文献类型：期刊文献

中文题名：中西医结合治疗急性膝关节滑囊炎的影像学评价

英文题名：The Imaging Evaluation in the Treatment of Acute Knee Bursitis Image Combining Traditional Chinese and Western Medicine

作者：林志艳[1];杜小正[1];王琳[2];李海龙[1]

第一作者：林志艳

机构：[1]甘肃中医药大学,兰州730000;[2]甘肃中医药大学附属医院,兰州730000

第一机构：甘肃中医药大学

年份：2017

卷号：29

期号：3

起止页码：61

中文期刊名：影像技术

外文期刊名：Image Technology

收录：Scopus

基金：兰州市科技计划项目(2014-10247):基于名老中医经验之类风湿性关节炎治疗的针灸技术推广应用与示范

语种：中文

中文关键词：滑囊炎;消定膏;计算机体层成像

外文关键词：Bursitis; Xiaoding Ointment; Computed Tomography

摘要：目的:通过对比消定膏在治疗急性膝关节滑囊炎前后髌下脂肪垫及关节腔积液计算机体层成像(computed tomography,CT)图像的变化;对其临床疗效进行评价。方法 :79例急性膝关节滑囊炎患者分为2组,治疗组42例,抽取关节腔积液且注入醋酸曲安奈德注射液(每周一次)后每日局部敷贴消定膏,7d为1个疗程,共3个疗程;对照组37例在抽取关节腔积液后应用醋酸曲安奈德40mg注入,每周一次,共治疗3次。两组患者治疗前后均对膝关节行CT检查,对比观察髌下脂肪垫与关节腔内积液量的变化。采用SPSS17.0软件进行统计分析。结果:治疗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,关节腔积液量减少,总有效率(93.42%)优于对照组(89.14%),组间差异有统计学意义(P<0.05)。结论:消定膏治疗急性膝关节滑囊炎疗效显著,CT图像诊断髌下脂肪垫及关节腔积液的变化是评价的有效方法。
Objective： To assess the CT image alterations in the treatment of acute patellar bursitis of knee joint, infrapatellar fat pad and joint effusion by Xiaoding ointment between pre-treatment and post-treatment so as to explore the clinical curative effect. Methods： Acute patellar bursitis of 79 cases were randomly divided into 2 groups, 42 cases were allocated in treatment group which were administrated with Xiaoding ointment applicator daily, and lasted for 3 courses which amounts to 21 days; 37 cases were allocated in control group which were administrated with the extraction of articular cavity effusion and the application of triamcinolone acetonide injection with 3rag, once a week, totally for 3 time in 3 weeks. All patients of two groups underwent knee CT examination for observation of the infrapatellar fat pad and articular cavity effusion volume change at pre-treatment and post-treatment. The SPSS 17.0 software with statistical analysis. Results： CT image alterations of treatment group showed that patellar fat pad density were decreased, anteroposterior diameter, vertical diameter, internal to external diameter were significantly reduced, joint effusion volume were decreased. The total effective rate of treatment group was 93.42% and better than that of control group which was 89.14%, and the differences between two groups showed statistical significances. Conclusion： Xiaoding ointment demonstrated markedly curative effects in the treatment of acute patellar bursitis, and CT image is an effective method for diagnosis of fat pad and joint effusion infrapatellar.