超声评分评估膝骨性关节炎患者病情的临床价值  

Value of ultrasound score in evaluating the severity in patients with knee osteoarthritis

作　　者：朱晶晶[1] 张新飞[1] 王宋丹 蔡春岳[1] 方新颜[1] ZHU Jingjing;ZhANG Xinfei;WANG Songdan;CAI Chunyue;FANG Xinyan(Department of Ultrasound,Traditional Chinese Medicine Hospital of Qidong City,Jiangsu 226200,China)

机构地区：[1]江苏省启东市中医院超声室

出　　处：《临床超声医学杂志》2019年第8期632-634,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的探讨超声评分对膝骨性关节炎患者病变程度的评估价值。方法选取我院膝骨性关节炎患者52例(关节炎组)和同期健康成人50例(对照组),比较两组超声评分;分析超声评分与膝骨性关节炎患者病变程度的关系。结果关节炎组超声评分显著高于对照组(6.93±1.76 vs. 1.73±0.56),差异有统计学意义P=0.000)。膝骨性关节炎患者超声评分与髌上囊液体深度、髌下囊液体深度、关节腔液体深度、滑膜厚度均呈正相关(r=0.265、0.216、0.310、0.255,P=0.004、0.035、0.000、0.012),与Lyshsolm膝关节评分呈负相关(r=-0.381,P=0.000)。与0~Ⅱ级的患者比较,Ⅲ~Ⅳ级患者的超声评分显著增高(7.43±1.61 vs. 5.58±1.42),差异有统计学意义(P=0.000)。结论超声评分可以评价膝骨性关节炎患者病情的严重度,有较高的诊断价值。Objective To explore the value of ultrasound score in evaluating the severity of knee osteoarthritis.Methods Fifty-two patients with knee osteoarthritis in our hospital and 50 healthy adults at the same time were selected,the ultrasound scores between the two groups were compared. The relationship between the ultrasound scores and the severity of knee osteoarthritis was analyzed.Results The ultrasound score in patients with knee osteoarthritis was significantly higher than that in healthy adults(6.93±1.76 vs.1.73±0.56),the difference was statistically significant(P=0.000).Ultrasound score was positively correlated with suprapatellar capsule fluid depth,subpatellar capsule fluid depth,articular cavity fluid depth and synovial membrane thickness(r=0.265,0.216,0.310 and 0.255,P=0.004,0.035,0.000 and 0.012),and negatively correlated with Lyshsolm knee joint score(r=-0.381,P=0.000).Compared with patients of grade 0~Ⅱ,the ultrasound scores of patients of grade Ⅲ~Ⅳ increased significantly(7.43±1.61 vs. 5.58±1.42),the difference was statistically significant(P=0.000).Conclusion Ultrasound score is a valuable method in evaluating the severity of knee osteoarthritis and correlated with the severity of knee osteoarthritis.

关 键 词：超声检查 膝骨性关节炎 病情严重度 评分 

分 类 号：R445.1[医药卫生—影像医学与核医学] R684.3[医药卫生—诊断学]