膝骨性关节炎肌骨超声滑膜病变与Lysholm评分的相关性分析

Correlation Analysis Between Synovial Pathology Detected by Ultrasound and Lysholm Score in Knee Osteoarthritis

目的：分析膝关节骨性关节炎患者肌骨超声滑膜病变表现与Lysholm评分的相关性。方法：采用横断面观察研究,收集整理2015年2月至2015年12月门诊病例,按照纳入标准和排除标准收集膝关节骨性关节炎诊断患者的X线片、肌骨超声表现以及Lysholm评分表,共纳入77例,其中女66例,男11例;年龄44-77岁,平均（57.39±6.41）岁;主要症状以双膝或单膝关节疼痛、活动受限为主,平均病程（13.6±3.0）个月。应用多重线性回归分析建立回归方程,分析肌骨超声滑膜病变表现与Lysholm评分的相关性。结果：肌骨超声表现滑膜增生、关节积液与Lysholm评分的回归方程差异有统计学意义（P〈0.05）。结论：肌骨超声检查可以较好地显示关节内滑膜病变情况,主要表现为滑膜增生、关节积液,滑膜增生与关节交锁相关性较大,关节积液与支撑相关性较大。

Objective：Synovial pathology is a common pathological manifestation in patients with osteoarthritis of the knee. To analyze correlationship between synovial pathology detected by ultrasound and Lysholm score in knee osteoarthritis pa- tients. Methods： In the cross-sectional observational study, screening by inclusion and exclusion criteria, 77 cases have been collected from February 2015 to December 2015,66 female and 11 male,the average age was（57.39±6.41）years,single or both knee pain and joint locked, their average course of disease was（13.6±3.0） months. Then the multiple regression e- quation was applied for the linear regression analysis of correlation between the synovial pathology detected by ultrasound and Lysholm scores. Results;There was statistical significance in the regression equation of effusion, synovial hypertrophy, and Lysholm scales （P〈 0.05）. Conclusion： Musculoskeletal ultrasound can show the joint synovial lesions, the main mani- festations are synovial hypertrophy and joint effusion. The synovial hypertrophy is moderately correlated with locking, and joint effusion is moderately correlated with supporting.