不同方式治疗膝骨关节炎效果的超声评估

Ultrasonic Evaluation of Different Methods in the Treatment of Knee Osteoarthritis

目的通过超声评估不同方式治疗膝骨关节炎(KOA)的效果。方法选取2018年7月至2020年5月郑州大学第一附属医院超声医学科收治的60例KOA患者作为研究对象,按照随机数字表法分为中医组(30例)和西医组(30例)。中医组接受热敷+药浴+膏药外敷,西医组接受理疗。分析两组治疗前后超声表现;比较两组治疗前后常规超声及超声造影(CEUS)检查指标。结果治疗前,两组髌上囊、内侧髁、外侧髁的滑膜厚度、积液深度比较,差异无统计学意义(P>0.05);治疗后,两组髌上囊、内侧髁、外侧髁的滑膜厚度、积液深度均降低,且中医组低于西医组,差异有统计学意义(P<0.05)。治疗前,两组滑膜面积(S)、峰值强度(PI)、上升曲线斜率(WS)、曲线下面积(AUC)比较,差异无统计学意义(P>0.05);治疗后,两组S、PI、WS、AUC均降低,且中医组低于西医组,差异有统计学意义(P<0.05)。结论超声检查可用于KOA患者的诊断和疗效评估。

Objective To evaluate the effects of different methods in the treatment of knee osteoarthritis(KOA)through ultrasound examination.Methods A total of 60 patients with KOA treated in the department of ultrasound medicine of the First Affiliated Hospital of Zhengzhou University from July 2018 to May 2020 were selected as the research objects.They were randomly divided into traditional Chinese medicine group(30 cases)and Western medicine group(30 cases).The traditional Chinese medicine group received hot compress+medicine bath+plaster external application,and the western medicine group received physical therapy.The ultrasonic manifestations of the two groups before and after treatment were analyzed;The indexes of routine ultrasound and contrast-enhanced ultrasound(CEUS)were compared between the two groups before and after treatment.Results Before treatment,there was no statistically difference in synovial thickness and effusion depth between the two groups(P>0.05).After treatment,the synovial thickness and effusion depth of suprapatellar capsule,medial condyle and lateral condyle in the two groups decreased,and the indexs in Chinese medicine group were lower than those of the western medicine group(P<0.05).Before treatment,there was no statistical difference in synovial area(S),peak intensity(PI),rising curve slope(WS)and area under curve(AUC)between the two groups(P>0.05).After treatment,S,PI,WS and AUC decreased in the two groups,and the indexs in Chinese medicine group were lower than those of the Western medicine group(P<0.05).Conclusion Ultrasonography can be used for the diagnosis and efficacy evaluation of patients with KOA.