MRI评估髋关节大转子疼痛综合征治疗效果作用分析  

Analysis of the role of MRI in assessing the treatment effect of greater trochanteric pain syndrome

作　　者：尹青梅[1] 郭行 吕建辉[3] YIN Qingmei;GUO Hang;LV Jianhui(Department of Pain,Laiyang Center Hospital of Yantai,Yantai 265200,China;Department of Radiology,Laiyang Center Hospital of Yantai;Department of Radiotherapy,Laiyang Center Hospital of Yantai)

机构地区：[1]烟台市莱阳中心医院疼痛科,山东烟台265200 [2]烟台市莱阳中心医院放射科 [3]烟台市莱阳中心医院放疗科

出　　处：《潍坊医学院学报》2024年第2期136-138,共3页Acta Academiae Medicinae Weifang

基　　金：烟台市科技计划项目(项目编号:2022YD119)。

摘　　要：目的 探讨MRI扫描对髋关节大转子疼痛综合征患者疗效的评估作用。方法 回顾性分析2022年1月~2023年3月在我院就诊的45例大转子疼痛综合征患者治疗前后的临床与影像资料。临床资料包括:患者的疼痛时间、疼痛位置、治疗后疼痛有无缓解、治疗前后患者的髋关节Harris评分;影像资料包括治疗前后患者髋关节大转子周围水肿范围。统计并分析上述临床信息与影像资料的相关性与差异性,其中采用Spearman相关进行疼痛时间、治疗前大转子周围水肿范围、Harris评分的相关性分析,采用配对样本t检验进行治疗前后水肿范围及Harris评分的差异性分析。结果 患者的疼痛时间与治疗前大转子周围水肿范围及治疗前患者Harris评分无相关性(P>0.05);治疗前大转子周围水肿范围与治疗前髋关节Harris评分无相关性(P>0.05)。治疗前后水肿范围大小及治疗前后患者Harris评分比较,差异有统计学意义(P<0.05),t值分别为6.827、-15.952。结论 MRI扫描通过测量、对比GTPS患者治疗前后大转子周围水肿的范围,可以作为一种有效的评估方式,为临床GTPS患者疗效的评价提供有价值的参考。Objective Exploring the role of MRI scanning in assessing therapeutic efficacy for patients with greater trochanteric pain syndrome(GTPS).Methods The clinical and imaging data of 45 patients with GTPS who attended our hospital from January 2022 to March 2023 were retrospectively analyzed before and after treatment.The clinical information analyzed included:duration of the pain,location of the pain,whether the pain was relieved after treatment,and Harris scores of the patients before and after the treatment;and the imaging information analyzed included the extent of edema around the greater trochanter in patients before and after treatment.The correlation and difference between the above clinical information and imaging data were statistically analyzed,in which Spearman's correlation was used for correlation analysis,and paired-sample t-test was used for difference analysis.Results There was no correlation between the patient's pain duration and the extent of edema around the greater trochanter and the patients' Harris score before treatment(P>0.05);There was no correlation between the extent of edema around the greater trochanter and the Harris score of the hip joint before treatment(P>0.05).There were statistical differences between the extent of the edema before and after treatment and the Harris scores of the patients before and after treatment(P<0.05),with t values of 6.827,-15.952,respectively.Conclusion By measuring and comparing the extent of edema around the greater trochanter in GTPS patients before and after treatment,MRI scanning can be used as an effective assessment modality to provide a valuable reference for the evaluation of the efficacy of GTPS patients.

关 键 词：MR 大转子疼痛综合征 HARRIS评分 大转子滑囊炎 

分 类 号：R811.5[医药卫生—放射医学]