doi:10．3969/j．issn．1008-0287．2023．03．014·临床论著·新型角度测量器在全髋关节置换术中的应用李照文，李绪贵，唐谨，叶劲，李培金，王威，唐园摘要:目的探讨新型角度测量器在全髋关节置换术(THA)中的应用效果。方法对40例行THA治疗的患者按照术中是否使用新型角度测量器置入髋臼臼杯分为测量器组(使用新型角度测量器辅助置入髋臼臼杯行THA治疗，20例)和传统组(传统方法置入髋臼臼杯行THA治疗，20例)。记录两组切口愈合及并发症发生情况。比较术后第2天两组髋臼臼杯外展角、前倾角与术前规划的误差。结果患者均获得随访，时间1～6个月。术后第2天髋臼臼杯外展角、前倾角与术前规划的误差测量器组均明显小于传统组，差异均有统计学意义(P＜0.01)。两组切口均一期愈合。除传统组1例出现肌间静脉血栓外，患者均未出现假体脱位、假体松动、深静脉血栓、感染等并发症。结论新型角度测量器结构简单、操作简便，在THA术中不仅能对髋臼锉杆操作方向进行刻度化测量或指引，利于髋臼锉对髋臼的同心圆磨锉，使臼杯与髋臼良好匹配，而且能对臼杯置入后的前倾角和外展角进行刻度化测量，有效减小了术中用肉眼评估的误差。关键词:髋臼臼杯;外展角;前倾角;穿刺;脱位;全髋关节置换术中图分类号:Ｒ687.4文献标识码:A文章编号:1008－0287(2023)03－0346－05ApplicationofanewangulargaugeintotalhiparthroplastyLIZhao-wen，LIXu-gui，TANGJin，YEJing，LIPei-jin，WANGWei，TANGYuan(DeptofBoneandJointSurgery，WuhanOrthopae-dicsHospitalofIntegratedTraditionalChineseandWesternMedicine，theAffiliatedHospitalofWuhanInstituteofPhysicalEducation，Wuhan，Hubei430079，China)Abstract:ObjectiveToinvestigatetheapplicationeffectofthenewangulargaugeintotalhiparthroplasty(THA)．MethodsThe40patientstreatedwithTHAweredividedintotwogroupsaccordingtowhetherthenewanglemeasur-ingdevicewasusedtoplacetheacetabularcupduringoperation，theywerethemeasuringdevicegroup(20patientsweretreatedwithTHAassistedbythenewanglemeasuringdevice)andthetraditionalgroup(20patientsweretrea-tedwithTHAassistedbyconventionalmethod)．Thewoundhealingandcomplicationsofthetwogroupswererecor-ded．At2dpostoperaiton，theerrorsoftheabductionandanteversionanglesoftheacetabularcupsandthepreoprativeplanningwerecomparedbetweentwogroups．...
