J4 ›› 2011, Vol. 37 ›› Issue (6): 1136-1140.

• 影像学 • 上一篇    下一篇

CT三维重建下髋臼形态的测量及其意义

韩莹莹1,肖成双2|杨麒巍*,来 颖1|郝 爽*,马鹤成*,李幼琼3   

  1. 1.吉林大学中日联谊医院放射线科,吉林 长春 130033;2.吉林省松原市中心医院放射线科|吉林 松原 138200;3.吉林大学白求恩医学院人体解剖学教研室,吉林 长春 130021
  • 收稿日期:2011-05-04 出版日期:2011-11-28 发布日期:2011-11-28
  • 通讯作者: 来 颖(Tel:0431-84997616,E-mail:laiyingemail@163.com) E-mail:laiyingemail@163.com
  • 作者简介:韩莹莹(1985-),女,辽宁省鞍山市人,医师,医学硕士,主要从事医学影像学研究。

Measurement of acetabular morphology under |three-dimensional reconstruction of CT and its significance

HAN Ying-ying1,XIAO Cheng-shuang2,YANG Qi-wei*,LAI Ying1|HAO Shuang*,MA He-cheng*,LI Yong-qiong3   

  1. 1.Department of Radiology,Chian-Japan Friendship Hospital,Jilin University,Changchun 130033,China;2.Department of Radiology,Central Hospital,Songyuan City,Songhuan 138200,China;3.Department of Human Anatomy,Norman Bethune College of Medicine,Jilin University,Changchun 130021,China
  • Received:2011-05-04 Online:2011-11-28 Published:2011-11-28
  • Supported by:

    卫生部科教司科研基金资助课题(200903-039)

摘要:

目的:利用髋臼CT三维重建图像对中国人髋臼形态进行相关测量,为髋关节疾病的预防和治疗提供相应的依据。方法:对96例(192侧)成年髋关节CT扫描进行三维重建,在重建图像上测量髋臼指数(AA)、CE角、ACE角、前倾角(AVA)、外展角(ABA)和髋臼上下径(SID)参数。结果:总AA为(8.78±5.34)°,其中男性为(7.84±5.55)°,女性为(9.60±5.06)°;总CE角为(33.59±5.91)°,其中男性为(34.55±6.03)°,女性为(32.78±5.70)°;总ACE角(29.01±5.65)°,其中男性为(28.02±5.94)°,女性为(29.80±5.30)°;总AVA为(20.92±5.55)°,其中男性为(20.48±5.08)°,女性为(21.25±5.89)°;总ABA为(51.27±4.16)°,其中男性为(51.71±4.37)°,女性为(50.89±3.96)°;总SID(53.79±3.92)mm,其中男性为(56.55±2.64)mm,女性为(51.46±3.25)mm。AA、CE角、ACE角及SID男女比较差异有统计学意义(P<0.05),而左右比较差异无统计学意义(P>0.05),并且与国外报道外国人髋臼形态比较差异有统计学意义(P<0.05)。结论:国人男女髋臼形态存在差异,且与外国人髋臼形态存在显著性差异。研究国人髋臼形态学参数比单纯应用国外数据能更好地指导国内全髋关节置换术的术前准备以及术中操作,并对国人假体的设计具有指导意义。

关键词: 髋臼;计算机体层扫描;三维重建

Abstract:

Objective
To measure the acetabular morphology of Chinese on CT three-dimensional (3D) reconstruction image,and provide the evidence on the prevention and treatment of hip diseases.Methods 96 cases (192 sides) of adult hip CT scans were reconstructed,the acetabular index (AA),center-edge(CE),ACE angle,anteversion angle(AVA),abduction angle(ABA),and vertical diameter(SID) were measured.Results The  total acetabular index was (8.78 ± 5.34) °,of which male was (7.84 ± 5.55) °and female was (9.60 ± 5.06)°. The total CE was (33.59 ± 5.91) °,of which male was(34.55 ± 6.03) ° and female was(32.78 ± 5.70) °.The total ACE angle was (29.01 ± 5.65) °,of which male was (28.02 ± 5.94) °and female was (29.80 ± 5.30)°.The total AVA was (20.92 ± 5.55)°,of which male was (20.48 ± 5.08)°and female was (21.25 ± 5.89)°.The total ABA  was (51.27 ± 4.16) °,of which  male was (51.71 ± 4.37)°and female was (50.89 ± 3.96)°.The total SID was(53.79 ± 3.92) mm,of which male was (56.55 ± 2.64) mm and female was 〖JP2〗(51.46 ± 3.25) mm.Of the above data,there were statistical differences in the acetabular index,CE angle,ACE angle 〖JP〗and acetabular diameter between men and women(P<0.05),Chinese and foreigners(P<0.05).While there was no statistical difference between the left and right sides(P>0.05). Conclusion There are differences in acetabular morphology between men and women,Chinese and foreigners.Compared with simply using overseas data,it is better to study morphological parameters of native acetabulaum to instruct the preoperative preparation and operation of national total hip arthroplasty surgery.And it is meaningful to design national parameters.

Key words: acetabulum;computed tomography;three-dimensional reconstruction

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