摘要
背景:全膝关节置换术在考虑到每个患者胫骨近端解剖学特点和几何形态差异的同时,还应该关注不同民族的差异。目的:分析三维化数字技术在不同民族患者全膝关节置换术中的应用。方法:2016年3月至2017年5月行全膝关节置换术治疗的汉族和维吾尔族患者各32例,每个民族患者又按随机数字法分为三维化数字技术辅助组(辅助组)和无三维化数字技术辅助组(无辅助组),每组各16例。观察比较各组患者的手术时间、术中出血量、术后膝关节HSS评分以及术后患者的下肢轴向力线的情况。结果:汉族患者中辅助组的术中出血量、总出血量和手术时间均有一定改善,低于未辅助组(P<0.05);维吾尔族患者中辅助组的上述指标有明显改善,低于未辅助组(P<0.05)。汉族未辅助组的术中出血量、总出血量和手术时间均明显低于维吾尔族未辅助组(P<0.05)。汉族患者中辅助组的A、B、C角均有一定改善,优于未辅助组(P<0.05);维吾尔族患者中辅助组的上述指标有明显改善,显著优于未辅助组(P<0.05)。汉族未辅助组的A、B、C角改善明显优于维吾尔族未辅助组(P<0.05)。汉族和维吾尔族患者中辅助组和未辅助组术后的膝关节功能评分均较术前有明显提高(P<0.05),汉族和维吾尔族患者中辅助组的术后膝关节功能评分均优于未辅助组(P<0.05),维吾尔族非辅助组的术后膝关节功能评分明显优于汉族非辅助组(P<0.05)。结论:三维化数字技术为维吾尔族患者进行全膝关节置换术治疗提供了一定的解剖学依据,可以有效提高手术的精准程度,改善临床疗效。
Background： During total knee arthroplasty（TKA）, anatomical features and geometric morphological differences in the proximal tibia of each patient should be considered. But whether the nationality affects outcomes is still unclear.Objective： To compare the application of three-dimensional digital technology in TKA between Han and Uygur patients.Methods： In this study, we selected 32 Han patients and 32 Uygur patients undergoing TKA in our hospital from March2016 to May 2017. Patients of the same nationality were further randomly divided into 2 groups（n=16）, one group taking three-dimensional digital technology and the other receiving conventional TKA. Operative time, intraoperative blood loss,postoperative knee HSS score and axial force line of the lower extremities were compared between the groups. Results： The intraoperative blood loss, total blood loss and operation time in 3D assisted group were significantly less than those in non-3D assisted group in both Han and Uygur patients（P〈0.05）. The above indicators in Han patients without 3D assistance were significantly lower than those in Uygur patients without 3D assistance（P〈0.05）. Postoperative parameters of axial force line of the lower extremities in 3D assisted group were superior to those in non-3D assisted group in both Han and Uygur patients（P〈0.05）. And the above indicators in Han patients without 3D assistance were significantly superior to those in Uygur patients without 3D assistance（P〈0.05）. The knee function scores were significantly increased in all patients after TKA（P〈0.05）. HSS score in 3D assisted group was significantly higher than that in non-3D assisted group in both Han and Uygur patients（P〈0.05）. Conclusions： The three-dimensional digital technology provides anatomical basis for TKA in Uygur patients. It can effectively improve the accuracy of the surgery and clinical efficacy.
作者
阿吉木.克热木
帕孜拉.艾拉
梁志林
艾克白尔.吐逊
阿不都赛米.艾买提
Ajimu·Keremu;Pazila· aila;LIANG Zhilin;Aikebaier· Tuxun;Abudusaimi· Aimaiti(Department of Orthopedics and Trauma, The First People＇s Hospital of Kashi District, Kashi 844000, Xinjiang;Department of Joint Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China)
出处
《中华骨与关节外科杂志》
2018年第5期347-350,共4页
Chinese Journal of Bone and Joint Surgery
基金
新疆少数民族科技人才特殊培养计划科研项目(201523101)
新疆科技人才培养项目(QN2016JC0301)
天山创新团队计划
关键词
三维化数字技术
全膝关节置换术
维吾尔族
rhree-dimensional Digital Technology
Total Knee Arthroplasty
Uygur
