在整部关节整形术中用于模板的术前盆腔放射的标准化协议
Abdus S Wasim1, Muaaz Tahir2, Ali Ridha1
1Orthopaedics and Trauma, Sandwell and West Birmingham NHS Trust, Birmingham, GBR.
Cureus
|January 17, 2024
概括
改善整部关节整形手术 (THA) 的术前放射质量对于准确的手术规划和最佳患者结果至关重要. 当前的成像实践显示出有很大的改进空间,需要标准化指导方针来更好地模板.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 数字模板与手术前的X线图有助于关节整形手术 (THA) 的规划,改善生物力学和减少并发症.
- 精确的测量,如大腿偏移和四肢长度差异 (LLD),依赖于优质的骨盆放射.
- 目前还没有标准化的指导方针,用于获得THA模板的手术前放射图.
研究的目的:
- 评估在接受选择性全关节整形手术 (THA) 的患者手术前和手术后放射图的质量.
- 为了更好的外科手术规划,确定放射技术的改进领域.
- 评估成像的一致性和充分性,用于假肢模板和评估.
主要方法:
- 这是一项对195名接受选择性THA治疗骨关节炎的患者进行的单盲回顾性队列研究.
- 根据特定的标准评估了X射线图的质量:阴部交错/尾对齐,三叉体可见性和阻塞环对称性.
- 术后的放射图被评估为远端假肢尖端的可见性.
主要成果:
- 59%的手术前X射线图被评为好,36.4%是公平的,4.6%是差的.
- 手术后的X线图质量呈现下降,其中23.6%好,58.4%相当,15.4%差.
- 25.6%的术后图像未能包括假肢的远端.
结论:
- 为了准确的THA模板和优化结果,需要在术前放射图的质量上进行显著的改进.
- 建议采用标准化的方案,将盆腔X射线图集中在交叉体上,位于较低的三叉体水平.
- 确保足够的视觉化近距离的股骨, acetabulum 和阴茎对于有效的手术规划至关重要.
相关概念视频
01:20Imaging Studies for Cardiovascular System III: X-Ray
188
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
188
01:14Imaging Studies I: CT and MRI
245
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
245