测量人体骨科相关骨骼形态学参数的临床意义

Clinical significance of measurement of bone morphologic parameters related to human orthopedic de-partment

骨科疾病的发生、发展、治疗与骨骼、关节的解剖学参数关系密切。现有骨骼解剖学研究的样本量普遍偏少,数据多为二维平面数据,未区分年龄、性别、骨质、左右、身高、体重等影响因素,缺乏全身系统性、立体性、精准性研究。本研究以自愿报名的方式在河北医科大学第三医院招募志愿者若干名,随机给与指定骨骼部位的X线/CT影像学检查并收集其病例资料,根据年龄分为三组:青年组、中年组、老年组,将CT图像通过Mimics软件一一转换,进行精确定位测量,分析X线和CT测量数据之间的信度一致性,获取全身骨科相关骨骼形态学参数数据库,并对比同一骨骼不同类型的手术方式、内置物、不良反应的结局是否相同,以此探讨不同年龄、性别、体质量、疾病等状态下的曲度、角度等形态参数的动态变化规律,为骨科手术的开展、内植物的研发与选择提供数据支持。

The occurrence,development and treatment of orthopedic diseases are closely related to the anatomical parameters of bones and joints.The sample size of existing bone anatomy studies are general-ly small,and the data are mostly two-dimensional data.There is no distinction among age,gender,bone quali-ty,left and right side,height,weight and other influencing factors,and there are lack of systemic,three-di-mensional,and accurate research on the whole body.In this study,a number of volunteers were recruited and randomly given X-ray/CT imaging examinations of bone.They were divided into three groups according to age,young group,middle-aged group,and old group.The data of each subject was accurately positioned and measured to obtain a database of bone morphology parameters related to the whole body orthopedics,and to compare whether the results of different types of surgery,implants,and adverse reactions in one bone were the same.To provide data support for the orthopedic development,implant research and selection.