{"id":58531,"date":"2025-10-07T05:10:55","date_gmt":"2025-10-07T05:10:55","guid":{"rendered":"http:\/\/zydq.1006ss.com\/?p=58531"},"modified":"2025-10-07T05:10:55","modified_gmt":"2025-10-07T05:10:55","slug":"%e4%be%a7%e4%bd%8dx%e7%ba%bf%e7%89%87%e6%b5%8b%e9%87%8f%e5%85%a8%e9%ab%8b%e5%85%b3%e8%8a%82%e7%bd%ae%e6%8d%a2%e8%81%94%e5%90%88%e5%89%8d%e5%80%be%e8%a7%92","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=58531","title":{"rendered":"\u4fa7\u4f4dX\u7ebf\u7247\u6d4b\u91cf\u5168\u9acb\u5173\u8282\u7f6e\u6362\u8054\u5408\u524d\u503e\u89d2"},"content":{"rendered":"

\u5168\u9acb\u5173\u8282\u7f6e\u6362\u672f(THA)\u4e2d\u7684\u5047\u4f53\u9519\u4f4d\u4e0e\u9acb\u5173\u8282\u8131\u4f4d\u3001\u5173\u8282\u5185\u6216\u5173\u8282\u5916\u649e\u51fb\u3001\u52a0\u901f\u78e8\u635f\u7387\u548c\u7ffb\u4fee\u624b\u672f\u6709\u5173\u3002\u7531Ranawat\u7b49\u4eba\u63d0\u51fa\u7684\u9acb\u81fc\u548c\u80a1\u9aa8\u5047\u4f53\u524d\u503e\u89d2\u4e4b\u548c\u7684\u6982\u5ff5\u53ca\u5176\u5728\u5efa\u7acb\u65e0\u649e\u51fb\u6d3b\u52a8\u8303\u56f4\u548c\u9632\u6b62\u5168\u9acb\u5173\u8282\u8131\u4f4d\u65b9\u9762\u7684\u91cd\u8981\u6027\u5df2\u7ecf\u5f97\u5230\u4e86\u5f88\u597d\u7684\u63cf\u8ff0\u3002<\/p>\n

1<\/p>\n

\u8054\u5408\u524d\u503e\u89d2<\/p>\n

\u51c6\u786e\u6d4b\u91cf\u5047\u4f53\u65b9\u4f4d\u5bf9\u4e8e\u8bc4\u4f30\u5168\u9acb\u5173\u8282\u7f6e\u6362\u672f(THA)\u540e\u7684\u653e\u5c04\u5b66\u7ed3\u679c\u975e\u5e38\u91cd\u8981\uff0c\u56e0\u4e3a\u5047\u4f53\u9519\u4f4d\u53ef\u80fd\u4e0e\u65e9\u671f\u690d\u5165\u5931\u8d25\u3001\u649e\u51fb\u3001\u8131\u4f4d\u548c\u65e9\u671f\u690d\u5165\u5931\u8d25\u6709\u5173\u3002\u4f5c\u4e3a\u9acb\u81fc\u548c\u80a1\u9aa8\u5047\u4f53\u524d\u503e\u7684\u603b\u548c\uff0cRanawat\u63d0\u51fa\u7684\u8054\u5408\u524d\u503e\u89d2(CA)\u7684\u6982\u5ff5\u8d8a\u6765\u8d8a\u6d41\u884c\uff0c\u56e0\u4e3a\u5b83\u5728\u9884\u9632\u5168\u9acb\u5173\u8282\u8131\u4f4d\u4e2d\u7684\u91cd\u8981\u6027\u5df2\u88ab\u5e7f\u6cdb\u8bc1\u660e\u3002\u5df2\u7ecf\u63d0\u51fa\u4e86\u51e0\u79cd\u65b9\u6cd5\u6765\u51c6\u786e\u6d4b\u91cf\u5e73\u7247\u4e0a\u7684\u9acb\u81fc\u676f\u524d\u503e\u89d2\uff1b\u7136\u800c\uff0c\u8fd8\u6ca1\u6709\u65b9\u6cd5\u6765\u8bc4\u4f30\u80a1\u9aa8\u67c4\u524d\u503e\u89d2\u4ee5\u53ca\u968f\u540e\u7684CA\u3002\u867d\u7136\u8ba1\u7b97\u673a\u65ad\u5c42\u626b\u63cf(CT)\u88ab\u8ba4\u4e3a\u662f\u8bc4\u4f30CA\u7684\u91d1\u6807\u51c6\uff0c\u4f46\u7531\u4e8eCT\u626b\u63cf\u6602\u8d35\u4e14\u60a3\u8005\u66b4\u9732\u5728\u76f8\u5f53\u5927\u7684\u8f90\u5c04\u4e0b\uff0c\u672f\u540e\u901a\u5e38\u4f7f\u7528\u5e73\u7247\u3002Lucas\u548cScott\u5f15\u5165Ranawat\u6807\u5fd7\u4f5c\u4e3a\u672f\u4e2d\u8bc4\u4f30CA\u7684\u4e00\u79cd\u64cd\u4f5c\u65b9\u6cd5\u3002\u56e0\u6b64\uff0c\u5c06\u624b\u672f\u817f\u7f6e\u4e8e0\u5ea6\u4f38\u5c55\u548c45\u00b0\u5185\u65cb\u4f4d\u7f6e\u3002\u5982\u679c\u80a1\u9aa8\u5934\u7684\u5e95\u90e8\u5e73\u884c\u4e8e\u9acb\u81fc\u676f\uff0c\u5219\u53ef\u4ee5\u8ba4\u4e3a\u662f45\u00b0\u7684\u8054\u5408\u524d\u503e\u3002\u57fa\u4e8eRanawat\u5f81\u8c61\u548c\u672f\u4e2d\u89c2\u5bdf\u5230\u7684\u672a\u88ab\u9acb\u81fc\u676f\u8986\u76d6\u7684\u80a1\u9aa8\u5934\u524d\u7684\u6bd4\u4f8b\u53ef\u4ee5\u4f30\u8ba1CA\u3002<\/p>\n

