Zhang Lei, Wang Qing-Fu, Yin Yue-Shan, Guo Sheng-Jun, Chang Qing, Zhang Yan-Feng, Wang Li-Sha, Qi Qing-Xue, Zheng Hao-Yun, Yang Li-Li, Zhao Jun, Ma Yu-Feng, Wu Ji, Lang Song
Zhongguo Gu Shang. 2014 Jan;27(1):17-20.
To study soft tissue changes observed through musculoskeletal ultrasound (MSUS) in the treatment of knee osteoarthritis with needle-knife, so as to provide MSUS basis for needle-knife in the treatment of knee osteoarthritis.
Forty patients with knee osteoarthritis treated in the Third Affiliated Hospital of Beijing University of Chinese Medicine from December 2011 to December 2012 were selected according to inclusion and exclusion criteria. All the patients were treated with needle-knife release method. The VAS scores and knee joint circumference were recorded before treatment and 2 weeks after treatment. The changes of knee joint hydrops articuli and joint synovial thickness were measured through MSUS.
The knee pain index was 6.850 +/- 1.417 before treatment and 2.790 +/- 1.299 after treatment;the index after treatment was lower than that of before treatment. The knee joint circumference was 407.320 +/- 45.151 mm before treatment and 391.240 +/- 41.129 mm after treatment; the knee joint circumference decreased after treatment. The amount of hydrops articuli observed by musculoskeletal ultrasound showed that 47 knees were cured, 19 knees improved and 2 knees failed. The synovial membrane thickness: 43 knees cured, 17 knees improved and 8 knees failed.
The hydrops articuli and synovial thickness of knee joint of patients with knee osteoarthritis observed under the MSUS is consistent with the main symptoms and signs, which suggests that MSUS observation on soft tissue changes before and after needle knife in the treatment of knee osteoarthritis with high reliability.
研究针刀治疗膝骨关节炎过程中通过肌肉骨骼超声（MSUS）观察到的软组织变化，为针刀治疗膝骨关节炎提供MSUS依据。
选取2011年12月至2012年12月在北京中医药大学第三附属医院接受治疗的40例膝骨关节炎患者，根据纳入和排除标准进行筛选。所有患者均采用针刀松解术治疗。记录治疗前及治疗2周后的视觉模拟评分（VAS）和膝关节周长。通过MSUS测量膝关节积液量和关节滑膜厚度的变化。
治疗前膝关节疼痛指数为6.850±1.417，治疗后为2.790±1.299；治疗后指数低于治疗前。治疗前膝关节周长为407.320±45.151mm，治疗后为391.240±41.129mm；治疗后膝关节周长减小。肌肉骨骼超声观察到的积液量显示，47个膝关节治愈，19个膝关节好转，2个膝关节无效。滑膜厚度：43个膝关节治愈，17个膝关节好转，8个膝关节无效。
MSUS观察到的膝骨关节炎患者膝关节积液量和滑膜厚度与主要症状和体征相符，提示MSUS对针刀治疗膝骨关节炎前后软组织变化的观察具有较高可靠性。
