基于临床及磁共振图像特征的髋关节撞击综合征独立危险因素分析

The research based on clinical and MRI features for the risk factors of femoroacetabular impingement syndrome

目的 结合MRI影像学因素和临床因素探究髋关节撞击(femoroacetabular impingement,FAI)综合征发生相关的危险因素,并评估各危险因素与FAI综合征的相关性。材料与方法 回顾性分析2020年2月至2023年6月在本院行髋关节MRI检查且确诊FAI患者的影像及临床资料。根据患者有无临床症状及体征将患者分为FAI综合征组及无症状FAI组。基于临床资料中的人口统计学特征、MRI评估的髋关节解剖特征,首先通过单因素分析确定FAI综合征发生的危险因素,再通过多因素回归分析各个危险因素与有症状FAI的相关性,从而确定独立危险因素。结果 单因素分析中,年龄、FAI分型、转子周围肌肉水肿、股骨颈骨髓水肿差异均有统计学意义(P<0.05);而多因素统计结果表明,年龄(P=0.012)、FAI分型(P=0.022)、转子周围肌肉水肿(P<0.001)与有症状FAI发生相关,即为FAI综合征发生的独立危险因素。结论 年龄、FAI分型、转子周围肌肉水肿为FAI综合征发生的独立危险因素,可为临床个体化治疗提供帮助从而影响临床医师对患者治疗方案的决策。

Objective:To explore the risk factors contributing to femoroacetabular impaction(FAI)syndrome based on MRI factors and clinical factors and evaluate the correlation of each risk factor.Materials and Methods:Patients with FAI who underwent hip MRI examination between February 2022 and June 2023 in our hospital were retrospectively enrolled.Patients were divided into two groups:the FAI syndrome group and the asymptomatic FAI group,based on whether they presented with clinical symptoms or signs.After evaluating the demographic characteristics of clinical data and anatomical features of hip joints through MRI,univariate analysis was used to identify risk factors for FAI syndrome.Subsequently,multivariate regression analysis was employed to explore the correlation between each risk factor and symptomatic FAI,ultimately pinpointing independent risk factors.Results:In univariate analysis,significant differences were observed in age,FAI classification,peritrochanteric muscle edema,and femoral neck bone marrow edema(P<0.05).The multivariate statistical results showed that age(P=0.012),FAI classification(P=0.022)and peritrochanteric muscle edema(P<0.001)were identified as the independent risk factors associated with FAI syndrome.Conclusions:Age,FAI classification and peritrochanteric muscle edema are independent risk factors for FAI syndrome,which can provide help for clinical individualized treatment and influence clinicians'decision-making regarding patients'treatment plans.