基于AI三维重建技术的全髋关节置换术在成人髋关节发育不良中的疗效观察

doi:10.3969/j.issn.1006-6233.2024.06.026

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摘要 目的: 探究基于人工智能(AI)三维重建技术的全髋关节置换术(THA)治疗成人髋关节发育不良(DDH)患者的效果。方法: 选取2021年4月至2023年2月我院成人DDH患者112例进行回顾性分析,根据手术方案不同进行分组,对照组的55例采取基于二维X线技术THA,观察组的57例采取基于AI三维重建技术THA。比较两组手术相关指标、术中假体与术前规划匹配情况、影像学测量参数、术前、术后1d、术后3d炎症-氧化应激指标[白介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)、超氧化物歧化酶(SOD)、丙二醛(MDA)]、髋关节功能优良率及并发症发生情况。结果: 观察组手术时间、术后下床活动时间、住院时间短于对照组,术中出血量少于对照组(P<0.05);观察组术中髋臼杯、股骨柄型号与术前规划匹配符合率与术后髋关节功能优良率高于对照组(P<0.05);术后1d、3d观察组血清IL-8、TNF-α、MDA水平低于对照组,SOD水平高于对照组(P<0.05);观察组双下肢长度差低于对照组(P<0.05);两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论: AI三维重建技术辅助THA治疗成人DDH患者,可优化手术流程,减轻创伤应激,促进术后早期病情恢复,同时提高假体精度,减小双下肢长度差,改善髋关节功能,且有较好安全性。

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	郭新宇
	胡伟
	潘沨
	严贤科

关键词 ：全髋关节置换术, 人工智能, 三维重建技术, 髋关节发育不良

Abstract：Objective: To explore the effectiveness of total hip arthroplasty (THA) based on artificial intelligence (AI) three-dimensional reconstruction technology in treating adult patients with hip dysplasia (DDH).Methods: A retrospective analysis was conducted on 112 adult DDH patients in our hospital from April 2021 to February 2023. The patients were grouped according to different surgical protocols. The control group (55 cases) underwent THA based on two-dimensional X-ray technology, while the observation group (57 cases) underwent THA based on AI three-dimensional reconstruction technology. Surgical-related indicators, intraoperative prosthesis matching with preoperative planning, radiographic measurement parameters, preoperative and postoperative (1 day and 3 days) inflammation-oxidative stress indicators [interleukin-8 (IL-8), tumor necrosis factor-α (TNF-α), superoxide dismutase (SOD), malondialdehyde (MDA)], the excellent and good rate of hip joint function, and the incidence of complications were compared between the two groups.Results: The observation group had shorter operation time, postoperative ambulation time, and hospital stay, and less intraoperative blood loss compared to the control group (P<0.05). The observation group had a higher matching rate of intraoperative acetabular cup and femoral stem models with preoperative planning and a higher excellent and good rate of hip joint function compared to the control group (P<0.05). On postoperative day 1 and day 3, the observation group had lower serum levels of IL-8, TNF-α, and MDA, and higher levels of SOD compared to the control group (P<0.05). The difference in leg length discrepancy between the two groups was lower in the observation group (P<0.05). The overall incidence of complications between the two groups was not statistically significant (P>0.05).Conclusion: THA assisted by AI three-dimensional reconstruction technology in treating adult DDH patients can optimize surgical procedures, reduce traumatic stress, promote early postoperative recovery, improve prosthesis accuracy, reduce leg length discrepancy, and improve hip joint function with good safety.

Key words： Total hip arthroplasty Artificial Intelligence Three-dimensional reconstruction technology Hip dysplasia

基金资助:贵州省科技计划项目,(编号:黔科合支撑[2023]一般180)

通讯作者: 严贤科

引用本文:

郭新宇, 胡伟, 潘沨, 严贤科. 基于AI三维重建技术的全髋关节置换术在成人髋关节发育不良中的疗效观察[J]. 河北医学, 2024, 30(6): 1014-1020.
GUO Xinyu, HU Wei, PAN Feng, et al. Efficacy Observation of Total Hip Arthroplasty Based on AI Three-Dimensional Reconstruction Technology in Adults with Hip Dysplasia. HeBei Med, 2024, 30(6): 1014-1020.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2024.06.026 或 http://www.hbyxzzs.cn/CN/Y2024/V30/I6/1014

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