髌骨脱位患者发病情况的CT调查

发布时间：2018-02-11 01:07

本文关键词： 髌骨脱位 CT 测量治疗　出处：《河北医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:比较髌骨脱位患者和健康志愿者膝关节CT下的各种数据,分析髌骨脱位患者与正常人群组织结构上的差异,确定髌股关节解剖学异常在患者中的发病情况,为诊断和治疗提供相关的依据。方法:回顾性分析本院2005年至2014年的100例髌骨脱位患者的CT检查和临床数据,并征集了100例健康志愿者作为对照组。对比两组在影像学上的差异,测量了外侧髌股角,髌骨倾斜角,髌骨倾斜度,沟角,适合角,滑车沟深度和TT-TG间距。根据测量结果,将髌骨脱位患者分为有解剖异常组和无解剖异常组,比较两组临床数据的差异。结果:全部六项测量值在病患组和对照组间均有显著的统计学差异(P0.05),髌骨外侧角(-12.73±17.77 vs 7.82±5.34),髌骨倾斜角(22.93±11.34 vs 8.67±3.56),适合角(40.24±26.24 vs 5.25±20.68),沟角(155.85±11.39 vs 140.22±5.49),滑车沟深度(2.82±1.26 vs 5.66±1.21),TT-TG(19.84±6.27 vs 14.12±4.00)。有88.75%的患者存在滑车发育异常,有52.04%的患者存在髌骨旋转力学异常。且存在解剖异常的患者组的发病年龄明显低于无解剖异常组,虽两组在疼痛上无统计学差异,但存在解剖异常组的患者发病年限更长,脱位次数更多,恐惧试验阳性率更高,髌骨研磨试验阳性率也更高。结论:髌骨脱位患者中绝大多数存在有不同程度的解剖学异常,因此,对于髌骨脱位患者,尤其初次发病的青少年患者,不应简单的给予保守治疗,而应详细检查,明确其致病原因,给予更加积极的、针对病因的个体化治疗,以期达到减少再脱位,预防并发症发生的作用。
[Abstract]:Objective: to compare the CT data of patellar dislocation patients and healthy volunteers, to analyze the difference of tissue structure between patellar dislocation patients and normal subjects, and to determine the incidence of patellofemoral joint anatomical abnormality in patients. Methods: Ct findings and clinical data of 100 patients with patellar dislocation from 2005 to 2014 were retrospectively analyzed. The lateral patellofemoral angle, patellar angle, patellar angle, patellar angle, suitable angle, trochlear groove depth and TT-TG spacing were measured. Patients with patellar dislocation were divided into anatomic abnormal group and no anatomic abnormal group. Results: there were significant statistical differences between the two groups in all the six measurements (P 0.05). The lateral patellar horn was 12.73 卤17.77 vs 7.82 卤5.34, the patellar angle was 22.93 卤11.34 vs 8.67 卤3.56A, the suitable angle was 40.24 卤26.24 vs 5.25 卤20.68, the furrow angle was 155.85 卤11.39 vs 140.22 卤5.49m, and the angle of patellar obliquity was 22.93 卤11.34 vs 8.67 卤3.56A, and the suitable angle was 40.24 卤26.24 vs 5.25 卤20.68, 155.85 卤11.39 vs 140.22 卤5.49m. The depth of cleavage was 2.82 卤1.26 vs 5.66 卤1.21 TT-TGN 19.84 卤6.27 vs 14.12 卤4.000.There were 88.75% patients with abnormal development of trochlear. 52.04% of the patients had abnormal rotational mechanics of patella, and the age of onset in the group with anatomic abnormality was significantly lower than that in the group without anatomic abnormality. Although there was no statistical difference in pain between the two groups, the age of onset in the group with anatomic abnormality was longer than that in the group with anatomic abnormality. The frequency of dislocation is higher, the positive rate of fear test is higher, and the positive rate of patellar abrasion test is higher. Conclusion: most of the patients with patellar dislocation have different degrees of anatomic abnormality. In particular, young people with initial onset should not simply be given conservative treatment, but should be examined in detail, their causes should be clearly identified, and individualized treatment should be given to the cause of the disease more actively, in order to reduce redislocation. The role of preventing complications.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R681.8

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