高频彩色多普勒超声评价不同方法治疗膝关节骨性关节炎的疗效  

High frequency color Doppler ultrasound evaluation of therapeutic effect on knee osteoarthritis

作　　者：丁延华[1,2] 胡巨英[1] 吴欢[1] 曾乐凤[2] 游向东[2] 

机构地区：[1]浙江中医药大学附属第三医院特检科,浙江杭州310009 [2]浙江大学医学院附属第二医院超声科,浙江杭州310009

出　　处：《中国医学影像技术》2013年第11期1853-1855,共3页Chinese Journal of Medical Imaging Technology

摘　　要：目的探讨高频超声评价不同方法治疗膝关节骨性关节炎(KOA)疗效的价值。方法将60例KOA患者随机分为针刀治疗组和药物治疗组各30例,运用高频彩色多普勒超声分别测量两组治疗前、后关节腔积液、滑膜厚度,观察滑膜血供,并进行统计学分析。结果 60例KOA,治疗后关节腔积液减少、滑膜变薄、血供减少,与治疗前比较差异有统计学意义(P<0.05),且针刀治疗组较药物治疗组效果更明显(P<0.05)。结论超声通过观察关节腔积液、滑膜厚度及血供情况,可为临床评价膝关节骨性关节炎治疗效果提供依据。Objective To evaluate the therapeutic effectiveness with high-frequency ultrasound on knee osteoarthritis （KOA）. Methods All of 60 KOA patients were randomly divide into needle-scalpel group and medical group （each n= 30）. The supra patellar Bursa liquid thickness, synovium thickness and blood supply situation were measured with high frequency color Doppler ultrasound and were statistically compared before and after treatment. Results After treatment, the supra patellar Bursa liquid reduced, syno＇;＇ial thinned, blood supply declined, especially in needle-scalpel groUp （all P~ 0. 05）. Conclusion Arthroedema, synovium thickness as well as blood supply situation can be observed with ultrasound, providing the basis for clinical evaluation of therapeutic effectiveness of knee osteoarthritis.

关 键 词：超声检查 膝关节 骨关节炎 治疗学 对比研究 

分 类 号：R684.3[医药卫生—骨科学] R445.1[医药卫生—外科学]