| 人体测量参数在预测四股腘绳肌腱自体移植物直径中的应用研究 |
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投稿时间：2024-11-09
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| 作者 | Author | 单位 | Address | E-Mail |
| 王晓宝 |
WANG Xiao-bao |
海南医学院第一附属医院, 海南 海口 570100 |
The First Affiliated Hospital of Hainan Medical University, Haikou 570100, Hainan, China |
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| 付昆 |
FU Kun |
海南医学院第一附属医院, 海南 海口 570100 |
The First Affiliated Hospital of Hainan Medical University, Haikou 570100, Hainan, China |
fukun2015@163.com |
| 于鹏 |
YU Peng |
海南医学院第一附属医院, 海南 海口 570100 |
The First Affiliated Hospital of Hainan Medical University, Haikou 570100, Hainan, China |
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| 林艺 |
LIN Yi |
海南医学院第一附属医院, 海南 海口 570100 |
The First Affiliated Hospital of Hainan Medical University, Haikou 570100, Hainan, China |
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| 杨宵 |
YANG Xiao |
海南医学院第一附属医院, 海南 海口 570100 |
The First Affiliated Hospital of Hainan Medical University, Haikou 570100, Hainan, China |
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| 期刊信息：《中国骨伤》2025年，第38卷，第4期，第384-388页 |
| DOI：10.12200/j.issn.1003-0034.20240661 |
| 基金项目:海南省卫生健康科技创新联合项目(编号:WSJK2024MS228) |
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中文摘要:
目的: 探讨能够有效预测腘绳肌腱移植物直径的人体测量参数,并分析损伤原因及病程时长与移植物直径之间的相关性。
方法: 回顾性分析自2013年1月至2023年12月,采用自体半腱肌-股薄肌四股移植物进行前交叉韧带重建手术的166例患者的临床资料,其中男135例,女31例;年龄14~62(28.87±10.46)岁。采用皮尔逊相关系数、偏相关系数和逐步多元线性回归分析,以明确结果变量(腘绳肌腱移植物直径)与预测变量(如身高等)之间的关系。
结果: 相关性分析发现,腘绳肌腱移植物直径与身高(r=0.379,P<0.001)、体重(r=0.225,P=0.002)、男性(r=0.302,P<0.001)、年龄(r=-0.218,P=0.002)和运动损伤原因(r=0.167,P=0.016)明显相关,而与手术侧别、身体质量指数及损伤时长无显著关联(P>0.05)。逐步多元线性回归分析采用向后法,结果显示身高是唯一的显著预测变量(R2=0.144,P<0.001),得到最佳预测方程为:移植物尺寸=2.636+0.029×身高(cm)。偏相关性分析发现,在控制身高变量后,年龄、性别、体重及损伤原因与移植物直径之间并无显著相关性。
结论: 身高是自体腘绳肌腱移植物直径的有效预测因素,性别、年龄、手术侧别、体重、身体质量指数等因素本身并不是腘绳肌腱移植物直径的影响因素,在相同身高的条件下,这些因素对移植物直径的影响并无显著差异。术前的体育活动水平以及损伤后的时间长短同样不会对术中获取的腘绳肌腱移植物直径产生显著影响。推荐在术前应用公式进行预测,移植物直径=2.636+0.029×身高(cm)。 |
| 【关键词】前交叉韧带重建 腘绳肌腱 自体移植物 移植物直径预测 |
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| Research on the application of anthropometric parameters in predicting the diameter of autologous quadriceps tendon grafts |
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ABSTRACT
Objective To investigate the anthropometric parameters that can accurately predict the diameter of the hamstring tendon graft,and to examine the correlation between disease etiology,duration,and graft diameter.
Methods A retrospective analysis was conducted on data from 166 patients who underwent anterior cruciate ligament reconstruction using hamstring tendon autografts (semitendinosus and gracilis tendon) between January 2013 and December 2023. The cohort conprised 135 males and 31 females;the age ranged from 14 to 62 years old with an average of (28.87±10.46) years old. Pearson correlation coefficients,partial correlation coefficients,and stepwise multiple linear regression analysis were utilized to elucidate the relationship between the outcome variable (diameter of hamstring tendon grafts) and predictive variables (e.g., height).
Results Correlation analysis revealed significant associations between the diameter of hamstring tendon grafts and height (r=0.379,P<0.001),weight (r=0.225,P=0.002),male gender (r=0.302,P<0.001),age (r=-0.218,P=0.002),and sports injury etiology (r=0.167,P=0.016). No significant correlations were found with surgical side,body mass index (BMI),or injury duration (P>0.05). Stepwise multiple linear regression analysis using a backward elimination method indicated that height was the sole significant predictive variable (R2=0.144,P<0.001),with the optimal predictive equation being:Graft size=2.636+ 0.029×Height (cm). Partial correlation analysis,after controlling for height,showed no significant association between age, gender,weight,and injury etiology with graft diameter.
Conclusion Height is an effective predictive factor for the diameter of autologous hamstring tendon grafts. Factors such as gender,age,surgical side,body weight,and BMI are not influential to the diameter of the hamstring tendon grafts. Under the condition of the same height,there is no significant difference in the influ-ence of these factors on the graft diameter. Preoperative physical activity level and the duration of injury do not significantly affect the diameter of the hamstring tendon grafts obtained during surgery. It is recommended to use the formula 'Graft Diameter=2.636 + 0.029×Height (cm)' for preoperative prediction. |
| KEY WORDS Anterior cruciate ligament reconstruction Hamstring tendon Autograft Graft diameter prediction |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王晓宝,付昆,于鹏,林艺,杨宵.人体测量参数在预测四股腘绳肌腱自体移植物直径中的应用研究[J].中国骨伤,2025,38(4):384~388 |
| 英文格式: | WANG Xiao-bao,FU Kun,YU Peng,LIN Yi,YANG Xiao.Research on the application of anthropometric parameters in predicting the diameter of autologous quadriceps tendon grafts[J].zhongguo gu shang / China J Orthop Trauma ,2025,38(4):384~388 |
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