The Affiliated Yantai Yuhuangding Hospital of Qingdao University, China.
Dis Markers. 2022 Aug 16;2022:9660067. doi: 10.1155/2022/9660067. eCollection 2022.
To explore the application value of musculoskeletal ultrasound in the diagnosis and conservative treatment of knee osteoarthritis.
Patients with knee osteoarthritis who were treated in our hospital from January 1, 2020 to August 31, 2021 were selected as the research subjects. The subjects underwent musculoskeletal ultrasonography to record the thickness of the lateral femoral malleolus cartilage, the thickness of the medial femoral malleolus cartilage, the depth of the suprapatellar bursa effusion, and the thickness of the suprapatellar bursa synovium. All patients in the study group received acupuncture treatment after musculoskeletal ultrasonography, and musculoskeletal ultrasonography was performed again after 2 weeks of treatment. The differences in musculoskeletal ultrasound-related parameters were compared between the two groups.
The thickness of the lateral femoral malleolus cartilage and medial femoral malleolus cartilage in the study group was significantly smaller than those in the control group. The depth of the effusion in the suprapatellar bursa and the thickness of the synovial membrane in the suprapatellar bursa were significantly greater than those in the control group. Ultrasonography showed no significant difference in abnormal status compared with arthroscopy, and musculoskeletal ultrasonography revealed knee osteoarthritis, such as cruciate ligament injury, joint effusion, synovial hyperplasia, meniscus injury, and patellar ligament injury. The cartilage thickness of the lateral femoral malleolus and medial malleolus of femur after treatment were significantly greater than those before treatment. The depth of the deep suprapatellar bursa effusion and the thickness of the suprapatellar bursa synovium were significantly smaller than those before treatment.
Musculoskeletal ultrasound has high diagnostic value in knee osteoarthritis. It can detect the lesion as soon as possible and can be used to evaluate the effect of conservative treatment, so as to provide reference basis for clinical formulation or adjustment of further intervention plan.
探讨肌肉骨骼超声在膝关节骨关节炎诊断和保守治疗中的应用价值。
选取 2020 年 1 月 1 日至 2021 年 8 月 31 日在我院治疗的膝关节骨关节炎患者为研究对象。对患者进行肌肉骨骼超声检查，记录外侧股骨髁软骨厚度、内侧股骨髁软骨厚度、髌上囊积液深度和髌上囊滑膜厚度。研究组患者在肌肉骨骼超声检查后接受针灸治疗，治疗 2 周后再次进行肌肉骨骼超声检查。比较两组患者肌肉骨骼超声相关参数的差异。
研究组患者的外侧股骨髁软骨厚度和内侧股骨髁软骨厚度均明显小于对照组，髌上囊积液深度和髌上囊滑膜厚度明显大于对照组。超声检查与关节镜检查异常情况比较差异无统计学意义，肌肉骨骼超声可显示膝关节骨关节炎、交叉韧带损伤、关节积液、滑膜增生、半月板损伤、髌韧带损伤等。治疗后外侧股骨髁和内侧股骨髁软骨厚度明显大于治疗前，髌上囊深部积液深度和髌上囊滑膜厚度明显小于治疗前。
肌肉骨骼超声对膝关节骨关节炎具有较高的诊断价值，能够尽早发现病变，可用于评估保守治疗效果，为临床制定或调整进一步的干预方案提供参考依据。
