發(fā)布時間：2018-02-22 15:24

  本文關(guān)鍵詞： 下肢力線 骨性關(guān)節(jié)炎 膝關(guān)節(jié)　出處：《福建醫(yī)藥雜志》2016年03期 　論文類型：期刊論文

【摘要】：目的觀察膝關(guān)節(jié)骨性關(guān)節(jié)炎(knee osteoarthritis,KOA)患者下肢力線改變的規(guī)律,為臨床診療提供參考。方法利用PHILIPS DR對男女各25例膝關(guān)節(jié)骨性關(guān)節(jié)炎患者的下肢進行立位攝片,并利用測量軟件對其下肢力線進行測量,然后將測量數(shù)據(jù)與國人正常參考值進行對比分析。結(jié)果膝關(guān)節(jié)骨性關(guān)節(jié)炎患者的下肢力線中髖膝踝角(A角)較國人正常參考值小(P0.05),膝關(guān)節(jié)外翻角(B角)較國人正常參考值大(P0.05),脛骨角(C角)及踝角(D角)與國人正常參考值比較,差異無統(tǒng)計學意義(P0.05)。結(jié)論膝關(guān)節(jié)骨性關(guān)節(jié)炎患者的下肢力線改變主要是A角較國人正常參考值小與B角較國人正常參考值大,雖然C角、D角與國人正常參考值比較差異無統(tǒng)計學意義,但C角及D角出現(xiàn)了異常反應KOA的嚴重程度,測量下肢力線中的A角、B角及C角及D角對膝關(guān)節(jié)骨性關(guān)節(jié)炎的評估及預測具有臨床意義。
[Abstract]:Objective to observe the changes of lower limb force line in patients with knee osteoarthritis and osteoarthritis (KOAA), and to provide reference for clinical diagnosis and treatment. Methods 25 cases of knee osteoarthritis in male and female patients with knee osteoarthritis were photographed by PHILIPS Dr. The force line of the lower extremity was measured by the software. Then the measured data were compared with the normal reference value of Chinese people. Results the hip knee ankle angle A angle in knee osteoarthritis patients was lower than that of Chinese normal reference value (P 0.05) and the knee joint valgus angle B) was higher than that in Chinese patients. Compared with the normal reference values of Chinese people, the normal reference values were: P0.05A, C angle of tibia angle) and D angle of ankle angle. Conclusion the changes of lower limb force line in patients with knee osteoarthritis are mainly lower than normal reference value of Chinese and larger than normal reference value of Chinese. Although there was no significant difference between C angle D angle and Chinese normal reference value, the severity of abnormal reaction of C angle and D angle was found in KOA. Measurement of angle A, angle B, angle C and angle D in lower limb force line is of clinical significance in the evaluation and prediction of osteoarthritis of knee joint.
【作者單位】： 福建省寧德市中醫(yī)院影像科;
【分類號】：R684.3;R816.8

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