基于MRI对交叉韧带松紧度与半月板损伤的相关性研究

doi:10.13418/j.issn.1001-165x.2017.06.007

中国临床解剖学杂志 ›› 2017, Vol. 35 ›› Issue (6): 628-632.doi: 10.13418/j.issn.1001-165x.2017.06.007

基于MRI对交叉韧带松紧度与半月板损伤的相关性研究

曾飞¹，　黄世嘉¹，　周春奎¹，　李松建¹，　陈昌盛²

1.南方医科大学珠江医院骨科中心，广州 510220； 2.深圳清华大学研究院生物医用材料
及植入器械重点实验室，深圳 518057

收稿日期:2017-05-09 出版日期:2017-11-25 发布日期:2017-12-30
通讯作者: 李松建，主任医师，研究生导师，E-mail: lisongjian321@126.com；陈昌盛，博士，E-mail: ccshbxn@163.com
作者简介:曾飞（1991-），男，湖南怀化人，在读硕士，Tel：15622355314，E-mail：1522236255@qq.com
基金资助:
国家自然科学基金项目（51403116）;广东省自然科学基金项（2015A030313698）

Study on the correlation between the tightness of cruciate ligament and meniscus injury based on MRI measurement

ZENG Fei¹, HUANG Shi-jia¹, ZHOU Chun-kui¹, CHEN Chang-sheng², LI Song-jian¹

1.Zhujiang Hospital, Southern Medical University, Guangzhou, 510220;2. Key Laboratory of Biomedical Materials and Implant Devices, Research Institute of Tsinghua University in Shenzhen, Shenzhen 518057, China

Received:2017-05-09 Online:2017-11-25 Published:2017-12-30

摘要/Abstract

摘要：

目的　探究交叉韧带的松紧度与半月板损伤的相关性，从解剖学上探索半月板损伤的影响因素，为预测和诊断半月板损伤提供新的依据。方法　收集南方医科大学珠江医院2014年1月~2016年12月260例患者单膝关节伸直位的MRI资料。在各膝MRI相同矢状面分别测量前、后交叉韧带的长度a和p，及其起止点的距离la和lp。计算出交叉韧带松紧度系数R=(a+p)/(la+lp)。用t检验比较各组患者间的差异性，用Spearman 相关分析分别探讨松紧度系数与半月板损伤的相关性。结果　 t检验：无论是否存在骨关节炎，半月板损伤组和无半月板损伤组的R值均存在显著差异性（P <0.05）。Spearman相关性分析：无骨关节炎患者中rs=0.620，R值与半月板损伤存在较强的正相关性；有骨关节炎患者中rs =0.313，R值与半月板损伤存在弱正相关性。结论　交叉韧带松紧度与半月板损伤存在一定程度的相关性，特别在膝关节无骨关节炎的年轻患者中，韧带越松弛，半月板损伤越容易发生。但在膝关节有关节炎的老年患者中，交叉韧带的松紧程度并非半月板损伤的主要因素。

关键词: 半月板损伤, 　交叉韧带, 　骨关节炎, 　磁共振成像

Abstract:

Objective　This study was aimed to explore the correlation between tightness of cruciate ligaments and meniscus injuries anatomically. 　Methods　260 knee-joint MRI were collected from Southern Medical University, Zhujiang hospital during January 2014 to December 2016. Then, the critical data according to MRI containing a[length of anterior cruciate ligament(ACL)], p [length of posterior cruciate ligament(PCL)], la (attachment distance of ACL) and lp (attachment distance of PCL)were measured to figure out the tightness coefficient R=(a+p)/(la+lp). t-Test and spearman correlation analysis were used to study these samples.　Results　t-Test presented significant difference between patients with and without meniscus injuries (P<0.05). Spearman correlation analysis showed the relatively strong correlation between R and meniscus injuries in non-osteoarthritis patients (rs=0.620) and weak correlation in osteoarthritis patients (rs=0.313). Conclusion The tightness of cruciate ligaments hasevident impact on the suffering of meniscus injury especially for youth without osteoarthritis. Nevertheless, it is probably not a major determinant resulting in meniscus injury for the elderly with osteoarthritis.

Key words: Meniscus injury, 　Cruciate ligaments, 　Osteoarthritis, 　Magnetic resonance imaging

曾飞,黄世嘉,周春奎,李松建,陈昌盛. 基于MRI对交叉韧带松紧度与半月板损伤的相关性研究[J]. 中国临床解剖学杂志, 2017, 35(6): 628-632.

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基于MRI对交叉韧带松紧度与半月板损伤的相关性研究

Study on the correlation between the tightness of cruciate ligament and meniscus injury based on MRI measurement

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