半腱肌止点定位的相关因素研究  

Correlation study on the influencing factors of semitendinosus insertion location

作　　者：亚力坤·玉苏甫 张雨 陈东阳[1,2] 蒋青 Yalikun·Yusufu;ZHANG Yu;CHEN Dongyang;JIANG Qing(Division of Sports Medicine and Adult Reconstructive Surgery,Department of Orthopedic Surgery,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing Jiangsu,210008,P.R.China;Branch of National Clinical Research Center for Orthopedics,Sports Medicine and Rehabilitation,Nanjing Jiangsu,210008,P.R.China)

机构地区：[1]南京大学医学院附属鼓楼医院骨科、运动医学与成人重建外科,南京210008 [2]国家骨科与运动康复临床医学研究中心分中心,南京210008

出　　处：《中国修复重建外科杂志》2023年第8期978-981,共4页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的探讨半腱肌止点至胫骨平台垂直距离(S-T)与患者体格特征间的关系,为临床设计半腱肌止点切口提供参考。方法以2022年1月—12月接受初次前交叉韧带重建治疗的韧带损伤患者为研究对象。收集患者基线资料,包括年龄、性别、身高、体质量,在韧带重建术中测量S-T。以S-T为因变量、患者基线资料为自变量,行多重线性回归分析并建立回归方程,判断半腱肌止点位置影响因素。结果根据标准共纳入214例患者,其中男156例、女58例,年龄(27±9)岁(14~49岁),身高(174.7±6.8)cm(160~196 cm),体质量(73.43±12.35)kg(53~105 kg),S-T为(56.36±3.61)mm(47~67 mm)。多重线性回归分析示身高与S-T成正相关(β=0.407,SE=0.055,t=7.543,P<0.001),回归方程为S-T=−14.701+0.407×身高,R^(2)=0.690。结论患者身高与半腱肌止点位置存在线性关系,通过公式S-T=−14.701+0.407×身高可估计半腱肌止点位置,为临床快速、准确、安全定位半腱肌止点,设计手术切口提供参考。Objective To investigate the relationship between the vertical distance from semitendinosus insertion to tibial plateau(S-T)and the physical characteristics of patients,in order to provide reference for incision design to expose the semitendinosus insertion.Methods The patients with ligament injury who underwent primary anterior cruciate ligament reconstruction between January 2022 and December 2022 were selected as the research subjects.The patients’baseline data were collected,including age,gender,height,and body mass.During reconstruction operation,the S-T was measured.Considering the S-T as the dependent variable and baseline data as the independent variable,multiple linear regression analysis was used to establish a regression equation to determine the possible influencing factors of semitendinosus insertion location.Results According to the selection standard,a total of 214 patients were enrolled,including 156 males and 58 females,aged(27±9)years(14-49 years),with a height of(174.7±6.8)cm(range,160-196 cm)and a body mass of(73.43±12.35)kg(range,53-105 kg).The S-T was(56.36±3.61)mm(range,47-67 mm).The multiple linear regression analysis results showed that the height was positively correlated with S-T(β=0.407,SE=0.055,t=7.543,P<0.001);the regression equation was S-T=−14.701+0.407×height,R^(2)=0.690.Conclusion There was a linear relationship between the height and semitendinosus insertion.The location of semitendinosus insertion estimated by the formula(S-T=−14.701+0.407×height)is reasonable,which provides a theoretical basis for rapid,accurate,and safe location of semitendinosus insertion and design of surgical incision in clinic.

关 键 词：半腱肌止点 胫骨平台 自体肌腱移植 前交叉韧带重建 

分 类 号：R686.5[医药卫生—骨科学]