股骨头颈比例的解剖学和影像学观测  

Anatomy and medical imaging observation of the femoral head and neck ratio

作　　者：接健[1] 陈福扬[1] 徐国浩[1] 冯玉旭[1] 周斌[1] 

机构地区：[1]南京市浦口区中心医院骨科,江苏南京211800

出　　处：《临床骨科杂志》2015年第6期745-747,共3页Journal of Clinical Orthopaedics

摘　　要：目的通过对股骨样本实测,获得国人股骨头颈直径比例的正常值,并且与影像学数据进行对比,为临床治疗提供参考。方法解剖组测量60对股骨样本的股骨头颈比例;影像组测量600例行骨盆正位片检查患者的股骨头最大直径和股骨颈最小直径,并计算其比例。结果股骨头颈直径比例:解剖组为1.47±0.08,影像组为1.47±0.12,两组比较差异无统计学意义(P>0.05)。股骨头最大直径:解剖组为43.83 mm±4.13 mm,影像组为42.32 mm±7.44 mm,两组比较差异有统计学意义(P<0.01)。结论股骨头颈比例的测量在对髋关节撞击综合征的诊断、分型以及异常影像征象的量化方面有一定指导意义。Objective To obtain the normal femoral head-neck ratio for clinical reference by measuring femoral specimens and compare with imaging data. Methods Anatomical group included 60 pairs of femurs. Femoral head and neck was measured by the method of vernier caliper directly. The image group included 600 patients. Doherty＇s method was used to determine the biggest diameter of the femoral head and femoral neck minimum longitudinal size. Then measured the two indicators and calculated its proportion. Results The anatomical group＇ s femoral head-neck ratio was 1. 47 ± 0. 08. The image group＇s femoral head-neck ratio was 1. 47 ± 0. 12. There was no statistically significant between two groups（ P〉0. 05）. Maximum diameter of the femoral head was 43. 83 mm ± 4. 13 mm in anatomical group and 42. 32 mm ± 7. 44 mm in image group. The distance of the diameter of the femoral head between these two groups was statistically significant（ P〈0. 01）. Conclusions The imaging data which gained by using the standard methods can be used in clinical study of early identification and diagnosis with hip osteoarthritis and impingement syndrome.

关 键 词：股骨头颈比 撞击综合征 

分 类 号：R684.7[医药卫生—骨科学] R816.8[医药卫生—外科学]