足阳明经筋型膝骨关节炎临床影像学研究

Retrospective Study on Clinical and Imaging Features of Foot-Yangming Meridian-muscle Syndrome of Knee Osteoarthritis

【目的】探讨足阳明经筋型膝骨关节炎(KOA)的临床影像学特征,进一步完善经筋理论的科学内涵。【方法】选取足阳明经筋型KOA病例31例(31个膝关节)为足阳明经筋型KOA组(研究组),健康体检者31例(31个健康膝关节)为空白对照组(空白组),进行基于髌股关系的临床影像学回顾性研究。【结果】2组Insall指数及髌骨指数比较,差异均无统计学意义(P>0.05);但2组髌股指数、髌股协调角与外侧髌骨角度比较,差异均有统计学意义(P<0.01)。【结论】髌股关系紊乱是足阳明经筋型KOA的主要病变特征之一。

Objective To investigate the clinical and imaging features of Foot-Yangming meridian-muscle syndrome of knee osteoarthritis（KOA）so as to promote the normalization and standardization of the meridianmuscle therapies. Methods A total of 31 KOA cases（involving 31 knees） of Foot-Yangming meridian-muscle syndrome were included into the study group, and 31 healthy volunteers（involving 31 knees）served as the control group. A retrospective research of patellofemoral relationship was carried out based on the clinical and imaging features. Results The differences of Insall index and patella index between the study group and control group were insignificant（P〈0. 05）, but the differences of patellofemoral index, patellofemoral congruence angle,and external patellar angle between the study group and control group were significant（P〈0.01）.Conclusion The patellofemoral relationship disorder is one of main lesions in Foot-Yangming meridian-muscle syndrome of KOA.