声发射技术在关节外科中的应用及价值  

Application and value of acoustic emission technique in joint surgery

作　　者：徐祯 张梦茹 吕柯 夏中玉 张采薇 徐建达 Xu Zhen;Zhang Mengru;Lyu Ke;Xia Zhongyu;Zhang Caiwei;Xu Jianda(Department of Orthopedics,Changzhou Hospital Affiliated to Nanjing University of Chinese Medicine,Changzhou Hospital of Traditional Chinese Medicine,Changzhou 213003,Jiangsu Province,China)

机构地区：[1]南京中医药大学常州附属医院,常州市中医医院骨科,江苏省常州市213003

出　　处：《中国组织工程研究》2025年第15期3262-3270,共9页Chinese Journal of Tissue Engineering Research

基　　金：常州市科技局社会发展项目(CE20235067),项目负责人:徐建达。

摘　　要：背景:声发射技术是无损检测中最可靠和完善的技术之一,被广泛用于机械、土木和水下声学等多个领域的损伤检测。近年来,声发射技术获得较大发展,在医学工程领域得到初步应用,特别是在人体关节的摩擦评估以及植入物监测方面具有优势。目的:总结声发射技术在关节外科中的应用现状、存在问题及未来的发展方向。方法:检索1989年1月至2024年3月PubMed数据库、Web of Science数据库、中国知网、万方数据库发表的相关文献,中文检索词为“声学,髋关节置换术,髋关节假体,假体失效,膝关节骨关节炎,膝关节,监测,人工关节”;英文检索词为“acoustics,hip replacement arthroplasties,hip prosthesis,prosthesis failure,knee osteoarthritides,knee joint,monitoring,artificial joint”。初检得到文章2991篇,根据纳排标准,最终纳入80篇文章进行综述分析。结果与结论:①在关节外科领域中,声发射技术主要用于关节疾病早期的发现与诊断,以及关节置换术中骨裂和术后假体下沉、植入物磨损、无菌性松动、骨裂等的检测;②声发射技术的优势可以弥补传统检测方法的不足,提早发现关节炎,降低术中的损伤风险,监测并减少术后并发症,提高手术安全性和临床效果。BACKGROUND:Acoustic emission technology is one of the most reliable and perfect technologies in nondestructive testing,and is widely used in many fields such as mechanical,civil and underwater acoustics.In recent years,acoustic emission technology is initially applied in the field of biomedical engineering due to its great progress,especially in the friction evaluation of human joints and implant monitoring.OBJECTIVE:To summarize the application status,existing challenges,and potential directions of acoustic emission technology in joint surgery.METHODS:PubMed database,Web of Science database,CNKI database,and WanFang database were searched from January 1989 to March 2024 with the Chinese and English search terms“acoustics,hip replacement arthroplasties,hip prosthesis,prosthesis failure,knee osteoarthritides,knee joint,monitoring,artificial joint.”A total of 2991 articles were initially examined,and 80 articles were finally included for review analysis according to the inclusion and exclusion criteria.RESULTS AND CONCLUSION:(1)In the field of joint surgery,acoustic emission technology is mainly used for earlier detection and diagnosis of joint-related diseases,as well as the detection of bone cracks during joint replacement surgery and postoperative prosthesis sinking,implant wear,aseptic loosening,and bone cracks.(2)The advantages of acoustic emission technology can make up for the shortcomings of traditional detection methods.It can detect arthritis early,diminish the risk of injury during surgery,monitor and reduce postoperative complications,and improve surgical safety and clinical prognosis.

关 键 词：声发射技术 声学 髋关节置换 髋关节假体 假体失效 膝关节骨关节炎 膝关节 监测 人工关节 

分 类 号：R459.9[医药卫生—治疗学] R318[医药卫生—临床医学] R684