中国医科大学学报

中国医科大学学报
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中国医科大学学报 ›› 2019, Vol. 48 ›› Issue (7): 615-618.doi: 10.12007/j.issn.0258-4646.2019.07.009

• 论著 • 上一篇    下一篇

Crowe IV型髋关节发育不良髋臼参数的分析

张敏健1, 李戈2, 杨礼庆2   

  1. 1. 宁波大学医学院附属医院关节外科, 浙江 宁波 315000;
    2. 中国医科大学附属盛京医院脊柱关节外科, 沈阳 110004
  • 收稿日期:2018-05-31 出版日期:2019-07-30 发布日期:2019-07-17
  • 通讯作者: 杨礼庆 E-mail:yliqing@163.com
  • 作者简介:张敏健(1991-),男,医师,硕士.
  • 基金资助:
    辽宁省教育厅科学技术研究项目(LK201610)

Analysis of Acetabular Parameters in Crowe Type Ⅳ Developmental Dysplasia of the Hip

ZHANG Minjian1, LI Ge2, YANG Liqing2   

  1. 1. Department of Orthopedics, The Affiliated Hospital of Medical School of Ningbo University, Ningbo 315000, China;
    2. Department of Orthopedics, Shengjing Hospital, China Medical University, Shengyang 110004, China
  • Received:2018-05-31 Online:2019-07-30 Published:2019-07-17

摘要: 目的 应用三维CT重建技术对Crowe Ⅳ型髋关节发育不良(DDH)的髋臼参数进行分析。方法 将27例(患髋31,健髋23)Crowe Ⅳ型DDH患者设为病例组,31例(正常髋31)单侧股骨颈骨折患者设为对照组。术前行双侧髋关节螺旋CT三维重建检查,测量分析髋臼外展角(ABA)和髋臼前倾角(AcAvA)。结果 病例组患髋ABA(40.29°±10.836°)与对照组正常髋ABA(50.74°±3.715°)比较,差异有统计学意义(P<0.05);病例组患髋AcAvA(23.68°±7.250°)与对照组正常髋AcAvA(20.55°±4.560°)比较,差异有统计学意义(P<0.05)。病例组27例患者中,患髋ABA(40.29°±10.836°)与健髋ABA(40.26°±7.599°)比较,差异无统计学意义(P>0.05);患髋AcAvA(23.68°±7.250°)与健髋AcAvA(25.39°±6.221°)比较,差异无统计学意义(P>0.05)。结论 Crowe Ⅳ型DDH患者的髋臼的病理改变不仅仅出现于患侧,其健侧的髋臼参数也发生变化。临床上对患侧髋关节功能评估的同时,也应该对健侧髋关节的功能进行充分评估。

关键词: 关节发育不良, CroweⅣ型, 髋臼前倾角, 髋臼外展角

Abstract: Objective To analyze the acetabular parameters in Crowe type Ⅳ developmental dysplasia of the hip(DDH)using three-dimensional computed tomography(CT). Methods We selected 27 patients(31 affected hips,23 unaffected hips)with Crowe type Ⅳ DDH as the case group and 31 patients(31 normal hips)with femoral neck fracture as the control group. All the patients were examined with spiral CT and three-dimensional reconstruction imaging before being operated to measure and analyze the acetabular anteversion angle(AcAvA)and the acetabular abduction angle(ABA). Results The ABA of the affected hips in the case group was 40.29°±10.836°, and that of the normal hips in the control group was 50.74°±3.715°;there were statistical differences between the values(P<0.05). The AcAvA of the affected hips in the case group was 23.68°±7.250°,and that of the normal hips in the control group was 20.55°±4.560°; there were statistical differences between these values(P<0.05). Among the 27 patients in the case group,the ABA of the affected and unaffected hips was 40.29°±10.836° and 40.26°±7.599°,respectively,with no statistical differences(P>0.05). In this group,the AcAvA of the affected and unaffected hips was 23.68°±7.250° and 25.39°±6.221°,respectively,with no statistical difference(P>0.05). Conclusion Pathologic changes of the acetabulum were observed not only in the affected side of DDH,but also in the unaffected side. While evaluating the function of the affected side in the clinic,the functional evaluation of the unaffected side must also be considered.

Key words: developmental dysplasia of hip, Crowe type Ⅳ, acetabular anteversion angle, abduction angle

中图分类号: 

  • R684.2
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