膝关节骨关节炎肌骨超声半定量评分与西安大略麦克马斯特大学骨关节炎指数相关性分析  

Correlation between the semiquantitative score of ultrasound and WOMAC OA index of knee osteoarthritis

作　　者：卢一丹[1] 詹梦娜 尤晨宇 朱海红 崔亭亭 虞瑞芬 陶锡东[1] Lu Yidan;Zhan Mengna;You Chenyu;Zhu Haihong;Cui Tingting;Yu Ruifen;Tao Xidong(Department of Ultrasound,Taizhou Hospital of Traditional Chinese Medicine,Taizhou,Zhejiang 310008,China)

机构地区：[1]台州市中医院超声科,浙江省310008

出　　处：《中国基层医药》2020年第17期2068-2071,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨膝关节骨关节炎肌骨超声半定量评分与西安大略麦克马斯特大学骨关节炎(WOMAC OA)指数的相关性。方法选取2017年3月至2018年12月在台州市中医院诊治的膝关节骨关节炎患者118例作为研究对象,对其行肌骨超声扫描,对患者的骨质侵蚀、关节积液、滑膜增生及半月板等4项指标依据超声半定量评分系统进行评分,同时对患者的骨关节炎指数进行调查,分析膝关节骨关节炎肌骨超声半定量评分与WOMAC OA指数的相关性。结果118例膝关节骨关节炎患者肌骨超声半定量评分中骨质侵蚀为(2.33±0.37)分,关节积液为(2.05±0.26)分,滑膜增生为(2.24±0.15)分,半月板位置异常为(1.67±0.28)分,半月板形态和信号为(1.15±0.14)分;WOMAC OA指数评分中患者疼痛为(29.52±6.68)分,僵硬为(11.43±3.78)分,功能障碍为(93.85±18.73)分,总分为(134.80±29.19)分;肌骨超声半定量评分中的骨质侵蚀、关节积液、滑膜增生、半月板评分与WOMAC OA指数总分均呈正相关(r=0.435、0.317、0.429、0.294、0.282,均P<0.05)。结论肌骨超声半定量评分能较好的反映患者膝关节骨关节损伤程度,与WOMAC OA指数呈正相关,临床可利用肌骨超声半定量评分与WOMAC OA指数对膝关节骨关节炎患者病情进行预判。Objective To explore the correlation between the semiquantitative score of bone ultrasound and the WOMAC OA index in knee osteoarthritis.Methods From March 2017 to December 2018,118 patients with knee osteoarthritis diagnosed and treated in Taizhou Hospital of Traditional Chinese Medicine were selected in the research.The patients'bone erosion,joint effusion,synovium hyperplasia and meniscus were evaluated by ultrasound semiquantitative scoring system.Osteoarthritis index of the patients was investigated at the same time.The correlation between the semiquantitative score of myoskeletal ultrasound and WOMAC OA index in knee osteoarthritis was analyzed.Results In 118 patients with knee osteoarthritis,the semiquantitative scores of myoskeletal ultrasound of bone erosion was(2.33±0.37)points,joint effusion was(2.05±0.26)points,synovial hyperplasia was(2.24±0.15)points,abnormal meniscus position was(1.67±0.28)points,meniscus shape and signal was(1.15±0.14)points.The WOMAC OA index scores of patients'pain was(29.52±6.68)points,stiffness was(11.43±3.78)points,dysfunction was(93.85±18.73)points,and total score was(134.80±29.19)points.The scores of bone erosion,joint effusion,synovium hyperplasia and meniscus in semiquantitative score of muscle and bone ultrasound were positively correlated with the total score of WOMAC OA index(r=0.435,0.317,0.429,0.294,0.282,all P<0.05).Conclusion Semiquantitative score of muscle and bone ultrasound can better reflect the degree of knee joint injury,which is positively correlated with WOMAC OA index.We can use the semiquantitative score of muscle and bone ultrasound and WOMAC OA index to predict the condition of patients with knee osteoarthritis.

关 键 词：骨关节炎 膝 滑膜 半月板 胫骨 疼痛 损伤严重度评分 

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]