膝关节骨性关节炎临床症状与ＭＲ影像表现相关性研究.docVIP

膝关节骨性关节炎临床症状与ＭＲ影像表现相关性研究 　　【摘要】目的：回顾性分析膝关节骨性关节炎患者的临床症状表现特征与MR影像显示膝关节结构异常之间的相关性。材料和方法：对110例具有膝关节疼痛或关节晨僵，被临床诊断为骨性关节炎病人的膝关节进行MR检查，其中男性35例，女性75例，年龄45~86岁，平均年龄61.7岁。所有进行膝关节MR检查的病人均有膝关节疼痛、关节晨僵等症状。对膝关节MR影像的各种异常表现进行分析描述，并对MR影像异常表现和膝关节骨性关节炎临床特征进行统计学分析，以明确两者之间的相关性。结果：结果显示膝关节疼痛和关节晨僵与关节内中、大量的关节渗液相关；骨髓水肿、中央性骨赘可导致膝关节疼痛；MR影像的其它异常表现如局灶或弥漫性软骨异常、软骨下囊肿、半月板损伤等与其临床症状在统计学上无明显联系。结论：本组病例研究结果显示膝关节骨性关节炎患者只有三种MR影像的异常结构与临床症状相关。 　　【关键词】骨质结构；关节炎 　　 　　Knee joint bonenature arthritis clinical symptom and MR image performance relevant research 　　SHI Tiang-liang1 LIUYong-shan2 　　【Abstract】Objeetive:Review analysis knee joint bonenature arthritis patient’s clinical symptom performance characteristic and MR image demonstration knee joint structure exceptionally between relevance. Material and method: Has the knee joint ache or the joint early morning to 110 examples is stiff, is carried on by the clinical diagnosis for bonenature the arthritis patient’s knee joint the MR inspection, masculine 35 examples, feminine 75 examples, age 45~86 year old, average age 61.7 years old. All average per person carries on the knee joint MR inspection sickness to have the knee joint ache, the joint early morning is stiff and so on the symptom. Exceptionally displays to knee joint MR image each kind carries on the analysis description, and exceptionally displays and the knee joint bonenature arthritis clinical characteristic to the MR image carries on statistics analysis, is clear about two between the relevance. Result：The result showed the knee joint ache and the joint early morning stiffly with the joint in center, the massive joints infiltrate the fluid to be related; The marrow dropsy, the central bone is superfluous may cause the knee joint ache; MR image other exceptionally display like the bureau stove or the filling the air cartilage exceptionally, under the cartilage the cyst, the meniscus damage and so on if the clinical symptom not obviously relates in statistics. Conclusion: This group of case of i