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膝关节骨性关节炎患者下肢力线的测量分析

发布时间:2018-02-22 15:24

  本文关键词: 下肢力线 骨性关节炎 膝关节 出处:《福建医药杂志》2016年03期  论文类型:期刊论文


【摘要】:目的观察膝关节骨性关节炎(knee osteoarthritis,KOA)患者下肢力线改变的规律,为临床诊疗提供参考。方法利用PHILIPS DR对男女各25例膝关节骨性关节炎患者的下肢进行立位摄片,并利用测量软件对其下肢力线进行测量,然后将测量数据与国人正常参考值进行对比分析。结果膝关节骨性关节炎患者的下肢力线中髋膝踝角(A角)较国人正常参考值小(P0.05),膝关节外翻角(B角)较国人正常参考值大(P0.05),胫骨角(C角)及踝角(D角)与国人正常参考值比较,差异无统计学意义(P0.05)。结论膝关节骨性关节炎患者的下肢力线改变主要是A角较国人正常参考值小与B角较国人正常参考值大,虽然C角、D角与国人正常参考值比较差异无统计学意义,但C角及D角出现了异常反应KOA的严重程度,测量下肢力线中的A角、B角及C角及D角对膝关节骨性关节炎的评估及预测具有临床意义。
[Abstract]:Objective to observe the changes of lower limb force line in patients with knee osteoarthritis and osteoarthritis (KOAA), and to provide reference for clinical diagnosis and treatment. Methods 25 cases of knee osteoarthritis in male and female patients with knee osteoarthritis were photographed by PHILIPS Dr. The force line of the lower extremity was measured by the software. Then the measured data were compared with the normal reference value of Chinese people. Results the hip knee ankle angle A angle in knee osteoarthritis patients was lower than that of Chinese normal reference value (P 0.05) and the knee joint valgus angle B) was higher than that in Chinese patients. Compared with the normal reference values of Chinese people, the normal reference values were: P0.05A, C angle of tibia angle) and D angle of ankle angle. Conclusion the changes of lower limb force line in patients with knee osteoarthritis are mainly lower than normal reference value of Chinese and larger than normal reference value of Chinese. Although there was no significant difference between C angle D angle and Chinese normal reference value, the severity of abnormal reaction of C angle and D angle was found in KOA. Measurement of angle A, angle B, angle C and angle D in lower limb force line is of clinical significance in the evaluation and prediction of osteoarthritis of knee joint.
【作者单位】: 福建省宁德市中医院影像科;
【分类号】:R684.3;R816.8

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