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[1]伊力夏提·買買提,帕爾哈提·熱甫開提,玉蘇普·買提努爾,等.維吾爾醫(yī)3種異常體液質(zhì)類型膝骨關(guān)節(jié)炎患者的 MRI特征研究[J].中醫(yī)正骨,2018,30(09):30-33.
　Yilixiati Maimaiti,Paerhati Refukaiti,Yusupu Maitinuer,et al.MRI characteristics of knee osteoarthritis in patients with three kinds of abnormal physical constitution(Uygur medicine):a clinical study[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(09):30-33.
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維吾爾醫(yī)3種異常體液質(zhì)類型膝骨關(guān)節(jié)炎患者的 MRI特征研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年09期
頁碼:
30-33
欄目:
骨關(guān)節(jié)炎
出版日期:
2018-09-20

文章信息/Info

Title:
MRI characteristics of knee osteoarthritis in patients with three kinds of abnormal physical constitution(Uygur medicine):a clinical study
作者:
伊力夏提·買買提; 帕爾哈提·熱甫開提; 玉蘇普·買提努爾;  海熱拉·木薩; 米爾阿力木·艾爾肯; 吾曼江·伊達(dá)依
新疆維吾爾自治區(qū)維吾爾醫(yī)醫(yī)院,新疆 烏魯木齊 830049
Author(s):
Yilixiati Maimaiti; Paerhati Refukaiti; Yusupu Maitinuer; Hairela Musa; Mieralimu Aierken; Wumanjiang Yidayi
Hospital of Xinjiang Traditional Uygur Medicine,Urumqi 830049,Xinjiang,China
關(guān)鍵詞:
骨關(guān)節(jié)炎; 膝;  磁共振成像;  維醫(yī);  體液質(zhì)學(xué)說
Keywords:
osteoarthritis; knee;  magnetic resonance imaging;  traditional Uygur medicine;  physical constitution theory
摘要:
探討維吾爾醫(yī)3種異常體液質(zhì)類型膝骨關(guān)節(jié)炎(knee osteoarthritis,KOA)患者的MRI特征。方法:2016年2月至2017年12月收治151例KOA患者,男42例、女109例。按照KOA維吾爾醫(yī)體液質(zhì)分型標(biāo)準(zhǔn)對患者進(jìn)行辨證分型,同時對所有患者的膝關(guān)節(jié)進(jìn)行MRI檢查。比較3種異常體液質(zhì)類型患者的MRI表現(xiàn),探討其特征。結(jié)果:石膏狀黏液質(zhì)型50例、澀味黏液質(zhì)型51例、異常干寒體液質(zhì)型50例。MRI顯示141例存在不同程度的關(guān)節(jié)積液(石膏狀黏液質(zhì)型46例、澀味黏液質(zhì)型45例、異常干寒體液質(zhì)型50例)、129例存在骨質(zhì)增生(石膏狀黏液質(zhì)型41例、澀味黏液質(zhì)型44例、異常干寒體液質(zhì)型44例)、100例存在半月板損傷(石膏狀黏液質(zhì)型31例、澀味黏液質(zhì)型36例、異常干寒體液質(zhì)型33例)、67例存在骨髓水腫(石膏狀黏液質(zhì)型19例、澀味黏液質(zhì)型23例、異常干寒體液質(zhì)型25例)、25例存在腘窩囊腫(石膏狀黏液質(zhì)型2例、澀味黏液質(zhì)型4例、異常干寒體液質(zhì)型19例)、22 例存在關(guān)節(jié)游離體(石膏狀黏液質(zhì)型1例、澀味黏液質(zhì)型1例、異常干寒體液質(zhì)型20例)、9例存在軟骨損傷(石膏狀黏液質(zhì)型7例、澀味黏液質(zhì)型2例)、5例存在關(guān)節(jié)囊周圍靜脈曲張(澀味黏液質(zhì)型2例、異常干寒體液質(zhì)型3例)、5例存在韌帶損傷(澀味黏液質(zhì)型1例、異常干寒體液質(zhì)型4例)、4例存在皮下軟組織損傷(澀味黏液質(zhì)型1例、異常干寒體液質(zhì)型3例)、3例存在髕骨軟骨軟化(石膏狀黏液質(zhì)型1例、澀味黏液質(zhì)型1例、異常干寒體液質(zhì)型1例)。3種體液質(zhì)類型患者骨質(zhì)增生(χ2=0.767,P=0.681)、半月板損傷(χ2=0.834,P=0.659)、骨髓水腫(χ2=0.560,P=0.756)、韌帶損傷(χ2=4.375,P=0.087)、關(guān)節(jié)囊周圍靜脈曲張(χ2=2.865,P=0.288)、皮下軟組織損傷(χ2=2.973,P=0.224)、髕骨軟骨軟化(χ2=0.432,P=1.000)的發(fā)生率比較,組間差異均無統(tǒng)計學(xué)意義。3種體液質(zhì)類型患者關(guān)節(jié)積液的發(fā)生率總體比較,差異有統(tǒng)計學(xué)意義(χ2=6.537,P=0.036); 但兩兩比較,差異均無統(tǒng)計學(xué)意義。3種體液質(zhì)類型患者腘窩囊腫的發(fā)生率比較,差異有統(tǒng)計學(xué)意義(χ2=25.159,P=0.000); 異常干寒體液質(zhì)型腘窩囊腫的發(fā)生率高于石膏狀黏液質(zhì)型和澀味黏液質(zhì)型(χ2=17.420,P=0.000; χ2=13.056,P=0.000); 石膏狀黏液質(zhì)型和澀味黏液質(zhì)型腘窩囊腫的發(fā)生率比較,差異無統(tǒng)計學(xué)意義(χ2=0.157,P=0.692)。3種體液質(zhì)類型患者關(guān)節(jié)游離體的發(fā)生率比較,差異有統(tǒng)計學(xué)意義(χ2=38.840,P=0.000); 異常干寒體液質(zhì)型關(guān)節(jié)游離體的發(fā)生率高于石膏狀黏液質(zhì)型和澀味黏液質(zhì)型(χ2=27.760,P=0.000; χ2=22.180,P=0.000); 石膏狀黏液質(zhì)型和澀味黏液質(zhì)型關(guān)節(jié)游離體的發(fā)生率比較,差異無統(tǒng)計學(xué)意義(χ2=0.000,P=1.000)。3種體液質(zhì)類型患者軟骨損傷的發(fā)生率總體比較,差異有統(tǒng)計學(xué)意義(χ2=8.430,P=0.008); 但兩兩比較,差異均無統(tǒng)計學(xué)意義。結(jié)論:維吾爾醫(yī)3種異常體液質(zhì)類型KOA患者的MRI表現(xiàn)具有一定的特點(diǎn),腘窩囊腫和關(guān)節(jié)游離體多見于異常干寒體液質(zhì)型患者。
Abstract:
To explore the MRI characteristics of knee osteoarthritis(KOA)in patients with three kinds of abnormal physical constitution(Uygur medicine).Methods:One hundred and fifty-one patients with KOA were recruited from February 2016 to December 2017.The patients consisted of 42 males and 109 females.The patients were classified according to physical constitution(Uygur medicine)classification standards of KOA,and MRI examination were performed on knee joints of all patients.The MRI findings of the patients were compared between the three kinds of abnormal physical constitution(Uygur medicine)and the MRI characteristics were explored.Results:The physical