高位髌骨临床分级法的探讨

The Clinical Grade of Patella Alta

目的 :探索高位髌骨的分级诊断法 ,以更好的估计预后和指导临床治疗。方法 :设计出高位髌骨的临床分级法 ,回顾性的对 5名已确诊为高位髌骨的患者进行疾病程度分级。研究分级结果与病人年龄、发病年龄、疾病严重度的关系。结果 :分级为重度者 ,髌股关节炎的症状出现早 ,程度重 ,保守疗法效果差 ;分级为轻度者 ,髌股关节炎的症状出现晚 ,程度轻 ,早期药物治疗多能缓解疼痛。结论 :高位髌骨临床分级法对疾病的预后估计和治疗方式选择具有一定的指导意义。在临床上是切实可行的。

Objective: To investigate the clinical grade of patella alta so as to estimate the prognosis and guide the therapy. Methods: A clinical grade method of patella alta was designed, 5 outpatients of patella alta which were confirmed being classified by this means. Then the relation of grade with age, severity was studied. Results: For the patient who was graded as severity, the symptoms of patello femoral arthritis appeared earlier and severely, the effect of conservative treatment was poor. For the patient who was graded as mild, the symptoms of patello femoral arthritis appeared later and mildly, the pain can be relieved by drugs in the early stage. Conclusions: The clinical grade of patella alta was effective in estimating the prognosis and guiding the therapy. It is practicable in clinic.