2<\/p>\n

cross-table\u4fa7\u4f4dX\u7ebf\u7247\u8bc4\u4f30\u8054\u5408\u524d\u503e<\/p>\n

\u672f\u4e2d\u7167\u7247\u663e\u793a\u53f3\u4fa7\u5168\u9acb\u5173\u8282\u7f6e\u6362\u672f\uff0c\u5185\u65cb15\u00b0\uff0c\u9acb\u5173\u8282\u548c\u819d\u5173\u8282\u4f38\u5c550\u00b0\uff0c\u663e\u793a\u5f88\u5927\u6bd4\u4f8b\u7684\u80a1\u9aa8\u5934\u4ece\u9acb\u81fc\u676f\u4e2d\u9732\u51fa\uff0c\u8fd9\u610f\u5473\u7740\u5047\u4f53\u7684\u7ec4\u5408\u524d\u503e\u89d2\u5f88\u9ad8\u3002<\/p>\n

\u5de6\u4fa7\u9acb\u5173\u8282\u7684cross-table\u4fa7\u4f4dX\u7ebf\u7247\uff0c\u5c55\u793a\u4e86\u7528\u4e8e\u6d4b\u91cf\u5047\u4f53(CAR)\u7684\u7efc\u5408\u524d\u503e\u89d2\u7684\u65b9\u6cd5\u3002\u5728\u80a1\u9aa8\u5934\u4e0a\u5e94\u7528\u4e00\u4e2a\u6700\u5408\u9002\u7684\u5706\u5708\u3002Car\u5b9a\u4e49\u4e3a\u8fde\u63a5\u80a1\u9aa8\u5934\u4e2d\u5fc3(\u6700\u9002\u5408\u7684\u5706)\u5230\u9acb\u81fc\u676f\u6700\u524d\u7f18\u7684\u7ebf\u4e0e\u8fde\u63a5\u80a1\u9aa8\u5934\u4e2d\u5fc3\u5230\u80a1\u9aa8\u5934\u5e95\u90e8\u7684\u7ebf\u4e4b\u95f4\u7684\u5939\u89d2\uff0c\u5b9a\u4e49\u4e3a\u5934\u90e8\u5931\u53bb\u7403\u5f62\u6027\u7684\u70b9\u3002<\/p>\n

