[1]张德洲,吴俊华,易雪冰,等.基于MRI探讨髌骨骑跨与髌骨软化症的关系…[J].中医正骨,2017,29(11):38-40,43.
　ZHANG Dezhou,WU Junhua,YI Xuebing,et al.Clinical study on the relationship between patellar straddling and chondromalacia patellae using MRI[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(11):38-40,43.
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基于MRI探讨髌骨骑跨与髌骨软化症的关系…()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期数:
2017年11期
页码:
38-40,43
栏目:
临床研究
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:
张德洲; 吴俊华; 易雪冰; 李东明; 罗飞; 虞亚明
四川省骨科医院,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
关键词:
膝关节;  髌骨骑跨;  髌骨软骨软化症;  磁共振成像
Keywords:
Key words knee joint;  patellar straddling;  chondromalacia patellae;  magnetic resonance imaging
摘要:
目的:探讨髌骨骑跨与髌骨软化症的关系。方法:收集200例确诊为髌骨骑跨患者的MRI检查资料。男71例,女129例; <20岁者62例,20～39岁者38例,≥40岁者100例。200例患者均未合并髌骨骨折、股骨骨折、胫骨骨折、膝关节肿瘤,均未接受过人工膝关节置换手术。根据MRI表现,将髌骨骑跨分为轻度、中度、重度3个等级,诊断患者是否合并髌骨软化症,并根据病变的严重程度将其分为Ⅰ、Ⅱ、Ⅲ、Ⅳ4个等级。通过数据分析,探讨二者之间的关系。结果:200例髌骨骑跨患者中183例合并髌骨软化症; 男65例、女118例,男性和女性髌骨骑跨患者髌骨软化症的发生率比较,差异无统计学意义(χ2=0.000,P=0.985); 髌骨骑跨轻度40例,中度120例,重度23例; 髌骨软化症Ⅰ级16例,Ⅱ级67例,Ⅲ级57例,Ⅳ级43例。183例合并髌骨软化症的髌骨骑跨患者中,<20岁者52例、20～39岁者35例、≥40岁者96例。髌骨骑跨患者的年龄与髌骨软化症的病变程度呈正相关(r=0.617,P=0.000)。髌骨骑跨的程度与髌骨软化症的病变程度之间不存在直线相关关系(r=-0.084,P=0.256)。结论:髌骨骑跨患者髌骨软化症的发生率较高,不同性别髌骨骑跨患者的髌骨软化症发生率无明显差别,髌骨骑跨患者的年龄与髌骨软化症的病变程度呈正相关,髌骨骑跨的程度与髌骨软化症的病变程度之间不存在直线相关关系。
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.

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备注/Memo

备注/Memo:
通讯作者:张德洲 E-mail:fangsheke3361@sina.com
更新日期/Last Update: 2018-04-02