多层螺旋CT 三维重建在成人Crowe Ⅲ型髋关节发育不良全髋置换术前评估中的临床应用

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Abstract Objective To explore the clinical value of multi-slice spiral CT three-dimensional reconstruction in the preoperative total hip replacement for adult Crowe Ⅲhip dysplasia.Methods A total of 40 patients(40 hips)with Crowe Ⅲhip dysplasia admitted to the Fourth Department of Orthopaedics,Ganzhou Hospital of Traditional Chinese Medicine from September 2021 to December 2022 were selected as the study subjects,they were divided into the experimental group and the control group according to the computer generated random number method,with 20 cases in each group.The experimental group used multi-slice spiral CT three-dimensional reconstruction method preoperative,the control group underwent digital radiography (DR) anteroposterior and lateral photography preoperative.The detection of preoperative lesions,determination of true acetabulum,compliance of prostheses,surgical time,intraoperative bleeding and changes in length of both lower limbs preoperative and postoperative were compared between the two groups of patients.Results The detection rate of femoral head necrosis and joint capsule hydrops,the determination rate of true socket and the anastomosis rate of prosthesis in the experimental group were higher than those in the control group,the differences were statistically significant (P＜0.05).The surgical time of the experimental group patients was shorter than that of the control group,the intraoperative blood output was less than that of the control group,the differences were statistically significant (P＜0.05).There was no statistically significant difference in the length of the lower limbs between the two groups of patients preoperative (P ＞0.05).Postoperative,the difference in length between the two groups of patients' lower limbs was smaller than that preoperative,the difference in length of both lower limbs in the experimental group was smaller than that in the control group,the differences were statistically significant(P＜0.05).Conclusion The preoperative multi-slice spiral CT three-dimensional reconstruction can fully evaluate the preoperative aseptic necrosis of the femoral head and the joint cavity effusion,can reconstruct three-dimensional images to improve the determination rate of the true acetabulum,which provides sufficient basis for the preoperative formulation of acetabular reconstruction methods,reasonable selection of the size and model of the prosthesis,has important clinical significance in shortening the operation time,reducing intraoperative bleeding and reducing the length difference between the lower limbs postoperative.

Key words： Adult Hip dysplasia Multi-slice spiral CT Three-dimensional reconstruction Hip replacement

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[1]	涂强，丁焕文，曹露，等.三维重建在发育性髋脱位全髋关节置换术中的应用[J].中华临床医师杂志（电子版），2012，6（3）：724-725.
[2]	沈先月，刘潼，杨育晖，等.CT 三维重建应用于成人发育性髋关节发育不良股骨近端形态学研究的进展及意义[J].中华老年骨科与康复电子杂志，2018，4（6）：369-373.
[3]	张进，杨先腾，李森磊，等.髋臼原位重建及高髋关节中心技术治疗Crowe Ⅱ、Ⅲ型发育性髋关节发育不良的对比研究[J].骨科，2018，9（5）：359-364.
[4]	Greber EM，Pelt CE，Gililland JM，et al.Challenges in total hip arthroplasty in the setting of developmental dysplasia of the hip[J].J Arthroplasty，2017，32（9）：38-44.
[5]	尹海建，周杰，孙文建.全髋关节置换术后X 线影像参数与髋关节功能改善程度的相关性研究[J].现代医学，2020，48（8）：999-1005.
[6]	彭建平，王旭义，朱俊峰，等.发育性髋关节发育不良患者股骨近端畸形特点的研究[J].中华关节外科电子杂志，2017，3（3）：228-233.
[7]	祝勇，岳云亮，王岩峰，等.髋臼重建及S-ROM 假体全髋关节置换治疗重度髋关节发育不良[J].实用骨科杂志，2016，22（10）：914-917.
[8]	陈世柱.3D 打印技术在成人DDH 人工全髋关节置换术中的应用效果[J].临床医学研究与实践，2019，1（1）：9-10.
[9]	Ahmed E，Ibrahim EG，Ayman B.Total hip arthroplasty with subtrochanteric osteotomy in neglected dysplastic hip[J].Int Orthop，2015，39（1）：27-33.
[10]	潘兵，张志敬，李战友.成人髋臼发育不良全髋置换的髓臼重建[J].中国骨与关节损伤杂志，2008，23（10）：802-805.
[11]	Zagra L.Advances in hip arthroplasty surgery：What is justified?[J].EFORT Open Rev，2017，2（5）：171-178.
[12]	徐辉.3D 打印假体在人工关节置换中的应用[J].中华损伤与修复杂志，2016，11（4）：244-247.
[13]	曾懿，张德洲，易雪冰.多层螺旋CT 鉴别全髋关节置换术后迟发性无菌及感染性并发症[J].放射学实践，2021，36（2）：232-237.
[14]	卢俊雄.全髋关节置换术治疗成人髋关节发育不良临床疗效分析[D].南宁：广西医科大学，2019.
[15]	霍佳邦，赵畅，黄广鑫，等.CT 数据三维规划预测全髋关节置换假体型号及截骨的准确性与可复性[J].中国组织工程研究，2021，25（27）：4294-4299.
[16]	Su XY，Zhao JX，Zhao Z，et al.Three-Dimensional analysis of the characteristics of the femoral canal isthmus：An anatomical study[J].Biomed Res Int，2015，5（6）：459-612.
[17]	Gillet R，Teixeira P，Bonarelli C，et al.Comparison of radiographs,tomosynthesis and CT with metal artifact reduction for the detection of hip prosthetic loosening[J].Eur Radiol，2019，29（3）：1258-1266.
[18]	顾磊，胡永胜，巢惠民.螺旋CT 三维重建在髋关节置换术前的应用效果观察[J].影像研究与医学应用，2021，5（6）：32-33.
[19]	芮敏，顾家烨，张云庆，等.数字化三维重建技术在髋关节发育不良全髋关节置换术中的应用[J].临床骨科杂志，2019，22（2）：165-167.
[20]	黄世桥，高辉.全髋关节置换术治疗成人Crowe Ⅳ型发育性髋关节发育不良的研究进展[J].中华关节外科杂志（电子版），2016，10（1）：91-95.
[21]	翁文杰，邱旭升，张海林，等.Zweymuller 系统全髋关节置换术治髋臼发育不良的中期疗效分析[J].中国骨伤，2011，24（2）：158-161.
[22]	吴兴德，岑黄，崔运能.多排螺旋CT 在人工髋关节翻修术前评估的价值[J].分子影像学杂志，2020，43（2）：259-263.