摘要
目的:探讨肱骨头扭转角度的测量及其对人工肩关节置换的影响。方法:计算机检索中国期刊全文数据库(CNKI:1980/2010)和万方医学网(1980/2010)数据库,以"肱骨头扭转角;测量;影响;肩关节;假体设计"为检索关键词,纳入与肱骨头扭转角度的测量及其对人工肩关节置换影响相关的文章,且内容相似者以近5年发表在权威杂志上的文章优先。并排除陈旧性文献及重复性研究。结果:依据纳入排除标准共保留相关文献24篇。肱骨头扭转角存在个体差异,且不同测量方法所得的测量结果也存在较大差异。常用的肱骨头扭转角测量方法有4种:直接解剖学测量法、X射线平片测量法、二维CT法和多层螺旋CT三维重建容积再现法。人工肩关节假体的设计发展已经历4个发展阶段。在人工肩关节置换治疗中,肱骨头扭转角是否符合要求,直接关系到人工肩关节的质量和使用寿命。肱骨头扭转角的个体差异还要求实施个性化的人工肩关节置换。结论:4种常用肱骨头扭转角测量方法存在一定的应用优势和缺点。多层螺旋CT容积再现技术,是目前准确性强、操作相对简便且实用性较强的测量方法。肱骨头扭转角是指导人工肩关节置换的重要技术参数,然而肱骨头扭转角存在很大的个体化差异,如何使其在人工肩关节置换治疗前和治疗中的测量结果达到统一、准确、客观,尚需进一步研究。
OBJECTIVE：To investigate the measurement of humeral head retroversion angle and its effects on shoulder arthroplasty. METHODS：Chinese National Knowledge Infrastructure （1980/2010） and Wanfang Med Online （1980/2010） were retrieved by computer with the keywords of ＂humeral head retroversion angle,measurement,influence,shoulder joint,prosthesis design＂ in Chinese. Inclusive criteria：the articles related to the measurement of humeral head retroversion angle and its effects on shoulder arthroplasty. For articles with similar content,those published in authoritative journal in the past 5 years were preferred. Outdated and repetitive articles were excluded. RESULTS：According to the inclusion and exclusion criteria,a total of 24 literatures were included. Humeral head retroversion angle has great individual differences; meanwhile,measurement results have great differences due to various measurement methods. There are four methods commonly used in the measurement of humeral head retroversion angle：direct anatomical measurement,X-ray film measurement,two-dimensional spiral CT method,and three-dimensional reconstruction of CT volume rending method. The design and development of shoulder joint prostheses have experienced four stages. Whether humeral head retroversion angle meets the requirements is directly related to the quality and operational life of the artificial shoulder joint in shoulder arthroplasty. The individual differences of humeral head retroversion angle also require the implement of personalized shoulder arthroplasty. CONCLUSION：There are certain advantages and disadvantages in the 4 commonly used methods of humeral head retroversion angle. Multi-slice CT volume rendering technique is a measurement method which is of high accuracy,relatively simple operation,and strong practicability. Humeral head retroversion angle is a significant technical parameter for shoulder arthroplasty; however,it has great individual differences. How the measurement of humeral head retroversion angle in the preoperative and intraoperative processes of shoulder arthroplasty to achieve unification,preciseness,and objectivity needs further studies.
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2010年第39期7374-7377,共4页
Journal of Clinical Rehabilitative Tissue Engineering Research