CT\u56fe\u50cf\u663e\u793a\u7528\u4e8e\u6d4b\u91cf\u9acb\u81fc\u524d\u503e\u89d2\u7684\u65b9\u6cd5\u4e3a\u8fde\u63a5\u9acb\u81fc\u676f\u6700\u524d\u540e\u70b9\u7684\u7ebf\u548c\u5782\u76f4\u4e8e\u6700\u540e\u65b9\u9aa8\u76c6\u8fb9\u7f18\uff1b\u80a1\u9aa8\u524d\u503e\u89d2\u5b9a\u4e49\u4e3a\u8fde\u63a5\u80a1\u9aa8\u5934\u4e2d\u5fc3\u5230\u80a1\u9aa8\u5e72\u9888\u5e95\u90e8\u4e2d\u5fc3\u7684\u7ebf\u4e0e\u8fde\u63a5\u80a1\u9aa8\u5185\u4fa7\u548c\u5916\u4fa7\u9ac1\u540e\u90e8\u7684\u7ebf\u4e4b\u95f4\u7684\u5939\u89d2<\/p>\n

\u5168\u9acb\u5173\u8282\u7f6e\u6362\u672f\u60a3\u8005\u7684CT\u4e09\u7ef4\u6a21\u578b\u3002\u9acb\u81fc\u524d\u503e\u89d2\u589e\u52a0(15\u00b0\u300130\u00b0\u300145\u00b0\u300160\u00b0)(A-D)\uff0c\u800c\u9acb\u81fc\u5916\u5c55(40\u00b0)\u3001\u80a1\u9aa8\u67c4\u524d\u503e\u89d2(15\u00b0)\u4fdd\u6301\u4e0d\u53d8\u3002\u589e\u52a0\u9acb\u81fc\u676f\u524d\u503e\u89d2(E)\u589e\u52a0\u4e86\u80a1\u9aa8\u5934\u7684\u6bd4\u4f8b\uff0c\u80a1\u9aa8\u5934\u4ecd\u672a\u4ece\u9acb\u81fc\u676f\u4e2d\u9732\u51fa\u6765\u3002<\/p>\n

\u57fa\u4e8ect\u7684THA\u60a3\u8005\u4e09\u7ef4\u6a21\u578b\u3002\u80a1\u9aa8\u5e72\u524d\u503e\u589e\u52a0(\u4ece- 15\u00b0\uff0c0\u00b0\uff0c15\u00b0\uff0c30\u00b0\uff0c45\u00b0)\uff0c\u800c\u9acb\u81fc\u676f\u524d\u503e\u548c\u5916\u5c55\u5ea6\u4fdd\u6301\u4e0d\u53d8(\u676f\u524d\u503e30\u00b0\uff0c\u676f\u5916\u5c5540\u00b0)\u3002\u589e\u52a0\u80a1\u9aa8\u5e72\u524d\u503e(\u4eceA-E)\u589e\u52a0\u80a1\u9aa8\u5934\u90e8\u5206\uff0c\u80a1\u9aa8\u5934\u90e8\u5206\u4ecd\u672a\u4ece\u9acb\u81fc\u676f\u9732\u51fa\u3002<\/p>\n

