tileb2型骨盆骨折致创伤性髋股撞击征的计算机模拟及影像学测量研究临床医学外科学骨外专业论文.docxVIP

天津医科大学硕士学位论文测量发现：@TileB2型旋转不稳定性骨盆骨折在导致髋臼内旋时，会使髋关节 天津医科大学硕士学位论文 测量发现：@TileB2型旋转不稳定性骨盆骨折在导致髋臼内旋时，会使髋关节 后方过度覆盖，是造成FAI的危险因素；@TileB2型骨盆骨折导致髋股撞击征 的发生与以下两个因素有关：髋臼内旋角度和髋关节运动幅度。(3)临床上应 用健．患侧外展角差值法测量骨盆骨折后髋臼旋转角度与实际情况无显著差异， 其灵敏度较高，能够较准确的反映骨盆骨折后髋臼的旋转角度，即实验CT影像 测量结果与临床CT测读结果具有互易性，但临床应用时应注意其适应征和操作 要求。 关键词髋骨盆骨折髋股撞击征计算机模拟影像学测量 II 天津医科大学硕士学位论文Abstract 天津医科大学硕士学位论文 Abstract Objective To explore the genesis and development mechanism of traumatic femoroacetabular impingement induced by Tile-type—B2 pelvic fractures．To interpret the interrelationship between the level of rotational displacement of pelvic fractures and the range of motion of hip joint as traumatic femoroacetabular impingement happened． Methods(1)The stage of establishing a 3-D digital model：we need to establish the 3D digital models of pelvic ring and hip j oint based on CT section image、)、，ith Mimics software to simulate pelvic fractures and the movement of hip joint．The process to establish the 3D digital model of pelvic ring and hip joint include data acquisition，data saving and transmission technology,threshold values setup，image edit and 3-D calculation．(2)111e stage of computer simulation and image measurement：the procedure of this stage involved that：to set up the center of rotation of hip joint and acetabulum based on the feature of hip joint movement and the type of Tile B2 fracture of pelvic；to simulate concentric movement of hip joint and Tile B2 fracture of pelvic；to measure the distance from the junction of the femoral neck and head to posterior edge of acetabulum；to take statistic analysis using SPSS software．(3)The stage of validating the clinical measurement：we need to validate the result reciprocity between computer simulation and the clinical measurement on CT section image．The procedure involved that：to set up the center of rotation of pelvic fracture；to simulate pelvic fracture；to process measurement on CT section image；and to take statistic analysis using SPSS soft-ware． Results(1)We established the 3