| 赵阳 丁明 杜天舒 徐虎 王迎春 张春礼.双源CT 测量前交叉韧带单束重建术后隧道位置的临床研究[J].,2015,15(20):3946-3950 |
| 双源CT 测量前交叉韧带单束重建术后隧道位置的临床研究 |
| Measurement of Tunnel Location with Dual-source CTFollowing Single-bundle Reconstruction of Anterior Cruciate Ligament |
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| DOI： |
| 中文关键词: 双源CT 前交叉韧带 隧道位置 |
| 英文关键词: Dual-source CT Anterior cruciate ligament Tunnel location |
| 基金项目:陕西省科学技术研究发展计划项目(2014K12-14) |
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| 中文摘要: |
| 目的：应用双源CT（Dual-source computer tomography，DSCT）测量前交叉韧带(Anterior cruciate ligament，ACL)单束重建术
后胫骨、股骨隧道位置，并对隧道位置进行评价。方法：对2013 年1 月至2014 年6 月我科收治的92 例（男64 例，女28 例，平均
年龄31.2 岁）ACL单束重建患者术后膝关节进行双源CT 三维重建，应用Adobe Photoshop CS6 软件圈画隧道中心并采用Lorenz
法测量胫骨隧道中心点相对位置百分比（Tx,Ty）,采用Bernard 四格表法测量股骨隧道中心点相对位置百分比（Fx,Fy）。结果：Tx
平均为（54.54± 3.42）%，Ty平均为（39.58± 6.72）%，Fx 平均为（28.98± 6.51）%，Fy 平均为（28.04± 8.70）%。男、女性及左、右膝之
间Tx、Ty、Fx、Fy的差异均无统计学意义（P>0.05）。结论：双源CT 能够清晰，三维显示ACL术后隧道，可以用来评估隧道位置，为
改进前交叉韧带损伤后的手术方式及个体化解剖重建提供帮助。 |
| 英文摘要: |
| Objective:To measure and analyze the tibia and femur tunnel location after single-bundle reconstruction of anterior
cruciate ligament using dual-source CT.Methods:DSCT scanning of the knee joint was performed in the 92 patients who underwent
single-bundle ACL reconstruction from January 2013 to June 2014. These patients included 64 men and 28 women, with an average of
31.2 years. The centers of bone tunnels were marked with Adobe Photoshop CS6. The tibial tunnel center was measured with Lorenz
method (relative position represented with Tx\Ty in percentage) and femoral tunnel center was measured with Bernard method(relative
position represented with Fx\Fy in percentage).Results:The average Tx and Ty were (54.54± 3.42)%and (39.58± 6.72)%, while the
average Fx and Fy were (28.98± 6.51)%and (28.04± 8.70)%. There was no significant difference between male and female, left and
right knee(P>0.05).Conclusion:Dual-source CT can clearly, three-dimensional display the operative tunnel of anterior cruciate ligament.
It also can be used to evaluate tunnel location, help improve operation method and provide individualized anatomic reconstruction for the
injury of anterior cruciate ligament. |
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