首页|人工智能在全髋关节置换术前规划的应用

人工智能在全髋关节置换术前规划的应用

Application of artificial intelligence in preoperative planning for total hip arthroplasty

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[目的]探讨人工智能(artificial intelligence,AI)在全髋关节置换术(total hip arthroplasty,THA)术前假体测量的准确性.[方法]选取2021年6月—2021年12月收治的24例髋关节残疾患者,按照随机数字表法分为AI组(12例)及常规组(12例)进行假体型号预测,分析AI三维规划的准确性及可行性.[结果]两组手术时间、总失血量、术后住院天数以及住院总费用的差异均无统计学意义(P＞0.05).AI 组在髋臼杯一致性[(±0/±1/±2),(91.7％/8.3％/0％)vs(33.3％/41.7％/25.0％),P=0.013]和股骨假体型号一致性的准确度[(±0/±1/±2),(83.3％/8.3％/8.3％)vs(41.7％/33.3％/25.0％),P=0.017]显著高于常规组.随访时间平均(15.2±5.7)个月,与术前相比,末次随访时两组VAS评分均显著降低(P＜0.05),髋伸曲ROM和Harris评分显著增加(P＜0.05).相应时间点,两组VAS评分、髋伸曲ROM和Harris评分的差异均无统计学意义(P＞0.05).[结论]AI三维规划较胶片模板测量在THA术前假体型号的选择具有更精准的预测价值.
[Objective]To investigate the accuracy of artificial intelligence(AI)in the measurement of prostheses before total hip arthro-plasty(THA).[Methods]A total of 24 patients who were undergoing THA for end-stage hip arthropathies from June 2021 to December 2021 were divided into AI group(12 cases)and conventional group(12 cases)according to random number table method.The accuracy and feasibility of AI preoperative planning predicting prosthetic size were analyzed.[Results]There were no significant differences in operation time,total blood loss,postoperative hospitalization days and total hospitalization costs between the two groups(P＞0.05).AI group proved sig-nificantly superior to the conventional group in terms of consistency of the acetabular component[(+0/+1/+2),(91.7％/8.3％/0％)vs(33.3％/41.7％/25.0％),P=0.013]and the femoral component[(+0/+1/+2),(83.3％/8.3％/8.3％)vs(41.7％/33.3％/25.0％),P=0.017].With time of fol-low-up period lasted for(15.2±5.7)months in a mean,the VAS scores significantly decreased(P＜0.05),while hip flexion-extension ROM and Harris scores significantly increased in both groups(P＜0.05),whereas which were not significantly different between the two groups at any corresponding time points(P＞0.05).[Conclusion]This AI preoperative planning has more accurate predictive value than the film tem-plate measurement in the selection of prosthetic size before THA.

end-stage hip arthropathytotal hip arthroplastyartificial intelligence 3D planningfilm template measurement

郑勇强、张金山、林亮、林振宇、黄晓鹏、陈雪婷、刘晓峰

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福建省晋江市医院骨科,福建泉州 362000

福建省德化县中医院针灸康复科,福建泉州 362500

终末髋关节病 全髋关节置换 人工智能三维规划 胶片模板测量

福建省卫生健康中青年科研重大项目福建省中医药大学校管科研课题福建省中医药大学校管科研课题晋江市医院(上海市第六人民医院福建医院)科技计划项目

2022ZQNZD015XB2022149XB20231972023LC01

2024

10.20184/j.cnki.Issn1005-8478.100466

中国矫形外科杂志
中国残疾人康复协会　中国人民解放军第八十八医院

中国矫形外科杂志

CSTPCD北大核心
影响因子：1.521
ISSN：1005-8478
年,卷(期)：2024.32(15)