X线影像下确定成人尺骨冠突置钉安全区的可行性研究  

A feasibility study of determining safe zone of coronoid process of ulna in adults by X-ray imaging

作　　者：保超宇 潘斯学 卢钰 何光雄 韩翔宇 夏吉良 陈帅 邱荣能 向俊宜[1] BAO Chaoyu;PAN Sixue;LU Yu;HE Guangxiong;HAN Xiangyu;XIA Jiliang;CHEN Shuai;QIU Rongneng;XIANG Junyi(Yunnan Provincial Hospital of Traditional Chinese Medicine,Kunming 650021,Yunnan,China;Yunnan University of Chinese Medicine,Kunming 650500,Yunnan,China)

机构地区：[1]云南省中医医院,云南昆明650021 [2]云南中医药大学,云南昆明650500

出　　处：《中医正骨》2022年第12期14-17,共4页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:探讨X线影像下确定成人尺骨冠突置钉安全区的可行性。方法:收集2020年7月至2021年11月在云南省中医医院就诊的102例成人患者的肘关节X线片资料,根据性别分为男性组和女性组,测量并比较2组患者标准肘关节侧位X线片上的尺骨冠突置钉最大头倾角、置钉安全角范围、置钉危险区、置钉安全区,采用Pearson相关分析分别分析2组患者尺骨冠突置钉安全角范围与尺骨冠突置钉安全区的相关性。结果:男性组和女性组的尺骨冠突置钉最大头倾角、置钉安全角范围、置钉危险区的组间差异均无统计学意义[84.15°±4.42°,82.70°±5.47°,t=1.432,P=0.155;37.54°±6.00°,37.54°±7.43°,t=0.003,P=0.998;(26.58±4.78)mm,(25.68±5.03)mm,t=0.914,P=0.363],男性组的尺骨冠突置钉安全区大于女性组[(33.16±5.40)mm,(29.41±5.60)mm,t=3.399,P=0.001]。男性组和女性组的尺骨冠突置钉安全角范围均与尺骨冠突置钉安全区呈正相关(r=0.658,P=0.000;r=0.688,P=0.000)。结论:X线影像下确定成人尺骨冠突置钉安全区具有可行性,男性尺骨冠突置钉安全区大于女性,且置钉安全角范围与置钉安全区呈正相关,临床上应根据患者性别选择不同的置钉安全区。Objective:To explore the feasibility of determining safe zone of coronoid process of ulna in adults by X-ray imaging.Methods:Elbow radiographs of 102 adult patients treated in the Y unnan Provincial Hospital of Traditional Chinese Medicine from July 2020 to November 2021 were collected and divided into a male group and a female group according to the gender.The maximum headtilting angle,safe angle range,risk zone,and safe zone of screw fixation in coronoid process of ulna on standard lateral elbow radiographs were measured and compared between the two groups.By virtue of Pearson correlation analysis,the correlation between the safe angle range and safe zone of screw fixation in coronoid process of ulna in the two groups was analyzed.Results:There were no significant differences in maximum head-tilting angle,safe angle range,and risk zone of screw fixation in coronoid process of ulna between the male group and the female group.(84.15°±4.42°vs 82.70°±5.47°,t=1.432,P=0.155;37.54°±6.00°vs 37.54°±7.43°,t=0.003,P=0.998;26.58±4.78 vs 25.68±5.03 mm,t=0.914,P=0.363),while the safe zone of coronoid process of ulna in the male group was larger than that in the female group(33.16±5.40 vs 29.41±5.60 mm,t=3.399,P=0.001).The safe angle ranges of screw fixation in coronoid process of ulna in the male group and the female group were positively correlated with the safe zone of coronoid process of ulna(r=0.658,P=0.000;r=0.688,P=0.000).Conclusion:It is feasible to determine the safe zone of coronoid process of ulna in adults by X-ray imaging.The safe zone of coronoid process of ulna in males is larger than that in females,and the safe angle range is positively correlated with the safe zone.Different safe zones of coronoid process of ulna should be selected clinically according to the gender of patients.

关 键 词：尺骨 尺骨冠突 放射摄影术 置钉安全区 成年人 可行性研究 

分 类 号：R274.1[医药卫生—中医骨伤科学]