基于CT三维重建容积再现技术对肩关节前脱位复发因素的临床分析  

作　　者：陈檬檬 沈进稳[2] 

机构地区：[1]浙江中医药大学第一临床医学院,310053 [2]浙江省中医院,310006

出　　处：《浙江临床医学》2024年第2期215-217,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨通过CT三维重建容积再现技术(VRT)对复发肩关节前脱位的影响因素进行临床分析。方法回顾性分析2019年1月至2021年1月收治的124例肩关节前脱位患者,根据是否复发肩关节脱位分为复发组和非复发组,收集CT影像资料,进行去肱骨头三维重建,对图像进行分析、测量,对比患者基本情况、Hill-sachs损伤面积、骨性bankart损伤比值,采用单因素及Logistic回归分析,探讨复发肩关节脱位的危险因素。结果两组患者年龄、性别及损伤侧别差异均无统计学意义(P>0.05),骨性bankart损伤宽度比值、Hill-sachs损伤面积差异均有统计学意义(P<0.05)。Logistic回归分析显示,骨性bankart损伤宽度比值(OR=1.16,95%CI:1.07~1.27)、Hill-sachs损伤面积(OR=7.95,95%CI:3.64~17.36)是复发肩关节脱位的独立影响因素。结论骨性bankart损伤和Hill-sachs损伤是发生肩关节复发脱位的危险因素,临床上应对其进行准确评估,及时采取有效治疗,降低复发率。Objective To explore the clinical analysis of the influencing factors of recurrent anterior dislocation of the shoulder joint through CT three-dimensional reconstruction volume reproduction technology(VRT).Methods Retrospective analysis of 124 patients with anterior dislocation of the shoulder joint admitted from Jan 2019 to Jan 2021.They were divided into the recurrence group and the non recurrence group according to whether there was recurrence of shoulder joint dislocation.The CT image data were collected,and the humeral head was removed for three-dimensional reconstruction.The images were analyzed and measured.The basic situation of the patients,the Hill sachs injury area,and the bone bankart injury ratio were compared.Single factor and logistic regression analysis were used,to explore the risk factors of recurrent shoulder joint dislocation.Results There was no statistically significant difference in age,gender,or injury side between the two groups of patients(P>0.05).The difference in the width ratio of bony bankart injuries and the area of Hill sachs injuries was statistically significant(P<0.05).Logistic regression analysis showed that bone bankart injury width ratio(OR=1.16,95%CI:1.07~1.27)and Hill sachs injury area(OR=7.95,95%CI:3.64~17.36)were independent factors for recurrent shoulder joint dislocation.Conclusion Bone bankart injury and Hill sachs injury are risk factors for recurrent dislocation of shoulder joint,which should be accurately evaluated in clinical practice,and take timely and effective treatment to reduce the recurrence rate.

关 键 词：CT三维重建 容积再现技术 肩关节前脱位 Hill-sachs损伤 BANKART损伤 危险因素 

分 类 号：R684[医药卫生—骨科学] R816.8[医药卫生—外科学]