髋臼中心定位器在人尸体髋臼的解剖学测量分析-外科学专业论文.docxVIP

PAGE PAGE 10 髋臼中心定位器在人尸体髋臼的解剖学测量分析 中文摘要 目的：探讨应用髋臼中心定位器（acetabular center locator ACL）测量髋臼前后切 迹连线中点至髋臼中心的距离，为人工全髋置换术（total hip arthroplasty THA） 术中定位髋臼中心，安放髋臼假体提供解剖学依据。 方法：1、选取 20 具正常成年人骨盆标本（40 髋），剥离骨盆的软组织，显露出 髋臼缘、髋臼前后切迹和 Harris 窝；2、通过髋臼开口平面的垂直径和水平径的 交点确定髋臼的中心，并记录垂直径和水平径数值，再利用髋臼中心定位器测量 髋臼前后切迹连线中点至髋臼中心的距离（the midpoint of line connected with acetabular notehes to the acetabular center MAC）；3、使用统计学软件对测得的实 验数据进行分析，论证它们之间的相关性。 结果：根据测量的 MAC 分别与髋臼的垂直径、水平径、水平径与垂直径之和数 据绘制散点图，提示 MAC 和髋臼水平径、垂直径、水平径与垂直径之和呈一定 的正性线性相关，进一步使用 SPSS19.0 软件分别计算 pearson 系数 R=0.89、0.81、 0.91，从 pearson 线性分析可知相比于 MAC 和垂直径或水平径，MAC 和髋臼水 平径与垂直径之和变量的相关系数更接近 1，更具有明显的正性线性相关。 结论：从 pearson 线性分析提示 MAC 和髋臼水平径与垂直径之和呈线性正性相 关性，提示可以通过测量髋臼水平径和垂直径的距离来得到 MAC 的值，从而可 应用髋臼中心定位器可在 THA 和翻修术中快速准确的确定髋臼中心，为正确安 放髋臼假体，恢复髋关节解剖旋转中心提供一种新的的方法。 关键词：髋臼中心；髋臼切迹；髋臼中心定位器；髋臼水平径；髋臼垂直径；解 剖学。 Anatomy analysis of using acetabulum center locator measure acetabulum of cadaver Abstract Objective: Disscuss a method about measure the distance between the midpoint of acetabular notch line connecting and the centre point of acetabular by acetabular center locator ACL. It can provide the anatomy basis for the man-made total hip arthroplasty (THA) to make sure the acetabular prosthesis is on the right place. Method steps:1.Select specimens of pelvis (40 hips) from 20 normal adults, peel the soft tissue of pelvis, then get the labrum acetabular, acetabular notch and Harris fossa.2.According to the intersection point of vertical diameter and horizontal diameter of acetabular bone to acquire the center point of acetabulum. And take notes about the distance between vertical diameter and horizontal diameter. Then use the acetabular center locator ACL to measure the distance between the midpoint of line connected with acetabular notehes to the acetabular center MAC.3.Analyse all the data with statistic analysis software help. Demonstrate the relationship between them. Outcome: Draw a scatter diagram according to the data of MAC with each of vertical