中药离子导入治疗膝骨关节炎的影像观察  

Imaging study of knee osteoarthritis treated with iontophoresis

作　　者：盛太平[1] 冯俊奇[1] 武玉明[1] 

机构地区：[1]中国人民解放军93688部队医院

出　　处：《中医正骨》2010年第10期3-5,共3页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金："十一五"军队中医药研发推广专项课题资助项目(编号2006093005)

摘　　要：目的:观察膝骨关节炎患者经舒筋止疼液中频离子导入治疗前后膝关节的影像学变化,为临床治疗和预后分析提供依据。方法:对75例膝骨关节炎患者采用自制舒筋止疼液中频离子导入治疗,并于治疗前和治疗后第24周对其进行X线和MR I检查,比较患者治疗前后胫股关节间隙、关节软骨、软骨下骨及关节滑膜的变化情况。结果:治疗后患膝局部软骨下骨质水肿、关节腔积液及滑膜水肿改善明显;关节软骨水肿、软骨形态、关节间隙改善不明显。结论:影像学检查能准确显示膝骨关节炎患者治疗过程中病变部位的变化,对临床治疗有指导意义。Objective：To evaluate the effect of iontophoresis on knee osteoarthritis by fluoroscopy and Magnetic Resonance Imaging （MRI）. Methods：75 patients sustained knee osteoarthritis were treated with iontophoresis and comparative imaging study prior and post treatment was carried out by analysis of the changes of knee joint space,cartilage,subchondral bone and synovium. Results：There were no significant differences on the knee joint space, edema and morphous of cartilage prior or post treatment,but significant relief on articular cavity hydrops,edema of subchondra] bone and synovium. Conclusion：Iontophoresis is effective in the treatment of knee osteoarthritis and the improvements could be manifested by fluoroscopy and MRI.

关 键 词：骨关节炎 膝 痹证 X线透视检查 磁共振成像 中药离子透入 

分 类 号：R274.9[医药卫生—中西医结合]