全髋关节置换术中髋臼杯大小预测模型的建立与验证
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南昌大学第一附属医院

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国家自然科学基金项目(面上项目,重点项目,重大项目)


Establishment and validation of acetabular cup size prediction model in total hip arthroplasty
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南昌大学第一附属医院

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    摘要:

    摘要:目的 通过身高、体重、足长、性别、年龄、手术入路等变量构建多元线性方程预测全髋关节置换术术中所使用的髋臼杯大小。方法 选取182名在我院行全髋关节置换术的患者,收集患者的身高、体重、足长、性别、年龄、手术入路等数据,运用SPSS 26.0软件将全队列数据按7:3随机分成训练队列和验证队列,对训练队列患者的身高、体重、足长、性别、年龄、手术入路与术中所使用的髋臼杯大小进行person相关性分析,通过训练队列中患者的身高、体重、足长、年龄、性别为自变量、髋臼杯大小为因变量建立多元线性回归方程,将验证队列的数据代入多元线性方程所得到的预测髋臼杯大小与实际所用的髋臼杯大小相比,计算方程的准确性。结果 训练队列的相关性分析显示手术入路(r=0.049) 和年龄(r=-0.140)与术中所使用的髋臼杯大小无相关性,而身高(r=0.653)、体重(r=0.627)、足长(r=0.633)、性别(r=0.278)与术中所使用的髋臼杯大小具有相关性,预测方程Y(髋臼杯大小mm)=20.702+0.465×足长(cm)+0.090 ×身高(cm)+0.086×体重(kg)。该方程预测在一个尺寸之内的准确率为70.91%,预测两个尺寸之内的准确率为90.91%。结论 人体测量学数据能够准确预测全髋关节置换术中髋臼杯的大小,并且提高植入物供应商的工作效率和手术室的运作效率,在一定程度上减轻了潜在的经济负担。

    Abstract:

    Abstract: Objective To construct multivariate linear equations based on anthropometric data of height, weight, foot length and sex to predict acetabular cup size during total hip arthroplasty. Methods A total of 182 patients who underwent total hip arthroplasty in our hospital were enrolled, and the height, weight, foot length, gender, age, surgical approach and other data of the patients were collected, and the whole cohort data were randomly divided into training set and validation set according to 7:3 by SPSS 26.0 software, and the height, weight, foot length, gender, age, surgical approach and acetabular cup size used during surgery were analyzed by the person correlation analysis of the height, weight, foot length and acetabular cup size of the patients in the training cohort. Multiple linear regression equations were established with gender as the independent variable and acetabular cup size as the dependent variable, and the accuracy of the equation was calculated by substituting the data of the verification group into the equation compared with the actual acetabular cup size. Results The correlation analysis of the training set showed that surgical approach (r=0.049) and age(r=-0.140)were not correlated with the size of acetabular cup used during surgery, while height (r=0.653), weight (r=0.627), foot length (r=0.633), sex (r=0.278) were correlated with acetabular cup size used during surgery, and the prediction equation Y(acetabular cup size mm)=20.702+0.465× foot length (cm)+0.090× Height (cm) + 0.086× weight (kg) . The equation predicts 70.91% accuracy within one size, 90.91% accuracy in predicting within two sizes. Conclusion Demographic data can accurately predict the size of acetabular cup during total hip replacement, improve the working efficiency of implant suppliers and the operation efficiency of the operating room, and reduce the potential economic burden to a certain extent.

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  • 收稿日期:2023-06-30
  • 最后修改日期:2023-08-27
  • 录用日期:2023-12-15
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