广西地区壮族人群正常膝关节形态学特征  

Morphological features of the knee joint in healthy Zhuang ethnic group from Guangxi Zhuang Autonomous Region,China

作　　者：章晓云[1] 陈跃平[1] 夏天[2] 康杰[1] 卓映宏 胡庆磊[2] 黎金焕 董盼锋[1] 赵斌[2] 曹桢斌[3] 

机构地区：[1]广西中医药大学附属瑞康医院创伤骨科与手外科,广西壮族自治区南宁市530011 [2]广西中医药大学,广西壮族自治区南宁市530001 [3]广西中医药大学附属瑞康医院影像科,广西壮族自治区南宁市530011

出　　处：《中国组织工程研究》2017年第20期3141-3146,共6页Chinese Journal of Tissue Engineering Research

基　　金：广西自然科学基金课题(2015GXNSFAA139136);广西高校青年教师基础能力提升项目(KY2016YB204);广西卫生厅重点课题(S201419-05);广西中医药大学校级科研项目(2015LX027);广西中医学院附属瑞康医院重点课题(RKZ201008);中央支持地方高校发展专项基金(J13167)~~

摘　　要：背景:随着国内进行膝关节置换的患者增多,这种因解剖参数与假体不匹配带来的并发症也越来越得到临床医师的重视。目的:通过三维重建数字化技术对广西地区壮族正常成年的膝关节解剖参数进行测量和统计分析,为人工膝关节假体设计及膝关节置换提供相关数据参考。方法:从217例膝关节CT检查的患者中选定68例资料,女性30例,男性38例,运动Mimics 15.0三维重建软件对CT图像数据进行重建模型,对膝关节解剖参数进行测量和分析。结果与结论:(1)股骨和胫骨各参数在左右侧之间差异均无显著性意义(P>0.05),股骨各参数在不同性别之间差异均有显著性意义(P<0.05),胫骨各参数在不同性别之间差异仅胫骨平台宽,胫骨外侧平台前后径,胫骨内侧平台最低点的平面线至腓骨头尖端平面的距离和胫骨平台后倾的倾斜角度结果无显著性意义(P>0.05),胫骨内侧平台宽、胫骨外侧平台宽和胫骨内侧平台前后径参数均有显著性意义(P<0.05);(2)股骨内侧髁前后缘距离与年龄呈负相关性,股骨侧所有参数均与身高呈正相关性;胫骨内侧平台宽和胫骨外侧平台宽与身高呈正相关性;(3)结果表明,三维重建技术对膝关节形态学研究提供了一种很好的方法和手段,建立了广西地区壮族人群的正常膝关节的解剖学参数,对符合壮族人群的假体设计与研究有一定的指导意义。BACKGROUND： With the increasing number of patients undergoing knee arthroplasty in China, the complications caused by the mismatch of prosthesis with anatomical parameters arouse extensive attentions. OBJECTIVE： To measure the anatomical parameters of the knee joints in healthy Zhuang ethnic group from Guangxi Zhuang Autonomous Region, China, using three-dimensional（3D） reconstruction technology, thus providing reference for the design and placement of the hip prosthesis. METHODS： Sixty-eight individuals, including 30 females and 38 males, were selected from 217 healthy people undergoing CT examination. All data were imported into Mimics 15.0 software used for 3D reconstruction, and then the knee parameters were then measured and analyzed. RESULTS AND CONCLUSION： There was no significant difference in the parameters of the bilateral femur and tibia（P〈0.05）. The femoral parameters had significant differences between genders（P〈0.05）. The width of tibial platform, sagittal length of lateral tibial platform, distance between medial tibial plateau and fibular head, and posterior slope of tibial plateau showed no significant differences between genders（P〉0.05）, while there were significant differences in the width of medial/lateral tibial platform, and sagittal length of medial tibial platform between genders（P〈0.05）. The sagittal length of medial femoral condyle was negatively correlated with age, and all femoral parameters were positively correlated with height; while only the width of medial and lateral tibial platform were positively correlated with height. To conclude, 3D reconstruction technology is available for research on the morphology of the knee joint in the Zhuang ethnic group from Guangxi Zhuang Autonomous Region, which provides references for prosthesis design and research appropriate for the Zhuang ethnic group.

关 键 词：膝关节 关节动度测量法 关节 生物形态 组织工程 组织构建 骨组织工程 测量参数 形态学 三维重建 广西壮族自治区自然科学基金 

分 类 号：R318[医药卫生—生物医学工程]