双能量CT在活血补肾方治疗膝关节骨髓水肿中的诊断价值研究  

Study on the Diagnostic Value of Dual-Energy CT in the Treatment of Knee Joint Bone Marrow Edema with Huoxue Bushen Decoction

作　　者：胡起立 程旭红 朱宏华 HU Qi-li;CHENG Xu-hong;ZHU Hong-hua(Department of Radiology,Seventh People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200137,China;Department of Laboratory Medicine,Seventh People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200137,China)

机构地区：[1]上海中医药大学附属第七人民医院放射科,上海200137 [2]上海中医药大学附属第七人民医院检验科,上海200137

出　　处：《中国CT和MRI杂志》2023年第12期154-157,共4页Chinese Journal of CT and MRI

基　　金：核磁共振DTI成像评价原发性失眠症脑改变(2020LK076)。

摘　　要：目的应用双能量CT(dual-energy computed tomography,DECT)对骨髓水肿(bone marrow edema,BME)加以诊断,同时应用活血补肾方治疗膝关节BME,探究治疗效果及DECT诊断价值。方法选取2021年2月-2023年2月在本院就诊并接受治疗的50例膝关节损伤的BME患者作为研究对象,针对研究对象开展MRI、DECT检查。同时,针对50例患者采取活血补肾方治疗,对比治疗前后关节活动度、VAS评分、水肿消退程度、临床疗效四项指标,明确活血补肾方在膝关节BME中的治疗效果,探究DECT在活血补肾方治疗膝关节BME中的诊断价值。结果一致性检验结果显示,将MRI作为金标准,VNCa图像检查出的BME同MRI检查出的BME具有较高一致性。经6个月治疗后50例膝关节BME患者ROM评分显著高于治疗前,VAS及WORMS评分显著低于治疗前,P<0.05;治疗总有效率为100.00%。结论双能量CT在膝关节BME诊断中具有良好的诊断效能,可作为未来评估膝关节BME的常用影像学检查手段。Objective To use dual-energy computed tomography(DECT)to diagnose bone marrow edema(BME),and to use Huoxue Bushen Recipe to treat knee joint BME,to explore the therapeutic effect and the diagnostic value of DECT.Methods 50 BME patients with knee joint injuries who were treated and treated in our hospital from February 2021 to February 2023 were selected as the research subjects,and MRI and DECT examinations were performed on the research subjects.At the same time,50 patients were treated with Huoxue Bushen Recipe,and the four indicators of joint mobility,VAS score,edema subsidence,and clinical efficacy before and after treatment were compared to clarify the therapeutic effect of Huoxue Bushen Recipe in knee joint BME,and to explore the role of DECT in activating blood circulation and tonifying kidney.The diagnostic value of this prescription in the treatment of BME of the knee joint.Results The results of the consistency test showed that using MRI as the gold standard,the BME detected by VNCa images was highly consistent with the BME detected by MRI.After 6 months of treatment,the ROM scores of 50 patients with knee BME were significantly higher than before treatment,and the VAS and WORMS scores were significantly lower than before treatment,P<0.05;the total effective rate of treatment was 100.00%.Conclusion Dual-energy CT has good diagnostic performance in the diagnosis of knee BME and can be used as a common imaging examination method to evaluate knee BME in the future.

关 键 词：双能量CT 活血补肾方 膝关节骨髓水肿 诊断 治疗 

分 类 号：R575[医药卫生—消化系统] R445.2[医药卫生—内科学]