中国CT和MRI杂志
中國CT和MRI雜誌
중국CT화MRI잡지
Chinese Journal of CT and MRI
2015年
10期
97-98,116
,共3页
膝关节骨性关节炎%中医辨%证分型%MRI表现
膝關節骨性關節炎%中醫辨%證分型%MRI錶現
슬관절골성관절염%중의변%증분형%MRI표현
Knee Osteoarthritis%TCM Syndrome Differentiation Types%MRI Changes
目的：探讨膝关节骨性关节炎(KOA)的中医辨证分型与MRI表现的相关性，为临床诊疗提供依据。方法对我院72例KOA患者进行中医辨证分型：筋脉瘀滞型(22例)，湿注骨节型(23例)和痰瘀交阻型(27例)。然后进行MRI检查，分析3种证型与各种MRI表现之间的相关性。结果72例患者均发生关节软骨及半月板损伤；滑膜增厚以湿注骨节型发生率最高(86.96%)，与筋脉瘀滞型和痰瘀交阻型比较差异有统计学意义(P＜0.01)；骨质增生以痰瘀交阻型发生率最高(85.2%)，与筋脉瘀滞型和湿注骨节型比较差异有统计学意义(P＜0.01)；关节游离体形成以痰瘀交阻型发生率最高(37.0%)，与筋脉瘀滞型比较差异有统计学意义(P＜0.05)。结论 KOA中医证型与MRI表现有一定的相关性，MRI在一定程度上可以作为不同中医证型的辨证参考。
目的：探討膝關節骨性關節炎(KOA)的中醫辨證分型與MRI錶現的相關性，為臨床診療提供依據。方法對我院72例KOA患者進行中醫辨證分型：觔脈瘀滯型(22例)，濕註骨節型(23例)和痰瘀交阻型(27例)。然後進行MRI檢查，分析3種證型與各種MRI錶現之間的相關性。結果72例患者均髮生關節軟骨及半月闆損傷；滑膜增厚以濕註骨節型髮生率最高(86.96%)，與觔脈瘀滯型和痰瘀交阻型比較差異有統計學意義(P＜0.01)；骨質增生以痰瘀交阻型髮生率最高(85.2%)，與觔脈瘀滯型和濕註骨節型比較差異有統計學意義(P＜0.01)；關節遊離體形成以痰瘀交阻型髮生率最高(37.0%)，與觔脈瘀滯型比較差異有統計學意義(P＜0.05)。結論 KOA中醫證型與MRI錶現有一定的相關性，MRI在一定程度上可以作為不同中醫證型的辨證參攷。
목적：탐토슬관절골성관절염(KOA)적중의변증분형여MRI표현적상관성，위림상진료제공의거。방법대아원72례KOA환자진행중의변증분형：근맥어체형(22례)，습주골절형(23례)화담어교조형(27례)。연후진행MRI검사，분석3충증형여각충MRI표현지간적상관성。결과72례환자균발생관절연골급반월판손상；활막증후이습주골절형발생솔최고(86.96%)，여근맥어체형화담어교조형비교차이유통계학의의(P＜0.01)；골질증생이담어교조형발생솔최고(85.2%)，여근맥어체형화습주골절형비교차이유통계학의의(P＜0.01)；관절유리체형성이담어교조형발생솔최고(37.0%)，여근맥어체형비교차이유통계학의의(P＜0.05)。결론 KOA중의증형여MRI표현유일정적상관성，MRI재일정정도상가이작위불동중의증형적변증삼고。
Objective To explore the correlation between TCM syndrome differentiation types of knee osteoarthritis (KOA) and its MRI changes,so as to provide evidence for clinical diagnosis and treatment.Methods According to the standards of diagnosis and treatment based on overall analysis of symptoms and signs of TCM,72 patients with KOA were divided into 3 types:type of stagnation of tendons and muscles (22 cases),type of dampness infusion into bone and joints (23 cases) and type of inter-obstruction of phlegm and stasis (27 cases).All patients were performed MRI examination, in order to find out the correlation between syndrome differ classification of KOA and its MRI changes.Results 72 cases occurred with articular cartilage and meniscus injury.The incidence of synovial thickening of type of dampness infusion into bone and joints was the highest among the three types (P<0.01).The incidence of bone hyperplasia of type of inter-obstruction of phlegm and stasis was the highest among the three types (P<0.01).The incidence of joint free body formation of type of inter-obstruction of phlegm and stasis was the highest among the three types (P<0.05).Conclusion There is certain correlation between TCM syndrome differentiation types of KOA and its MRI changes.MRI could be used as a reference for different types of TCM syndromes.
