髌骨软化症的研究进展

Research progress of chondromalacia patellae

髌骨软化症(CMP)是骨科常见病、多发病,是引起膝关节疼痛的常见原因。目前病因尚未明确,临床也无特效治疗方法。本文简述CMP的各种病因学说,提出多因素相互作用是导致该疾病的原因,并归纳临床诊断的现状和影像学诊断的利弊,回顾药物、康复、推拿、电针、体外冲击波、针刀、作业疗法、手术以及基因治疗的方法,总结上述方法治疗效果的局限性,提出根据病因进行个体化治疗的观点。

Chondromalacia Patellae （CMP）,a common and frequently-occurring disease,is the main reason for the pain of kneel.The cause of CMP is unclear,and there is no specific clinical treatment at present.This article describes briefly the various etiologies of CMP and then proposes the multi-factor interaction is the cause of it.Meanwhile,the article summarizes the status quo of the clinical diagnosis and analyzes the pros and cons of imaging diagnosis as well.Besides, treatments for CMP such as drugs, rehabilitation,massage,acupuncture,extracorporeal shock wave,knife,occupational therapy,surgery and gene therapy are reviewed in the article,and the conclusion that the effect of all the methods above is rather limited and hence individual treatment according to the cause and early prevention are significant.