Dougados M, Ayral X, Listrat V, Gueguen A, Bahuaud J, Beaufils P, Beguin J A, Bonvarlet J P, Boyer T, Coudane H
Department of Rheumatology, Hôpital Cochin, Université René Descartes, Paris, France.
Arthroscopy. 1994 Feb;10(1):69-77. doi: 10.1016/s0749-8063(05)80295-6.
We proposed to establish a system of assessing severity of chondropathy taking into account localization, size, and depth of cartilage lesions. The design of the study was prospective and multicenter. The subjects were 755 patients who had undergone arthroscopy of the knee. Criteria for assessment of severity of chondropathy were as follows: (a) Physician's overall assessment using a 100-mm-long Visual Analogue Scale, and (b) size, grade, and localization of cartilage lesions recorded on a diagram. We used multivariate parametric and nonparametric analyses. The analyses resulted in two systems of assessing severity of chondropathy: SFA scoring for the three compartments of the knee, which is a continuous variable, and SFA grading, which is a semiquantitative variable. These systems seem to be of clinical relevance. However, more studies are required to further validate them and their capacity to detect changes in severity of chondropathy.
我们提议建立一个考虑软骨损伤的部位、大小和深度来评估软骨病严重程度的系统。该研究设计为前瞻性多中心研究。研究对象为755例接受膝关节镜检查的患者。软骨病严重程度的评估标准如下：(a) 使用100毫米长的视觉模拟量表进行医生的总体评估，以及(b) 在图表上记录软骨损伤的大小、分级和部位。我们采用了多变量参数分析和非参数分析。分析得出了两种评估软骨病严重程度的系统：膝关节三个腔室的SFA评分，这是一个连续变量，以及SFA分级，这是一个半定量变量。这些系统似乎具有临床相关性。然而，需要更多的研究来进一步验证它们以及它们检测软骨病严重程度变化的能力。
