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消定膏治疗急性髌上滑囊炎的影像学评价
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| 篇名： | 消定膏治疗急性髌上滑囊炎的影像学评价 |
| TITLE： | |
| 摘要： | 目的：通过对比消定膏在治疗膝关节急性髌上滑囊炎前后患者髌下脂肪垫计算机体层成像（CT）图像的变化，评价其临床疗效。方法：73例急性髌上滑囊炎患者采用随机数字表法分为观察组39例和对照组34例。观察组患者给予消定膏局部敷贴，qd，7 d为1个疗程，共3个疗程；对照组患者在抽取关节腔积液后注入醋酸曲安奈德30 mg，每周1次，共治疗3次。两组患者治疗前后均行膝关节CT检查，对比观察髌下脂肪垫的变化，并比较临床疗效。结果：治疗后，观察组患者髌下脂肪垫的密度减低，前后径、上下径、内外径均明显减小，总有效率（92.31％）显著优于对照组（88.24％），组间比较差异均有统计学意义（P＜0.05）。结论：消定膏治疗急性髌上滑囊炎疗效显著；CT图像诊断髌下脂肪垫的变化是疗效评定的有效方法。 |
| ABSTRACT： | OBJECTIVE： To evaluate clinical efficacy through comparing the change of CT image in infrapatellar fat pad before and after Xiaoding ointment in the treatment of acute patellar bursitis of knee joint. METHODS： 73 patients with acute patellar bursitis were randomly divided into observation group （39 cases） and control group （34 cases）. Observation group was given Xiaoding ointment for local application， qd， 7 d as a courses， 3 courses in total； control group was given triamcinolone acetonide 30 mg after the extraction of articular cavity effusion， once a week， totally for 3 times. All patients of two groups underwent knee CT examination for observation of the infrapatellar fat pad and articular cavity effusion volume change before and after treatment. Clinical efficacies were compared between 2 groups. RESULTS： CT image alterations of treatment group showed that infrapatellar fat pad density were decreased， anteroposterior diameter， vertical diameter， internal to external diameter were significantly reduced. The total effective rate of treatment group was 92.31％， which was better than that of control group （88.24％）， with statistical significance （P＜0.05）. CONCLUSIONS： Xiaoding ointment demonstrate markedly curative effects in the treatment of acute patellar bursitis， and CT image is an effective method for diagnosis of infrapatellar fat pad. |
| 期刊： | 2016年第27卷第5期 |
| 作者： | 林志艳，王学香，王琳，李莉 |
| AUTHORS： | LIN Zhiyan，WANG Xuexiang，WANG Lin，LI Li1 |
| 关键字： | 急性髌上滑囊炎；消定膏；计算机体层成像；髌下脂肪垫 |
| KEYWORDS： | Acute patellar bursitis； Xiaoding ointment； Computed tomography； Infrapatellar fat pad |
| 阅读数： | 549 次 |
| 本月下载数： | 1 次 |
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