北方汉族健康人群膝、踝关节软骨、肌腱超声测值及相关因素  

Ultrasonic measurement and related factors of cartilage and tendons of knee and ankle in healthy north Chinese Han population

作　　者：耿研[1] 张卓莉[1] GENG Yan;ZHANG Zhuoli(Department of Rheumatology and Immunology,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院风湿免疫科,北京100034

出　　处：《中国医学影像技术》2020年第11期1691-1696,共6页Chinese Journal of Medical Imaging Technology

基　　金：国家自然科学基金(81901646)。

摘　　要：目的采用超声测量北方汉族健康人群膝、踝关节软骨、肌腱厚度,并提出参考值范围。方法采用肌肉骨骼超声(MSUS)测量373名北方汉族健康人膝、踝关节软骨、肌腱结构,并分析相关因素。结果男性股骨髁软骨、距骨软骨、髌韧带及跟腱厚度均大于女性(P均<0.01)。年龄、体质量指数(BMI)是女性足底筋膜增厚的影响因素(P均<0.05),BMI是女性跟腱增厚的影响因素(P<0.05)。年龄、BMI及锻炼频率是男性足底筋膜增厚的影响因素(P均<0.05)。BMI及锻炼频率是男性跟腱增厚的影响因素(P均<0.05)。低BMI是男性股骨髁软骨外侧厚度的影响因素(P<0.05)。结论MSUS所测膝踝软骨和肌腱参考值范围可为发现异常及病变提供依据;性别、年龄及BMI均影响北方汉族健康人股骨髁软骨、跟腱及足底筋膜厚度。Objective To measure the thickness of knee and ankle cartilage and tendon in healthy northern Han population with ultrasound,and to propose the reference values.Methods Musculoskeletal ultrasound(MSUS)was used to measure the thickness of knee and ankle cartilage and tendon structures in 373 healthy people of Han nationality in north China,and the relevant factors were analyzed.Results The femoral condylar cartilage,talus cartilage,patellar ligament and Achilles tendon in males were thicker than those in females(all P<0.01).Age and body mass index(BMI)were all impact factors of plantar fascia thickening in women(all P<0.05),and BMI was the impact factor of Achilles tendon thickening in women(P<0.05).Age,BMI and exercise frequency were the impact factors of plantar fascia thickening in men(all P<0.05).BMI and exercise frequency were impact factors for Achilles tendon thickening in men(P<0.05).Low BMI was an impact factor of the lateral thickness of femoral condyle cartilage in men(P<0.05).Conclusion The reference ranges of thicknesses of knee and ankle cartilage and tendon measured with MSUS might provide a basis for identifying abnormalities and lesions.Gender,age and BMI influenced the thickness of femoral condylar cartilage,Achilles tendon and plantar fascia in healthy northern Han population.

关 键 词：肌肉骨骼系统 膝关节 踝关节 跟腱 筋膜 髌韧带 软骨 超声检查 

分 类 号：R685[医药卫生—骨科学] R445.1[医药卫生—外科学]