摘要
目的 ：比较分析膝骨关节炎患者肌骨超声与X线片的表现特点,研究两者在膝骨关节炎诊断中各自的优势。方法：收集整理2015年2月至2015年5月门诊病历,按照纳入标准和排除标准收集膝关节骨性关节炎诊断患者的肌骨超声以及X线片表现,共纳入57例（66膝）,其中女48例,男9例,年龄41~78岁,平均（58.9±9.8）岁,主要症状以双膝或单膝关节疼痛、屈伸不利、有确切的压痛点为主,平均病程（13.6±3.0）个月。对所收集的数据进行统计分析。结果：膝关节X线片Kellgren-Lawrence分级Ⅰ级患者的肌骨超声检查结果：滑膜增生9膝,关节积液20膝,半月板病变13膝,髌下脂肪垫炎症5膝,髌韧带病变8膝。Kellgren-Lawrence分级Ⅱ级患者肌骨超声检查结果：滑膜增生20膝,关节积液31膝,半月板病变22膝,髌下脂肪垫炎症16膝,髌韧带病变17膝。Kellgren-Lawrence分级Ⅲ级患者的肌骨超声表现：滑膜增生6膝,关节积液6膝,半月板病变7膝,髌下脂肪垫炎症7膝,髌韧带病变5膝。结论：肌骨超声可以很好地反应早期和中期膝骨关节炎患者膝关节周围软组织的病理变化,可以更好地定位膝关节骨性关节炎的病变位置,并且在X线片表现不明显时做到早期的病变发现。在临床过程中应将肌骨超声应用于膝骨关节炎的诊断之中。
Objective：To analyze and compare the characteristics of musculoskeletal ultrasonography and X-ray of knee osteoarthritis,and to investigate the advantages of them. Methods：According to the inclusion and exclusion criteria,57 cases（66 knees） were collected from February 2015 to May 2015. Among them,there were 48 females and 9 males with an average age of（58.9±9.8） years old（ranged,41 to 78 years old）. The main symptoms included unilateral or bilateral knee pain and locked joints explicit areas of tender points. The mean course of disease was（13.6±3.0） months. The results of musculoskeletal ultrasound and X ray examinations were analyzed. Results：According to Kellgren-Lawrence classification of knee joint on the X-ray：the musculoskeletal ultrasound results of patients withⅠ degree synovial hyperplasia in 9 cases,joint effusion in 20 cases,meniscal disease in 13 cases,patellar pad inflammation in 5 cases,and patellar lesion in 8 cases. The musculoskeletal ultrasound results of patients with Ⅱdegree：synovial hyperplasia in 20 cases,joint effusion in 31 cases,meniscal disease in 22 cases,patellar pad inflammation in 16 cases and patellar lesion in 17 cases. The musculoskeletal ultrasound results of patients with Ⅲ degree：synovial hyperplasia in 6 cases,joint effusion in 6 cases,meniscal disease in 7 cases,patellar pad inflammation in 7 cases and patellar lesion in 5 cases. Conclusion：The musculoskeletal ultrasound can detect the pathological changes of knee soft tissue sensitively,provide an accurate location of lesions,and find lesions early. The musculoskeletal ultrasound should be applicated in the diagnosis of knee osteoarthritis.
出处
《中国骨伤》
CAS
2016年第5期429-433,共5页
China Journal of Orthopaedics and Traumatology
基金
2014年"首都临床特色应用研究"(编号:Z141107002514015)~~
关键词
骨关节炎
膝
超声检查
X线
Osteoarthritis
knee
Ultrasonography
X-rays
