吴坚;吕明;柳剑;杜辉;张纪;窦勇;周一新;

• 1:北京积水潭医院矫形骨科

摘要(Abstract)：

[目的]本文研究了文献上7种X线片测量髋臼前倾角的可靠性和准确性,以总结出适合临床应用的测量方法。[方法]对2011年9月20日～10月20在积水潭医院矫形骨科进行初次全髋关节置换的60个病人60例髋关节进行了CT和X线片测量髋臼假体前倾角研究。以CT测量结果为金标准,三位独立的测量者使用7种X线测量方法测量的前倾角结果与CT测量的结果进行了比较以评估各种方法的准确性,并评估了各种测量方法的组内和组间测量的可靠性。[结果]所有7种X线测量方法均有很高的组内和组间测量可靠性。与CT测量结果相比较,Widmer方法和Visser方法是不准确的,其他方法均是准确的。Visser方法与解剖学前倾角有正向强相关性。[结论]7种X线测量髋臼假体前倾角的方法中Lewinneck、Hassan、Ackland、Liaw、和Pradhan方法是可靠和准确的,Wid-mer方法和Visser方法是不准确的,但Visser方法可以用于测量髋臼假体的解剖学前倾角。考虑到测量的准确和计算的简便性,建议临床上采用Lewinneck方法和Liaw方法测量髋臼假体的前倾角。

关键词(KeyWords)： 髋关节置换;前倾角;X线片

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 吴坚;吕明;柳剑;杜辉;张纪;窦勇;周一新;

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参考文献(References)：

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