3<\/p>\n

\u8ba8\u8bba<\/p>\n

\u4e0e\u5047\u4f53\u9519\u4f4d\u76f8\u5173\u7684\u4e0d\u826f\u4e34\u5e8a\u7ed3\u679c\u5df2\u7ecf\u6fc0\u53d1\u4e86\u4eba\u4eec\u5bf9\u521d\u6b21\u5168\u9acb\u5173\u8282\u7f6e\u6362\u672f\u6700\u4f73\u5047\u4f53\u5b9a\u4f4d\u7684\u5174\u8da3\u3002\u51c6\u786e\u6d4b\u91cf\u5047\u4f53\u524d\u503e\u89d2\u5bf9\u4e8e\u8bc4\u4f30\u5168\u9acb\u5173\u8282\u7f6e\u6362\u672f\u7684\u653e\u5c04\u5b66\u7ed3\u679c\u5f88\u91cd\u8981\uff0c\u5bf9\u672f\u540e\u6301\u7eed\u4e3b\u8bc9\u7684\u60a3\u8005\u4e5f\u662f\u5982\u6b64\u3002\u867d\u7136\u5df2\u7ecf\u63d0\u51fa\u4e86\u51e0\u79cd\u5728\u5e73\u7247\u4e0a\u51c6\u786e\u6d4b\u91cf\u9acb\u81fc\u676f\u524d\u503e\u89d2\u7684\u65b9\u6cd5\uff0c\u4f46\u8fd8\u6ca1\u6709\u5173\u4e8e\u7ec4\u5408\u5047\u4f53\u524d\u503e\u89d2\u7684\u6570\u636e\u3002CAR\u4ee3\u8868\u9acb\u81fc\u676f\u672a\u8986\u76d6\u7684\u524d\u80a1\u9aa8\u5934\u7684\u6bd4\u4f8b\u3002\u901a\u8fc7\u589e\u52a0\u9acb\u81fc\u524d\u503e\u89d2\uff0c\u9884\u8ba1\u4f1a\u6709\u66f4\u5927\u6bd4\u4f8b\u7684\u524d\u5934\u9732\u51fa\u3002\u589e\u52a0\u80a1\u9aa8\u67c4\u524d\u503e\u89d2\u9884\u671f\u4e5f\u4f1a\u6709\u7c7b\u4f3c\u7684\u6548\u679c\u3002Dimitris \u7814\u7a76\u4e2d\u7684\u8ba1\u7b97\u673a\u6a21\u62df\u8bc1\u5b9e\u4e86\u8fd9\u4e00\u70b9\uff0c\u8be5\u6a21\u62df\u663e\u793a\u80a1\u9aa8\u67c4\u548c\u9acb\u81fc\u676f\u524d\u503e\u89d2\u5747\u5448\u6b63\u76f8\u5173\uff0c\u8fd9\u610f\u5473\u7740\u968f\u7740\u9acb\u81fc\u6216\u80a1\u9aa8\u524d\u503e\u89d2\u7684\u589e\u52a0\uff0c\u80a1\u9aa8\u5934\u4ece\u9acb\u81fc\u676f\u4e2d\u66b4\u9732\u51fa\u6765\u7684\u6bd4\u4f8b\u4e5f\u5c06\u589e\u52a0\u3002Pour\u7b49\u4eba\u5728\u4e00\u9879\u6a21\u62df\u7814\u7a76\u4e2d\u8bc1\u660e\uff0c\u901a\u8fc7\u589e\u52a0\u9acb\u81fc\u676f\u548c\u80a1\u9aa8\u67c4\u524d\u503e\u89d2\uff0c\u6781\u8f74(\u7a7f\u8fc7\u67c4\u9888\u90e8\u4e2d\u5fc3\u548c\u5047\u4f53\u5934\u90e8\u4e2d\u5fc3\u7684\u7ebf)\u524d\u79fb\uff0c\u8fd9\u4e0eDimitris \u7684\u89c2\u5bdf\u4e00\u81f4\u3002CA\u5728\u5efa\u7acb\u65e0\u649e\u51fb\u6d3b\u52a8\u8303\u56f4\u548c\u9632\u6b62\u5168\u9acb\u5173\u8282\u8131\u4f4d\u65b9\u9762\u7684\u91cd\u8981\u6027\u5df2\u7ecf\u5f97\u5230\u4e86\u5f88\u597d\u7684\u63cf\u8ff0\uff0c\u5efa\u8bae\u7684\u201c\u5b89\u5168\u533a\u201d\u662f\u57fa\u4e8e\u6a21\u62df\u7814\u7a76\u6216\u4e34\u5e8a\u89c2\u5bdf\u3002\u7136\u800c\uff0c\u624b\u672f\u5165\u8def\u53ef\u80fd\u4f1a\u5f71\u54cdCA\uff0c\u56e0\u6b64\u5176\u4ed6\u624b\u672f\u5165\u8def\u53ef\u80fd\u9700\u8981\u4e0d\u540c\u7684\u201c\u5b89\u5168\u533a\u201d\u3002Dorr\u7b49\u4eba\u62a5\u9053\u4e8647\u4f8b\u60a3\u8005\u7ecf\u5c0f\u540e\u8def\u5bfc\u822a\u5168\u9acb\u5173\u8282\u7f6e\u6362\u672f\u540e\u5e73\u5747CA\u4e3a37\u00b17\u00b0\uff0c96%\u7684THA\u4f4d\u4e8e25\u00b0\u81f350\u00b0\u7684\u201c\u5b89\u5168\u533a\u201d\u5185\u3002Li\u7b49\u62a5\u9053\u4e86501\u4f8b\u60a3\u8005(545\u4f8b)\u7684\u5e73\u5747CA\u4e3a23\u00b113\u00b0\uff0c\u5176\u4e2d\u53ea\u670944%\u7684THA\u4f4d\u4e8e25\u00b0\u81f350\u00b0\u7684\u201c\u5b89\u5168\u533a\u201d\u5185\u3002\u5c3d\u7ba1\u5982\u6b64\uff0c\u5c1a\u672a\u6709\u8131\u4f4d\u7684\u62a5\u9053\u3002Jackson\u7b49\u4eba\u8bc1\u5b9e\uff0c29\u540d\u901a\u8fc7\u76f4\u63a5\u524d\u5165\u8def\u8fdb\u884c\u5168\u9acb\u5173\u8282\u7f6e\u6362\u672f\u7684\u60a3\u8005\u5e73\u5747CA\u4e3a44\u00b110\u00b0\uff0c79%\u7684\u9acb\u5173\u8282\u4f4d\u4e8e\u201c\u5b89\u5168\u533a\u201d\u5185\u3002\u5728Dimitris\u7814\u7a76\u4e2d\uff0c148\u4f8b\u60a3\u8005(154\u4e2a\u9acb\u5173\u8282)\u63a5\u53d7\u5fae\u521b\u524d\u8def\u5168\u9acb\u5173\u8282\u7f6e\u6362\u672f\uff0c\u5e73\u5747CA\u4e3a54\u00b111\u00b0\uff0c\u660e\u663e\u9ad8\u4e8e\u6587\u732e\u62a5\u9053\u7684\u5176\u4ed6\u5165\u8def\u3002\u672a\u8131\u4f4d\u60a3\u8005\u7684\u524d\u503e\u89d2\u4e3a52\u00b110\u00b0\uff0c57%\u7684\u60a3\u8005\u524d\u503e\u89d2\u4f4d\u4e8eDorr’S\u201c\u5b89\u5168\u533a\u201d\u5916\u3002\u5168\u9acb\u5173\u8282\u8131\u4f4d\u60a3\u8005\u7684CA\u660e\u663e\u5347\u9ad8(62\u00b18\u00b0)\uff0c96%\u7684\u60a3\u8005CA\u4f4d\u4e8eDorr’S\u201c\u5b89\u5168\u533a\u201d\u4e4b\u5916\u3002\u8fd9\u4e9b\u7ed3\u679c\u53ef\u80fd\u8868\u660e\uff0c\u4e3a\u4e86\u8bc4\u4f30\u5168\u9acb\u5173\u8282\u8131\u4f4d\u7684\u98ce\u9669\uff0c\u53ef\u80fd\u9700\u8981\u4e00\u4e2a\u7279\u5b9a\u4e8e\u624b\u672f\u5165\u8def\u7684\u201c\u5b89\u5168\u533a\u201d\u3002<\/p>\n

