摘要
目的:探讨应用MRI评价内侧半月板突出的危险因素、分析多部位突出的原因及半月板突出程度与胫股内侧关节退变程度的相关性。方法:本研究纳入2019年2月—2020年3月因膝关节内侧间室慢性疼痛来我院就诊行患侧膝关节MRI检查的成年患者387例,对照组104名。分别记录内侧半月板前角、体部、后角突出的距离。比较内侧半月板前角、体部、后角突出组与对照组间内侧半月板前角、体部、后角、后角根部和前交叉韧带损伤程度的差别。比较单纯内侧半月板体部突出组、体部伴前角突出组和体部伴后角突出组间上述结构的损伤程度的差别。应用Spearman相关分析评价半月板突出距离与股骨内髁和胫骨内侧平台关节软骨软化程度的关系。结果:内侧半月板前角、体部、后角突出组分别与对照组在内侧半月板前角、体部、后角、后角根部和前交叉韧带损伤程度的比较差异有统计学意义(Z=-4.517、-5.793、-3.676、-3.174、-3.346,均P<0.01;Z=-3.162、-9.966、-6.923、-6.318、-4.479,均P<0.01;Z=-2.870、-6.522、-7.196、-3.021、-0.866、P=0.004、0.000、0.000、0.003、0.386)。内侧半月板突出组半月板前角、体部、后角、后角根部及前交叉韧带的损伤程度总体上较对照组严重。单纯内侧半月板体部突出组、体部伴前角突出组和体部伴后角突出组间上述结构的损伤程度差异有统计学意义(F=5.053、6.642、21.172、2.991、1.609,P=0.007、0.002、0.000、0.052、0.202)。内侧半月板体部伴前角突出者半月板前角、体部的损伤程度较单纯体部突出者为重,而体部伴后角突出者半月板体部、后角的损伤程度较单纯体部突出为重。内侧半月板突出与股骨内髁和胫骨内侧平台关节软骨软化程度呈正相关(r=0.526、0.581;均P=0.000)。结论:内侧半月板及前交叉韧带损伤为内侧半月板突出的危险因素。内侧半月板突出者多为体部突出
Objective:To explore the risk factors of medial meniscus extrusion evaluated by MRI,analyze the causes of multiple sites of meniscus extrusion and the correlation between the degree of meniscus extrusion and the degree of medial tibiofemoral joint degeneration.Methods:A total of 387 adult patients with chronic pain in the medial compartment of the knee joint who underwent MRI examination on the affected side of the knee joint from February 2019 to March 2020 were included,and 104 patients in the control group.The extrusion distances of the anterior horn,body and posterior horn of the medial meniscus were recorded respectively.The injury degrees of anterior horn,body,posterior horn,root of posterior horn and anterior cruciate ligament of medial meniscus were compared between the extrusion group of anterior horns,bodies,and posterior horns and the control group.The damage degrees of the above structures were compared among the simple medial meniscus body extrusion group,the body and anterior horn extrusion group and the body and posterior horn extrusion group.Spearman correlation analysis was used to evaluate the relationship between the distance of meniscus extrusion and the degree of chondromalacia of the medial femoral condyle and medial tibial platform.Results:Comparison of injury degree of anterior horn,body part,posterior horn,root of posterior horn and anterior cruciate ligament of medial meniscus between the extrusion group of anterior horns,bodies,and posterior horns and the control group,the differences were significant(Z=-4.517,-5.793,-3.676,-3.174,-3.346,all P<0.01;Z=-3.162,-9.966,-6.923,-6.318,-4.479,all P<0.01;Z=-2.870,-6.522,-7.196,-3.021,-0.866,P=0.004,0.000,0.000,0.003,0.386).The injury degree of anterior horn,body,posterior horn,root of posterior horn and anterior cruciate ligament in the medial meniscus extrusion group were more serious than those in the control group.The damage degree of the above structures among simple medial meniscus body extrusion group,body and anterior horn extrusion group
作者
曹毅
乔清理
马信龙
黄竞敏
CAO Yi;QIAO Qing-li;MA Xin-long;HUANG Jing-min(College of Biomedical Engineering and Technology,Tianjin Medical University,Tianjin 300070,China;Department of Radiology,Tianjin Hospital,Tianjin 300211,China;Department of Orthopedics,Tianjin Hospital,Tianjin 300211,China)
出处
《天津医科大学学报》
2022年第3期318-323,共6页
Journal of Tianjin Medical University
关键词
内侧半月板突出
损伤
软骨软化
medial meniscus extrusion
magnetic resonance imaging
injury
chondromalacia
