刘宗礼 潘子翔 刘仲秋 300192 天津市第一中心医院骨科 中华骨科杂志 1999 0 19 3


    关键词：膝关节；疼痛；放射摄影术 期刊 zhgkzz 0 临床研究 fur -->


    

【摘要】目的 观察成年人髌股关节痛的X线改变。方法 收集临床诊断为髌骨软骨软化或髌股关节骨性关节病的成年患者65例，共计72侧膝关节。摄屈膝30°侧位片和髌骨轴位片，进行Insall-Salvati和Merchat测量，并与对照组进行比较。结果 两组髌骨高度的平均值比较，差异有显著性意义(t检验，t=2.156，P<0.05)；两组髌骨指数平均值比较，差异有非常显著性意义(t检验，t=0.668，P<0.01)；两组髌骨厚度平均值比较，差异有非常显著性意义(t检验，t=4.842，P<0.01)；两组髌股协调角平均值比较，差异有非常显著性意义(t检验，t=3.251，P<0.01)；两组髌股指数平均值比较，差异有非常显著性意义(t检验，t=3.805，P<0.01)。51侧髌骨Wiberg分型为稳定性较差的Ⅲ型。有42侧膝关节有1～5种髌骨不稳定的X线其它旁证。结论 成年髌股关节痛患者的髌股对线、对位、髌骨稳定性、髌骨运动轨迹均有异常。因此，对髌股关节痛患者要查明原因，针对病因进行治疗。Merchat位X线图像对髌股关节疾病的诊断、手术病例和手术方式的选择，以及对手术成败原因的评价具有重要意义。

    X-ray Changes of Painful Patellofemoral Joint in Adults

LIU Zongli, PAN Zixiang, LIUZhongqiu.

    Department of Orthopaedics, Tianjin First Central Hospital, Tianjin 300192

【 Abstract 】 Objective Toobserve the X- raychanges of painful patellofemoral joint in adults. Methods Seventy- two knees in 65 patients withchondromalacia patellae or osteoarthrosis of the patellofemoral joint were measured usingInsall- Salvati andMerchat methods on radiographs of the lateral and axial views in 30° of flexion. Theresults were compared with that of the control group. Results There issignificant difference in altitude of the patellae (t- examination, t=2.156, P<0.05), and very significantdifference in patellar index(t- examination,t=0.668,P<0.01), patellar depth (t- examination ......