摘要
目的探讨肌骨超声检查在风湿性膝关节炎患者中检出率及与膝关节功能的相关性。方法选择2019年5月1日至2020年3月1日风湿性膝关节炎患者(均为单膝患者)118例为对象;所有患者均经临床表现结合X线检查确诊;确诊前患者均拟行肌骨超声检查,并将肌骨超声检查结果与X线检查结果进行比较,分析肌骨超声在风湿性膝关节炎患者中的检出率;采用Lysholm评分法对患者患侧肢与健侧肢膝关节功能进行评估;采用Pearson相关性分析软件对肌骨超声检查结果与膝关节功能进行相关性分析。结果肌骨超声检查显示滑膜增厚、关节软骨退变、髌上囊积液、内侧半月板损伤退变、腘窝囊肿、韧带损伤、软骨下骨破坏检出率高于X线(P<0.05);软骨下骨破坏、关节间隙变窄、骨质疏松、骨质增生检出率低于X线(P<0.05);风湿性膝关节炎患者患侧膝关节跛行、承受能力、上下楼能力、下蹲起立、疼痛、关节肿痛及总分均低于健侧(P<0.05);Pearson相关性分析,风湿性膝关节炎患者膝关节功能与滑膜增厚、关节软骨退变、髌上囊积液、内侧半月板损伤退变、腘窝囊肿、韧带损伤、软骨下骨破坏及骨质增生、关节间隙变窄呈负相关性(P<0.05)。结论肌骨超声检查用于风湿性膝关节炎患者中能获得较高的检出率,且患者检出结果与膝关节功能存在一定相关性。
Objective To investigate the detection rate of musculoskeletal ultrasonography in patients with rheumatic knee arthritis and its correlation with knee function. Methods A total of 118 patients with rheumatic knee arthritis( all patients with one knee affected) from May 1, 2019 to March 1, 2020 were selected as the subjects. All patients were confirmed by clinical manifestations combined with X-ray examination. Before diagnosis,all patients were planned to undergo musculoskeletal ultrasound examination,and the results of musculoskeletal ultrasound examination and X-ray examination were compared to analyze the detection rate of musculoskeletal ultrasound in patients with rheumatic knee arthritis. Lysholm score was used to evaluate the knee function of the affected and unaffected limbs. Pearson correlation analysis was used to analyze the correlation between musculoskeletal ultrasound results and knee function. Results The detection rate of synovium thickening, articular cartilage degeneration,suprapatellar sac effusion,medial meniscus injury and degeneration,popliteal cyst,ligament injury and subchondral bone destruction in musculoskeletal ultrasound was higher than that in X-ray(P < 0.05). The detection rates of subchondral bone destruction,joint space narrowing,osteoporosis and bone hyperplasia in musculoskeletal ultrasound were lower than those of X-ray(P < 0.05). The claudication,supporting,stair-climbing,squatting and standing up,pain,joint swelling and pain and total scores of the affected side of rheumatoid knee arthritis patients were lower than those of the healthy side(P < 0.05). Pearson correlation analysis results showed that knee function in patients with rheumatic knee arthritis was negatively correlated with synovial thickening,articular cartilage degeneration,suprapatellar sac effusion,medial meniscus injury and degeneration,popliteal fossa cyst, ligament injury, subchondral bone destruction and osteogenesis, and articular space narrowing(P < 0.05). Conclusion Musculoskeletal ultrasound has a high d
作者
吴欣
李云
邹品飞
李梅玲
普勇斌
WU Xin;LI Yun;ZOU Pin-fei;LI Mei-ling;PU Yong-bin(Dept.of Function Laboratory,Yunnan Hospital of Traditional Chinese Medicine,Kunming Yunnan 650021,China;Dept.of Rheumatology,Yunnan Hospital of Traditional Chinese Medicine,Kunming Yunnan 650021,China)
出处
《昆明医科大学学报》
CAS
2021年第8期78-82,共5页
Journal of Kunming Medical University
基金
国家自然科学基金资助项目(81560770)。
