数字化X线摄影系统评价成人大骨节病患者膝关节骨赘与下肢力学轴线的关系

发布时间：2018-05-26 19:11

  本文选题：成人大骨节病 + 数字化X线　； 参考：《中国地方病防治杂志》2016年04期

【摘要】：目的研究数字化X线摄影系统评价成人大骨节病患者膝关节骨赘与下肢力学轴线的关系。方法 280例成人大骨节病患者,通过应用数字化X线评价拍摄膝关节前后位片,测量和计算股骨胫骨角、骨赘长度、骨赘突起指数、胫股关节间隙比,研究分析成人大骨节病患者膝关节骨赘突起指数与胫股关节间隙比、股骨胫骨角的关联性。结果关节股骨胫骨角与股骨内侧髁骨赘突起指数、关节股骨胫骨角与胫骨内侧骨赘突起指数、关节胫股关节间隙比与股骨外侧髁骨赘突起指数、而关节胫股关节间隙比与胫骨内侧髁骨赘突起指数等均呈现出正相关(P0.01)。结论数字化X线在成人大骨节病的研究中具有较高的应用价值;成人大骨节病患者膝关节骨赘与下肢力学轴线存在显著的相关性,膝关节骨赘的发生与发展可能受到下肢生物力学变化的影响。
[Abstract]:Objective to evaluate the relationship between osteophyte of knee joint and mechanical axis of lower extremities in adult patients with Kashin-Beck disease by digital radiography system. Methods 280 adult patients with Kaschin-Beck disease were studied. The anterior and posterior position of knee joint was evaluated by digital X-ray, and the femur tibia angle, osteophyte length, osteophyte protuberance index and tibiofemoral joint space ratio were measured and calculated. The relationship between osteophyte protuberance index of knee joint and tibiofemoral joint space ratio and femur tibial angle in adult patients with Kashin-Beck disease (KBD) was studied. Results the index of osteophyte protrusions of femur angle and medial femoral condyle, the index of tibial angle and medial tibial osteophyte protuberance, the ratio of tibiofemoral joint space to lateral femoral condyle osteophyte protuberance index were found. The tibiofemoral joint space ratio and the osteophyte protuberance index of the medial tibia condyle showed a positive correlation (P 0.01). Conclusion Digital radiography is of great value in the study of Kaschin-Beck disease in adults, and there is a significant correlation between osteophyte of knee joint and mechanical axis of lower extremities in patients with Kaschin-Beck disease. The occurrence and development of osteophyte of knee joint may be affected by biomechanical changes of lower extremity.
【作者单位】： 郑州大学第二附属医院放射科;南阳医专第一附属医院麻醉科;
【基金】：河南省医学科技攻关计划项目;基金编号:201403528
【分类号】：R684.1;R816.8
，

本文编号：1938556