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[1]張新菊,王冬芳.膝骨關(guān)節(jié)炎合并內(nèi)側(cè)副韌帶慢性損傷的影響因素分析[J].中醫(yī)正骨,2021,33(06):11-14.
　ZHANG Xinju,WANG Dongfang.Analysis of factors influencing chronic medial collateral ligament injuries in patients with knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(06):11-14.
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膝骨關(guān)節(jié)炎合并內(nèi)側(cè)副韌帶慢性損傷的影響因素分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年06期
頁碼:
11-14
欄目:
臨床研究
出版日期:
2021-06-20

文章信息/Info

Title:
Analysis of factors influencing chronic medial collateral ligament injuries in patients with knee osteoarthritis
作者:
張新菊; 王冬芳
義烏市中心醫(yī)院,浙江 義烏 322000
Author(s):
ZHANG Xinju; WANG Dongfang
Yiwu Central Hospital,Yiwu 322000,Zhejiang,China
關(guān)鍵詞:
骨關(guān)節(jié)炎; 膝;  內(nèi)側(cè)副韌帶; 膝;  影響因素分析
Keywords:
osteoarthritis; knee;  medial collateral ligament; knee;  root cause analysis
摘要:
目的:探討膝骨關(guān)節(jié)炎(knee osteoarthritis,KOA)合并內(nèi)側(cè)副韌帶(medial collateral ligament,MCL)慢性損傷的影響因素。方法:以2019年1月至2020年6月在義烏市中心醫(yī)院治療的KOA患者的病例資料為研究對(duì)象,選取一般情況、診療記錄、影像資料完整的合并或不合并MCL慢性損傷的KOA患者的病例資料,提取相關(guān)信息,分析KOA合并MCL慢性損傷的影響因素。結(jié)果:共納入符合要求的患者159例,其中合并MCL慢性損傷患者89例(合并MCL慢性損傷組),不合并MCL損傷患者70例(不合并MCL損傷組)。2組患者的年齡、性別、骨贅生成、合并內(nèi)側(cè)半月板脫位、關(guān)節(jié)間隙狹窄類型、內(nèi)側(cè)半月板損傷分級(jí)、合并前交叉韌帶損傷、合并后交叉韌帶損傷情況比較,組間差異均有統(tǒng)計(jì)學(xué)意義[(66.87±10.92)歲,(63.19±9.82)歲,t=2.082,P=0.039; χ2=5.923,P=0.015; χ2=44.429,P=0.000; χ2=47.481,P=0.000; χ2=86.788,P=0.000; χ2=31.992,P=0.000; χ2=20.458,P=0.000; χ2=7.372,P=0.007]; 2組患者的損傷側(cè)別、體質(zhì)量指數(shù)、病程比較,組間差異均無統(tǒng)計(jì)學(xué)意義[χ2=2.659,P=0.103;(24.43±1.82)kg·m-2,(24.57±0.97)kg·m-2,t=0.982,P=0.328;(2.34±0.78)個(gè)月,(2.43±0.81)個(gè)月,t=0.372,P=0.710]。Logistic回歸分析結(jié)果顯示,合并內(nèi)側(cè)半月板脫位、有骨贅生成及合并前交叉韌帶損傷是KOA合并MCL慢性損傷的危險(xiǎn)因素(β=1.762,OR=5.824,P=0.004; β=3.446,OR=31.375,P=0.000; β=1.992,OR=7.330,P=0.000); 相對(duì)于脛股關(guān)節(jié)內(nèi)側(cè)間隙狹窄,脛股關(guān)節(jié)外側(cè)間隙狹窄、髕股關(guān)節(jié)間隙狹窄是KOA合并MCL慢性損傷的保護(hù)因素(β=-4.153,OR=0.016,P=0.000; β=-5.342,OR=0.005,P=0.000)。結(jié)論:合并內(nèi)側(cè)半月板脫位、骨贅生成、合并前交叉韌帶損傷情況及關(guān)節(jié)間隙狹窄類型是KOA合并MCL慢性損傷的影響因素,其中合并內(nèi)側(cè)半月板脫位、有骨贅生成及合并前交叉韌帶損傷是KOA合并MCL慢性損傷的危險(xiǎn)因素; 相對(duì)于脛股關(guān)節(jié)內(nèi)側(cè)間隙狹窄,脛股關(guān)節(jié)外側(cè)間隙狹窄、髕股關(guān)節(jié)間隙狹窄是KOA合并MCL慢性損傷的保護(hù)因素。
Abstract:
Objective:To explore the factors influencing chronic medial collateral ligament(MCL)injuries in patients with knee osteoarthritis(KOA).Methods:The medical records of KOA patients who underwent treatment in Yiwu Central Hospital from January 2019 to June 2020 were collected.The medical records of KOA patients with or without chronic MCL injuries containing complete general condition,KARTE and images were further screened,and the relevant infomation about age,gender,height,body mass,disease course and injured side was extracted for analyzing the factors influencing chronic MCL injuries in KOA patients.Results:One hundred and fifty-nine KOA patients were included in the study,in which 89 KOA patients suffered from chronic MCL injuries(chronic MCL injury group)and 70 KOA patients didn't(non-chronic MCL injury group).There were statistical difference in age,gender,osteophyte formation,combined medial meniscus(MM)dislocation,type of joint space narrowing(JSN),grade of MM injury,combined anterior cruciate ligament(ACL)injury and combined posterior cruciate ligament(PCL)injury between the 2 groups(66.87±10.92 vs 63.19±9.82 years,t=2.082,P=0.039; χ2=5.923,P=0.015; χ2=44.429,P=0.000; χ2=47.481,P=0.000; χ2=86.788,P=0.000; χ2=31.992,P=0.000; χ2=20.458,P=0.000; χ2=7.372,P=0.007); while no statistical difference in injured side,body mass index and disease course between the 2 groups(χ2=2.659,P=0.103; 24.43±1.82 vs 24.57±0.97 kg/m(2),t=0.982,P=0.328; 2.34±0.78 vs 2.43±0.81 months,t=0.372,P=0.710).The results of logistic regression analysis revealed that the combined MM dislocation,osteophyte formation and combined ACL injury were the risk factors for chronic MCL injury in KOA patients(β=1.762,OR=5.824,P=0.004; β=3.446,OR=31.375,P=0.000; β=1.992,OR=7.330,P=0.000); while lateral tibiofemoral(TF)JSN and patellofemoral(PF)JSN were the protective factors for chronic MCL injury compared to medial TF JSN in KOA patients(β=-4.153,OR=0.016,P=0.000; β=-5.342,OR=0.005,P=0.000).Conclusion:The combined MM dislocation,osteophyte formation,combined ACL injury and JSN type are the factors influencing chronic MCL injury in KOA patients,in which the combined MM dislocation,osteophyte formation and combined ACL injury are the risk factors for chronic MCL injury; while lateral TF JSN and PF JSN are the protective factors for chronic MCL injury compared to medial TF JSN in KOA patients.

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備注/Memo

備注/Memo:
通訊作者:張新菊 E-mail:[email protected]
更新日期/Last Update: 2021-12-20