膝骨关节炎关节镜下表现与中医证候相关性研究

发布时间：2018-10-24 16:13

【摘要】：目的:通过探讨膝骨关节炎关节镜下影像与中医辨证分型的相关性,为膝骨关节炎的诊治提供思路。方法:取自北京中医药大学第三附属医院2013年6月至2016年12月121例(126侧)接受关节镜手术的膝关节骨性关节炎病人,按中医膝痹辨证分为瘀血痹阻、阳虚寒凝、肾虚髓亏3组,每组随机抽取各30例,通过研究关节镜手术中镜下所见滑膜增生、软骨损伤、游离体、半月板损伤等病理表现分析统计数据,找出每组内相同特性及组间差别,总结膝骨关节炎关节镜下组织病理变化与中医证型的关系。结果:根据中医证型,滑膜增生多见于瘀血阻滞型,膝关节软骨轻度损伤见于阳虚寒凝型,软骨严重损伤见于肾虚髓亏型且差异有统计学意义。结论:对于膝骨关节炎不同辨证分型在关节镜下呈现不同的组织病理变化,且同一分型病例具有大体相同的特征。
[Abstract]:Objective: to explore the correlation between arthroscopic images of knee osteoarthritis and TCM syndrome differentiation and to provide ideas for the diagnosis and treatment of knee osteoarthritis. Methods: from June 2013 to December 2016, 121 patients (126 sides) with knee osteoarthritis underwent arthroscopic operation were divided into three groups according to syndrome differentiation of traditional Chinese medicine (TCM): blood stasis, yang deficiency and cold coagulation, kidney deficiency and medullary deficiency. 30 cases were randomly selected from each group. The same characteristics and differences between the two groups were found by studying the pathological features of synovial hyperplasia, cartilage injury, free body, meniscus injury and so on. To summarize the relationship between histopathological changes of knee osteoarthritis under arthroscopy and TCM syndromes. Results: according to TCM syndrome type, synovial hyperplasia was found in blood stasis type, slight injury of articular cartilage was seen in Yang deficiency and cold coagulation type, and severe cartilage injury was found in kidney deficiency and pulp deficiency type with statistical significance. Conclusion: different syndrome differentiation and classification of knee osteoarthritis show different histopathological changes under arthroscopy, and the same classification cases have similar characteristics.
【作者单位】：北京中医药大学第三附属医院微创关节科;北京中医药大学;北京广济中医医院;
【基金】：北京中医药大学2016年度基本科研业务费项目(2016-JYB-JSMS-073)-关节镜联合揿针治疗膝骨性关节炎的研究
【分类号】：R274.9

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