| 膝关节软骨病变的MRI表现与关节镜术后疗效相关性研究 |
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| 作者 | Author | 单位 | Address | E-Mail |
| 杨光 |
YANG Guang |
浙江大学医学院附属第二医院骨科,浙江 杭州 310000 |
Department of Orthopaedic,the 2nd Affiliated Hospital,Medicine College of Zhejiang University,Hangzhou 310000,Zhejiang,China |
zjzjyg@yahoo.com.cn |
| 严世贵 |
YAN Shi-gui |
浙江大学医学院附属第二医院骨科,浙江 杭州 310000 |
Department of Orthopaedic,the 2nd Affiliated Hospital,Medicine College of Zhejiang University,Hangzhou 310000,Zhejiang,China |
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| 冯建钜 |
FENG Jian-jv |
诸暨市人民医院骨科 |
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| 王叶军 |
WANG Ye-jun |
诸暨市人民医院骨科 |
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| 钟建平 |
ZHONG Jian-ping |
诸暨市人民医院骨科 |
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| 刘铁民 |
LIU Tie-min |
诸暨市人民医院骨科 |
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| 马云淼 |
MA Yun-miao |
诸暨市人民医院骨科 |
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| 高志洋 |
GAO Zhi-yang |
诸暨市人民医院骨科 |
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| 徐铁烽 |
XU Tie-feng |
诸暨市人民医院骨科 |
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| 期刊信息：《中国骨伤》2010年，第23卷，第2期，第90-93页 |
| DOI：10.3969/j.issn.1003-0034.2010.02.004 |
| 基金项目:浙江省医药卫生科学研究基金(2008A158) |
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中文摘要:
目的：寻找MRI显示的膝关节软骨损伤程度和关节镜手术后疗效的相关性，为临床提供膝关节镜手术适应征的指导。
方法：2005年8月至2008年4月用膝关节镜手术治疗膝骨性关节炎87例，男44例，女43例；年龄16～67岁，平均46.3岁。对患者膝关节软骨按ICRS MR分级标准进行分级，并进行Lysholm评分。
结果：87例87膝均进行了术后随访，时间12～30个月，平均23个月。关节软骨损伤：4级30例，3级23例，2级20例，1级12例，0级2例，平均(2.770±1.138)级。术后Lysholm评分59～100分，平均(95.170±7.556)分。两者相关系数r=-0.152,P=0.159>0.05,统计学分析无相关性，但有负相关趋势。
结论：术前膝关节软骨的MRI(1.5T)分级不能作为关节镜手术指征判断的金标准，只是术前膝关节软骨的MRI(1.5T)分级高的患者术后疗效相对较差。 |
| 【关键词】膝关节 软骨，关节 磁共振成像 关节镜 |
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| Comparison of the relativity of MRI appearance of cartilage injuries and postoperative effect of arthroscope on articular cartilage disease of knee |
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ABSTRACT
Objective: To analyze the indication of arthroscope by examining the correlations between cartilage injury degree confirmed by MRI and postoperative effect.
Methods: From Aug.2005 to April 2008,87 cases with knee osteoarthritis were treated by arthroscopes including 44 males and 43 females,aged from 16 to 67 years (means 46.3 years). Arthrodial cartilage of knee was graded by ICRS MR,and the therapeutic effect was evaluated by Lysholm scoring.
Results: All 87 knees of 87 cases were followed-up for from 12 to 30 months (averaged 23 months). The cartilage injury degree of knees was graded as follows:grade 4 in 30 cases,grade 3 in 23 cases,grade 2 in 20 cases,grade 1 in 12 cases,grade 0 in 2 cases,means grade (2.770±1.138). Postoperative Lysholm score was from 59 to 100,means (95.170±7.556). Coefficient correlation (r) =-0.152,P=0.159>0.05. Although the results had no correlations between cartilage injury degree and Lysholm score,negative correlation tendency existed.
Conclusion: The patients with higher grade of knee cartilage injury degree confirmed by MRI (1.5T) have worse effect after operation,the grade is not a gold standard as a operation indication in arthroscopic procedure. |
| KEY WORDS Knee joint Cartilage,articular Megnetic resonance imaging Arthroscopes |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 杨光,严世贵,冯建钜,王叶军,钟建平,刘铁民,马云淼,高志洋,徐铁烽.膝关节软骨病变的MRI表现与关节镜术后疗效相关性研究[J].中国骨伤,2010,23(2):90~93 |
| 英文格式: | YANG Guang,YAN Shi-gui,FENG Jian-jv,WANG Ye-jun,ZHONG Jian-ping,LIU Tie-min,MA Yun-miao,GAO Zhi-yang,XU Tie-feng.Comparison of the relativity of MRI appearance of cartilage injuries and postoperative effect of arthroscope on articular cartilage disease of knee[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(2):90~93 |
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