CAJ | 학술논문

目的：对髌骨外侧高压综合征的影像学诊断及最新进展进行综述，探讨各个指标的优点和局限性，为下一步研究拓宽思路。方法检索中国知网及Pubmed数据库，对髌骨外侧高压综合征影像学诊断方面的文献进行报道，并对不同的检查方法进行分类讨论。中文检索词为“髌骨外侧高压综合征、髌骨外侧挤压综合征、髌股关节紊乱、诊断”，英文检索词为“excessive lateral pressure syndrome，diagnosis”。结果髌股外侧高压综合征的MRI表现主要包括髌骨位置的改变及运动轨迹异常，髌股关节软骨退变以及髌骨支持带病变，如有条件行T1ρ检查，还有可能早于关节镜发现肉眼不可见的ELPS髌股关节病变。结论 MRI检查对髌股外侧高压综合征有着重要的诊断价值，其为无创检查，并且可以早于关节镜发现病变，还可以评估疗效及预测预后，可以作为ELPS患者的最佳检查手段。
목적：대빈골외측고압종합정적영상학진단급최신진전진행종술，탐토각개지표적우점화국한성，위하일보연구탁관사로。방법검색중국지망급Pubmed수거고，대빈골외측고압종합정영상학진단방면적문헌진행보도，병대불동적검사방법진행분류토론。중문검색사위“빈골외측고압종합정、빈골외측제압종합정、빈고관절문란、진단”，영문검색사위“excessive lateral pressure syndrome，diagnosis”。결과빈고외측고압종합정적MRI표현주요포괄빈골위치적개변급운동궤적이상，빈고관절연골퇴변이급빈골지지대병변，여유조건행T1ρ검사，환유가능조우관절경발현육안불가견적ELPS빈고관절병변。결론 MRI검사대빈고외측고압종합정유착중요적진단개치，기위무창검사，병차가이조우관절경발현병변，환가이평고료효급예측예후，가이작위ELPS환자적최가검사수단。
Objective This review was written in the hope to help with the overall clarification of the research in this field and provide with potential research methods for up-coming researches.Methods In research within CNKI and Pubmed database, and retrieve the database using the keyword 'excessivelateral pressure syndrome,diagnosis' Results MRI findings of the ELPS include high pressure in the patella position and trajectory change of the patellofemoral joint cartilage, and the degeneration of patellar lesions, if T1ρ line inspection can be performed, there may be earlier results than the what arthroscopic may found not visible to the ELPS patellofemoral joint disease. Conclusion MRI examination of the lateral patellofemoral hypertension syndrome has important diagnostic values, which is noninvasive and can be found in early lesions in arthroscopy, but also to assess the efficacy and prognosis, as the best means of checking ELPS patients.