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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:

第29卷

期數(shù):

2017年11期

頁碼:

38-40,43

欄目:

臨床研究

出版日期:

2017-11-20

文章信息/Info

Title:

Clinical study on the relationship between patellar straddling and chondromalacia patellae using MRI

作者:

張德洲; 吳俊華; 易雪冰; 李東明; 羅飛; 虞亞明

四川省骨科醫(yī)院,四川 成都 610041

Author(s):

ZHANG Dezhou; WU Junhua; YI Xuebing; LI Dongming; LUO Fei; YU Yaming

Sichuan Orthopaedic Hospital,Chengdu 610041,Sichuan,China

關(guān)鍵詞:

膝關(guān)節(jié);  髕骨騎跨;  髕骨軟骨軟化癥;  磁共振成像

Keywords:

Key words knee joint;  patellar straddling;  chondromalacia patellae;  magnetic resonance imaging

摘要:

目的:探討髕骨騎跨與髕骨軟化癥的關(guān)系。方法:收集200例確診為髕骨騎跨患者的MRI檢查資料。男71例,女129例; <20歲者62例,20～39歲者38例,≥40歲者100例。200例患者均未合并髕骨骨折、股骨骨折、脛骨骨折、膝關(guān)節(jié)腫瘤,均未接受過人工膝關(guān)節(jié)置換手術(shù)。根據(jù)MRI表現(xiàn),將髕骨騎跨分為輕度、中度、重度3個等級,診斷患者是否合并髕骨軟化癥,并根據(jù)病變的嚴重程度將其分為Ⅰ、Ⅱ、Ⅲ、Ⅳ4個等級。通過數(shù)據(jù)分析,探討二者之間的關(guān)系。結(jié)果:200例髕骨騎跨患者中183例合并髕骨軟化癥; 男65例、女118例,男性和女性髕骨騎跨患者髕骨軟化癥的發(fā)生率比較,差異無統(tǒng)計學意義(χ²=0.000,P=0.985); 髕骨騎跨輕度40例,中度120例,重度23例; 髕骨軟化癥Ⅰ級16例,Ⅱ級67例,Ⅲ級57例,Ⅳ級43例。183例合并髕骨軟化癥的髕骨騎跨患者中,<20歲者52例、20～39歲者35例、≥40歲者96例。髕骨騎跨患者的年齡與髕骨軟化癥的病變程度呈正相關(guān)(r=0.617,P=0.000)。髕骨騎跨的程度與髕骨軟化癥的病變程度之間不存在直線相關(guān)關(guān)系(r=-0.084,P=0.256)。結(jié)論:髕骨騎跨患者髕骨軟化癥的發(fā)生率較高,不同性別髕骨騎跨患者的髕骨軟化癥發(fā)生率無明顯差別,髕骨騎跨患者的年齡與髕骨軟化癥的病變程度呈正相關(guān),髕骨騎跨的程度與髕骨軟化癥的病變程度之間不存在直線相關(guān)關(guān)系。

Abstract:

ABSTRACT Objective:To explore the relationship between patellar straddling and chondromalacia patellae.Methods:The MRI examination data of 200 patients with patellar straddling was collected.The patients consisted of 71 males and 129 females.Sixty-two patients were<20 years old,38 patients ranged in age from 20 to 39 years,and 38 patients were≥40 years old.The patellar fracture,femoral fracture,tibial fracture and knee tumor were not found in all patients,and none of them had been treated with total knee arthroplasty.According to the patient's MRI findings,the patellar straddling was divided into mild-,moderate-,and severe-patellar straddling; meanwhile,the patients were examined whether they had chondromalacia patellae,and the chondromalacia patellae was divided into gradeⅠ,Ⅱ,ⅢandⅣ chondromalacia patellae according to their severity.Above data were analyzed for exploring the relationship between patellar straddling and chondromalacia patellae.Results:One hundred and eighty-three out of 200 patients with patellar straddling had chondromalacia patellae,and the patients consisted of 65 males and 118 females.There was no statistical difference in the incidence rate of chondromalacia patellae between male and female patients with patellar straddling(χ²=0.000,P=0.985).The patellar straddling belonged to mild-grade(40),moderate-grade(120)and severe-grade(23).The chondromalacia patellae belonged to gradeⅠ(16),Ⅱ(67),Ⅲ(57)andⅣ(43).Out of 183 patients with patellar straddling and chondromalacia patellae,52 patients were<20 years old,35 patients ranged in age from 20 to 39 years,and 96 patients were≥40 years old.The age of patient with patellar straddling was positively correlated with the severity of chondromalacia patellae(r=0.617,P=0.000).There was no linear correlation between the degree of patellar straddling and the severity of chondromalacia patellae(r=-0.084,P=0.256).Conclusion:The incidence rate of chondromalacia patellae is high in patients with patellar straddling.There was no significant difference in incidence rate of chondromalacia patellae between male and female patients with patellar straddling.The age of patient with patellar straddling is positively correlated with the severity of chondromalacia patellae,and there is no linear correlation between the degree of patellar straddling and the severity of chondromalacia patellae.

備注/Memo

備注/Memo:

通訊作者:張德洲 E-mail:[email protected]

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更新日期/Last Update: 2018-04-02