现代科学仪器2024,Vol.41Issue(6) :164-168.

膝骨关节炎患者MRI特征及与内侧副韧带慢性损伤的关系

MRI features of patients with knee osteoarthritis and relationship with chronic injury of medial collateral ligament

黄玮 翟秀燕
现代科学仪器2024,Vol.41Issue(6) :164-168.

膝骨关节炎患者MRI特征及与内侧副韧带慢性损伤的关系

MRI features of patients with knee osteoarthritis and relationship with chronic injury of medial collateral ligament

黄玮 1翟秀燕1
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作者信息

  • 1. 济南市第五人民医院医学影像科,山东 济南 250022
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摘要

目的:探讨膝骨关节炎(KOA)患者MRI特征及与内侧副韧带(MCL)慢性损伤的关系.方法:选取2023年 1-6月 583例KOA患者,分为MCL慢性损伤组和无损伤组,分析MCL慢性损伤的相关因素.结果:MRI发现:内侧半月板脱位 44.25%,ACL损伤 23.50%,后交叉韧带损伤 21.44%,骨赘形成 56.43%,关节间隙狭窄普遍,骨髓水肿平均 2.02±0.65分.损伤组多项指标及女性、≥60岁占比均高(P<0.05).Logistic回归分析显示,ACL损伤、内侧半月板脱位、骨赘是MCL慢性损伤的独立风险因素(P<0.05),特定关节间隙狭窄具保护作用(P<0.05).结论:MRI可观测KOA的内侧半月板、交叉韧带损伤、骨赘及骨髓水肿.ACL损伤、内侧半月板脱位、骨赘是MCL慢性损伤的独立风险因子,关节间隙狭窄具保护性.

Abstract

Objective:To explore the MRI characteristics of knee osteoarthritis(KOA)patients and their relationship with chronic injury of the medial collateral ligament(MCL).Methods:583 KOA patients from January to June 2023 were selected and divided into MCL chronic injury group and non injury group to analyze the related factors of MCL chronic injury.Results:MRI findings:medial meniscus dislocation accounted for 44.25%,ACL injury accounted for 23.50%,posterior cruciate ligament injury accounted for 21.44%,osteophyte formation accounted for 56.43%,joint space narrowing was common,and bone marrow edema averaged 2.02±0.65 points.Multiple indicators in the injury group,as well as the proportion of females and those aged≥60,were all high(P<0.05).Logistic regression analysis showed that ACL injury,medial meniscus dislocation,and osteophyte were independent risk factors for chronic MCL injury(P<0.05),while specific joint space stenosis had a protective effect(P<0.05).Conclusion:MRI can observe the medial meniscus,cruciate ligament injury,osteophyte,and bone marrow edema of KOA.ACL injury,medial meniscus dislocation,and osteophyte are independent risk factors for chronic MCL injury,and joint space stenosis has a protective effect.

关键词

膝骨关节炎/核磁共振成像/内侧副韧带/特征/危险因素

Key words

Knee osteoarthritis/Magnetic resonance imaging/Medial collateral ligament/Features/Risk factors

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出版年

2024
现代科学仪器
中国分析测试协会

现代科学仪器

CSTPCD
影响因子:0.329
ISSN:1003-8892
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