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前臂长度测量值偏差对前臂骨密度值的影响
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作者 杨双臣 殷玉玲 +4 位作者 秦亚楠 杨鑫 宋国庆 王香玉 边艳珠 《医疗装备》 2022年第9期119-122,共4页
目的探讨前臂长度测量值偏差对前臂骨密度(BMD)值的影响。方法回顾性分析2019—2020年于河北省人民医院以双能X线吸收法(DXA)测定右前臂BMD的100名受检者的测量资料,根据前臂实际测量值的不同,将100名受检者分为A组(前臂实际测量值22 cm... 目的探讨前臂长度测量值偏差对前臂骨密度(BMD)值的影响。方法回顾性分析2019—2020年于河北省人民医院以双能X线吸收法(DXA)测定右前臂BMD的100名受检者的测量资料,根据前臂实际测量值的不同,将100名受检者分为A组(前臂实际测量值22 cm)和B组(前臂实际测量值23 cm),每组50名,设定偏差值分别为-3、-2、-1、0、1、2、3 cm,前臂长度为实际测量值+偏差值,根据所得前臂长度将A、B组各分为7个亚组,即A_(1)、A2、A_(3)、A_(4)、A_(5)、A_(6)、A_(7)组,前臂长度分别为19、20、21、22、23、24、25 cm,以及B_(1)、B_(2)、B_(3)、B_(4)、B_(5)、B_(6)、B_(7)组,前臂长度分别为20、21、22、23、24、25、26 cm;将各组前臂长度值录入Hologic APEX软件进行BMD值分析,比较A_(4)组与A组内其他亚组以及B_(4)组与B组内其他亚组前臂1/3区、中间(MID)区和超远端(UD)区BMD值的差异。结果关于前臂1/3区、MID区的BMD值,A_(1)组<A2组<A_(3)组<A_(4)组<A_(5)组<A_(6)组<A_(7)组,B_(1)组<B_(2)组<B_(3)组<B_(4)组<B_(5)组<B_(6)组<B_(7)组,A_(4)组与A组内其他亚组以及B_(4)组与B组内其他亚组比较,差异均有统计学意义(P<0.05);关于前臂UD区的BMD值,A_(4)组与A组内其他亚组以及B_(4)组与B组内其他亚组比较,差异均无统计学意义(P>0.05)。结论在测定前臂BMD时,前臂长度测量值偏差会影响前臂BMD值。 展开更多
关键词 骨密度测定 双能X线吸收法 前臂骨密度 前臂长度 测量偏差
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Anatomical and biomechanical study on the interosseous membrane of the cadaveric forearm 被引量:1
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作者 YI Xian-hong PAN Jun GUO Xiao-shan 《Chinese Journal of Traumatology》 CAS 2011年第3期147-150,共4页
Objective: To study the anatomical and biomechanical features of the interosseous membrane 0OM) of the cadaveric forearm. Methods: Ten radius-IOM-ulna structures were harvested from fresh-frozen cadavers to measur... Objective: To study the anatomical and biomechanical features of the interosseous membrane 0OM) of the cadaveric forearm. Methods: Ten radius-IOM-ulna structures were harvested from fresh-frozen cadavers to measure the length, width and thickness of the tendinous portion oflOM. Then, the tendinous portion was isolated along with the ulnar and radial ends to which the tendon attached after measurement. The proximal portion of the radius and the distal portion of the ulna were embedded and fixed in the dental base acrylic resin powder. The embedded specimen was clamped and fixed by the MTS 858 test machine using a 10 000 N load cell for the entire tensile test. IOM was stretched at a speed of 50 mm/min until it was ruptured. The load-displacement curve was depicted with a computer and the maximum load and stiffness were recorded at the same time. Results: The IOM of the forearm was composed of three portions: central tendinous tissue, membranous tis-sue and dorsal affiliated oblique cord. IOM was stretched at a neutral position, and flexed at pronation and supination positions. The tendinous portion of IOM was lacerated in 6 specimens when the point of the maximum load reached to 1 021.50 N± 250.13 N, the stiffness to 138.24 N/m±24.29 N/m, and the length of stretch to 9.77 mm±l.77 mm. Fracture occurred at the fixed end of the ulna before laceration of the tendinous portion in 4 specimens when the maximum load was 744.40 N±109.85 N, the stiffness was 151.17 N/m±30.68 N/m, and the length of the stretch was 6.51 mm±0.51 mm. Conclusions: The IOM of the forearm is a structure having ligamentous characteristics between the radius and the ulna. It is very important for maintenance of the longitudinal stability of the forearm. The anatomical and biomechanical data can be used as an objective criterion for evaluating the reconstructive method of IOM of the forearm. 展开更多
关键词 FOREARM ANATOMY BIOMECHANICS
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