显著增高。50-59岁组与60-69岁组比较,股骨颈轴长、股骨颈中段宽度、股骨颈中段髓腔宽度及颈干角差异均无显著性意义(P > 0.05),但是髓腔闪烁指数60-69岁组明显小于50-59岁(P < 0.01);60-69岁组与70岁以上组比较,股骨颈轴长、股骨颈中段宽度及颈干角差异均无显著性意义(P > 0.05),股骨颈中段髓腔宽度70岁以上组宽于60-69岁组(P < 0.05),髓腔闪烁指数70岁以上组较60-69岁组小(P < 0.05);50-59岁组与70岁以上组比较,股骨颈中段宽度及颈干角差异无显著性意义(P > 0.05),70岁以上组股骨颈轴长明显长于50-59岁组 (P < 0.01),股骨颈中段髓腔宽度70岁以上组宽于50-59岁组(P < 0.01),髓腔闪烁指数70岁以上组明显变小(P < 0.01),见表1。"
需要说明的是70岁以上组股骨颈轴长明显长于50-59岁组,课题组认为这一结果并不是颈轴长随年龄增长,而是由于70岁以上组中股骨颈骨折患者占49%所引起,因为股骨颈骨折患者的颈轴长明显大于非骨折组。 骨折组与非骨折组比较,股骨近端几何结构参数测量结果差异均有显著性意义(P < 0.01),与非骨折组比较,骨折组股骨颈轴长较长,股骨颈中段宽度较宽,股骨颈中段髓腔宽度较宽,颈干角较大,髓腔闪烁指数较小,见表1。 2.3 研究纳入的老年女性患者股骨髓腔闪烁指数的测量结果 纳入的204例老年女性患者股骨髓腔闪烁指数为2.17-5.40,平均值为3.50±0.55,见图4,5。 各年龄段患者股骨髓腔闪烁指数及分布情况见表2。与50-59岁患者比较,60-69岁及70岁以上患者股骨髓腔闪烁指数明显减小(P < 0.05),且70岁以上患者股骨髓腔闪烁指数小于60-69岁患者(P < 0.05),见表2。同时,骨折组患者髓腔闪烁指数显著低于非骨折组(P < 0.01),见表3。"
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