CAJ | 학술논문

目的：对比观察膝骨性关节炎患者和正常人半月板的几何形状变化，并初步探讨其临床意义。方法：选取2013年1月至2014年4月在我院诊断为膝关节骨性关节炎Ⅱ、Ⅲ级患者20例作为骨关节炎组，另选择年龄、性别、体重指数相匹配的正常人12例作为正常组。在膝关节MRI图像上对内、外侧半月板进行定量测量并对比分析。结果：关节炎组内侧半月板60～130度位变厚（ P＜0．05），100～130度位的宽度和厚度比值变小（ P＜0．05）；外侧半月板10～50度及140～170度位变宽（ P＜0．05），120～170度位变厚（P＜0．05），30～50度及130～170度位的宽度和厚度比值变大（P＜0．05）。结论：本研究为半月板的影像学测量提供了一个新的方法和思路。通过测量发现半月板形状变化与膝骨性关节炎之间具有相关性。
목적：대비관찰슬골성관절염환자화정상인반월판적궤하형상변화，병초보탐토기림상의의。방법：선취2013년1월지2014년4월재아원진단위슬관절골성관절염Ⅱ、Ⅲ급환자20례작위골관절염조，령선택년령、성별、체중지수상필배적정상인12례작위정상조。재슬관절MRI도상상대내、외측반월판진행정량측량병대비분석。결과：관절염조내측반월판60～130도위변후（ P＜0．05），100～130도위적관도화후도비치변소（ P＜0．05）；외측반월판10～50도급140～170도위변관（ P＜0．05），120～170도위변후（P＜0．05），30～50도급130～170도위적관도화후도비치변대（P＜0．05）。결론：본연구위반월판적영상학측량제공료일개신적방법화사로。통과측량발현반월판형상변화여슬골성관절염지간구유상관성。
Objective:Observing the morphological changes of the meniscus between the patients with knee osteoarthritis and normal adults , discussing its clinical significance .Method:20 cases of patients with knee osteoarthritis (Ⅱ,Ⅲ grade ) were selected from our hospital as osteoarthritis group between January 2013 to April 2014, and 12 cases of the normal people were chosen as normal group , the age, sex, body mass index were matched between the two groups .We measured the meniscus on the MRI image of knee and analysis.Result:Compared with the normal group,from 60°to 130°of the medial meniscus is thicker (P<0. 05) ,100°to 130°of the ratio of width and thickness is smaller ( P<0.05) ; from 10°to 50°and 140°to 170°of the lateral meniscus is wider(P<0.05),from 120°to 170°of the lateral meniscus is thicker (P<0. 05), from 30°to 50°and 130°to 170°of the lateral meniscus is bigger (P<0.05).Conclusion:The study provide a new method and train of thought to the study of the meniscus .It found the morphological changes of the meniscus associated with knee osteoarthritis .