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| 广西地区壮族人群正常髋关节形态学研究 |
| Analysis of morphology of the hip in healthy people in Guangxi Zhuang Autonomous Region |
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| DOI：10.3969/j.issn.1006.7108.2015.11.012 |
| 中文关键词: 髋关节 三维重建 形态学 测量参数 |
| 英文关键词:Hip joint 3-D reconstruction Morphology Parameter measurement |
| 基金项目:广西自然科学基金(2010GXNSFA013223);广西卫生厅重点课题（S201419-05) |
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| 中文摘要: |
| 目的 本研究对广西地区壮族人群正常成人的髋关节相关参数进行测量分析，为髋关节假体的设计与安放位置提供相关参考。方法 在2012年9月至2014年10月期间于我院影像科行髋关节CT检查的327例成年壮族人群中选取100例， 女性48例,男性52例，使用Mimics 15. 0软件重建出三维模型,对影响髋关节置换术的相关参数进行测量,并与国内外相关测量结果进行对比分析。结果 广西地区壮族人群的正常成年人髋关节相关参数测量结果为SID(55.38 ±2.76),AD(58.73 ±4. 40) ,CE(39.41 ±5.64), AI( 14.75 ± 3. 20) , ABA ( 49. 76 ±4. 98), Sharp 角（37.20 ± 3. 75 ) , AVA ( 37. 20 ± 3. 75 ) , ADD (10.45 ±2. 22),AHI(84. 90 ± 3. 20), NSA (127. 67 ±4. 13),FNA(13. 98 ± 0. 78),FHD(43. 80 ± 4. 63 ) , FHH (30. 32 ±4. 90)， FND(34.04 ±3. 25) ,FCL(46. 11 ±5. 32) ,FO(38. 55 ±4. 62),T+20 内外径（41. 98 ± 3.02)，T 内外径（25.95 ±2.42)，T-20 内 外径（19. 86 ±1.46)，峡部内径（9. 83 ±1.15),峡部外径（26.69 ±2.05)。本组测量数据表明，除AHI，NSA，T-20内外径及峡部内径之外,髋关节大部分相关参数均存在性别或者左右侧之间的差异。结论 广西壮族地区正常壮族成年人的髋关节相关参数和国内外其他地区均存在差异，中心边缘角差别最大，股骨近端峡部内径小于国内外所有测量结果，股骨近端形体较国外整体偏细。 |
| 英文摘要: |
| Objective This study analyzes anatomical parameters of the hip in healthy people in Guangxi Zhuang Autonomous Region, in order to provide evidence for the design and placement of the hip prosthesis. Methods One hundred people were selected from 327 healthy people who were performed CT scans in our hospital, including 48 females and 52 males. The images were imported into Mimics 15. 0 to perform 3D reconstruction and to analyze the parameters impacted to the hip arthroplasty. The data were compared with other results from national and international studies. Results The measurement results for the relevant parameters of the hip showed that SID was 55. 38 ± 2. 76, AD was 58. 73 ± 4. 40，CE was 39. 41 ± 5. 64，AI was 14. 75 ± 3. 20, ABA was 49. 76 ± 4. 98，Sharp angle was 37. 20 ± 3.75，AVA was 37. 20 ±3.15, ADD was 10.45 ± 2.22，AHI was 84. 90± 20, NSA was 127. 67 ± 4. 13, FNA was 13.98 ± 0. 78, FHD was 43. 80 ± 4. 63, FHH was 30. 32 ± 4. 90, FND was 34. 04 ± 3. 25，FCL was 46. 11 ±5. 32，and FO was 38. 55 土4, 62, respectively. The medial-lateral diameter of bone medullary cavity at the plane of 20 mm above was 41. 98 ± 3. 02，midpoint was 25. 95 ± 2.42，and 20 mm below the lesser trochanter was 19. 86 ±1, 46, respectively. The internal of the isthmus was 9.83 ±1. 15 and external of the isthmus diameter was 26. 69 ±2.05. The results showed that there were significant differences of most parameters of the hip between two genders and between the left and right except AHI, NSA, 20 mm below the lesser trochanter, and internal of the isthmus. Conclusion There are differences of hip joint parameters between healthy people in Guangxi Zhuang Autonomous Region and other areas. Compared with other published data，CE angle is the most different, internal diameter of isthmus is smaller, and the morphology of the proximal femur partial is smaller. |
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