4<\/p>\n

\u603b\u7ed3<\/p>\n

cross-table\u4fa7\u4f4d\u9acb\u5173\u8282x\u7ebf\u7247\u4e0a\u7684CA\u6d4b\u91cf\u662f\u51c6\u786e\u53ef\u9760\u7684\uff0c\u8fd9\u610f\u5473\u7740\u5b83\u53ef\u4ee5\u5e38\u89c4\u7528\u4e8e\u672f\u540e\u8bc4\u4f30THA\u90e8\u4ef6\u7684CA\u3002\u5728\u672a\u6765\u7684\u7814\u7a76\u4e2d\uff0c\u9700\u8981\u62db\u52df\u66f4\u591a\u7684\u60a3\u8005\uff0c\u5728\u66f4\u5927\u7684\u8303\u56f4\u548c\u4e0d\u540c\u7684THA\u8bbe\u8ba1\u4e2d\u8bc1\u5b9eCA\u7684\u6709\u6548\u6027\u548c\u51c6\u786e\u6027\u3002<\/p>\n

\u53c2\u8003\u6587\u732e<\/p>\n

1.Dimitriou Dimitris,Zindel Christoph,Winkler Elin et al. A novel method for evaluating combined component anteversion in total hip arthroplasty on cross-table lateral hip radiographs.[J] .Arch Orthop Trauma Surg, 2023, undefined: undefined.<\/p>\n

2.Arai Noriyuki,Nakamura Shigeru,Matsushita Takashi et al. Minimal radiation dose computed tomography for measurement of cup orientation in total hip arthroplasty.[J] .J Arthroplasty, 2010, 25: 263-7..<\/p>\n

3.Derbyshire Brian,Diggle Peter J,Ingham Christopher J et al. A new technique for radiographic measurement of acetabular cup orientation.[J] .J Arthroplasty, 2014, 29: 369-72.<\/p>\n","protected":false},"excerpt":{"rendered":"

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