constitutions(Uygur medicine)of patients belonged to plaster phlegmatic type(50),astringency phlegmatic type(51)and abnormal dry-cold humor type(50)respectively.The results of MRI examination on knee joints showed hydrops articuli at different degrees in 141 cases(plaster phlegmatic type(46),astringency phlegmatic type(45)and abnormal dry-cold humor type(50)),hyperosteogeny in 129 cases(plaster phlegmatic type(41),astringency phlegmatic type(44)and abnormal dry-cold humor type(44)),meniscus injury in 100 cases(plaster phlegmatic type(31),astringency phlegmatic type(36)and abnormal dry-cold humor type(33)),bone marrow edema in 67 cases(plaster phlegmatic type(19),astringency phlegmatic type(23)and abnormal dry-cold humor type(25)),popliteal cyst in 25 cases(plaster phlegmatic type(2),astringency phlegmatic type(4)and abnormal dry-cold humor type(19)),articular loose body in 22 cases(plaster phlegmatic type(1),astringency phlegmatic type(1)and abnormal dry-cold humor type(20)),articular cartilage injury in 9 cases(plaster phlegmatic type(7)and astringency phlegmatic type(2)),varicose veins around the joint capsule in 5 cases(astringency phlegmatic type(2)and abnormal dry-cold humor type(3)),ligament injury in 5 cases(astringency phlegmatic type(1)and abnormal dry-cold humor type(4)),subcutaneous soft tissue injury in 4 cases(astringency phlegmatic type(1)and abnormal dry-cold humor type(3))and chondromalacia patellae in 3 cases(plaster phlegmatic type(1),astringency phlegmatic type(1)and abnormal dry-cold humor type(1)).There were no statistical difference in the incidences of hyperosteogeny(χ2=0.767,P=0.681),meniscus injury(χ2=0.834,P=0.659),bone marrow edema(χ2=0.560,P=0.756),ligament injury(χ2=4.375,P=0.087),varicose veins around the joint capsule(χ2=2.865,P=0.288),subcutaneous soft tissue injury(χ2=2.973,P=0.224)and chondromalacia patellae(χ2=0.432,P=1.000)between the three kinds of humor types.There was statistical difference in the incidence of hydrops articuli between the three kinds of humor types in general(χ2=6.537,P=0.036).Further pairwise comparison showed that there was no statistical difference in the incidence of hydrops articuli between different humor types.There was statistical difference in the incidence of popliteal cyst between the three kinds of humor types(χ2=25.159,P=0.000).The incidence of popliteal cyst was higher in abnormal dry-cold humor type compared to plaster phlegmatic type and astringency phlegmatic type(χ2=17.420,P=0.000; χ2=13.056,P=0.000),and there was no statistical difference in the incidence of popliteal cyst between plaster phlegmatic type and astringency phlegmatic type(χ2=0.157,P=0.692).There was statistical difference in the incidence of articular loose body between the three kinds of humor types(χ2=38.840,P=0.000).The incidence of articular loose body was higher in abnormal dry-cold humor type compared to plaster phlegmatic type and astringency phlegmatic type(χ2=27.760,P=0.000; χ2=22.180,P=0.000),and there was no statistical difference in the incidence of articular loose body between plaster phlegmatic type and astringency phlegmatic type(χ2=0.000,P=1.000).There was statistical difference in the incidence of articular cartilage injury between the three kinds of humor types in general(χ2=8.430,P=0.008).Further pairwise comparison showed that there was no statistical difference in the incidence of articular cartilage injury between different kinds of humor types.Conclusion:MRI manifestations of KOA of patients with three kinds of abnormal physical constitution(Uygur medicine)presents some characteristics.Popliteal cyst and articular loose body occur more frequently in patients with abnormal dry-cold humor type physical constitution(Uygur medicine).

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備注/Memo

備注/Memo:
基金項目:新疆維吾爾自治區(qū)維吾爾醫(yī)醫(yī)院院級科研課題(2015-QN-10) 通訊作者:吾曼江·伊達(dá)依 E-mail:[email protected]
更新日期/Last Update: 2018-09-20