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膝关节骺板-骨干角测量与传统测量在儿童膝关节内外翻检出的对比分析OA

Comparative analysis of knee epiphyseal plate-diaphyseal angle measurement and traditional measurement in detection of inversion and eversion of children's knee joint

中文摘要英文摘要

目的 针对膝关节内外翻患儿给予膝关节骺板-骨干角测量,并探索其临床价值.方法 回顾性分析2020年2月至2023年2月于绵阳市骨科医院小儿骨科因膝关节内外翻就诊患儿200例,研究对象分为<2岁,2~<5岁,5~12岁,共三个年龄段的患儿.所有患儿前后采用传统测量方法和膝关节骺板-骨干角测量,其中采用传统测量方法的结果纳入对照组,膝关节骺板-骨干角测量的结果纳入试验组.比较两种测量方法下膝关节内外翻的轻、中、重度诊断率.结果 在200例患儿中,<2岁36例患儿中轻度16例,中度20例,0例重度;2~<5岁84例儿童,其中轻度35例,中度49例,重度0例;5~12岁80例患儿,其中轻度36例,中度44例,重度0例.合计有轻度87例,中度113例,重度0例.膝关节骺板-骨干角测量法在轻、中度的检出率高于传统测量方法(P<0.05).结论 膝关节骺板-骨干角测量在膝关节内外翻的检出率方面具有临床应用价值.

Objective To conduct knee epiphyseal plate-diaphyseal angle measurement for children with knee inversion and eversion,and explore its clinical value.Methods A retrospective analysis was conducted on 200 children with knee inversion and eversion who visited the Department of Pediatric Orthopedics,Mianyang Orthopaedic Hospital from February 2020 to February 2023.The subjects were divided into three age groups:<2 years old,2-<5 years old,and 5-12 years old.All children were measured using both traditional method and knee epiphyseal plate-diaphyseal angle measurement.The results of traditional measurement method were included in the control group,while the results of knee epiphyseal plate-diaphyseal angle measurement were included in the experimental group.The diagnostic rates of mild,moderate,and severe knee inversion and eversion using two measurement methods were compared.Results Among 200 children,36 children were<2 years old:16 children had mild symptoms,20 had moderate symptoms,and 0 had severe symptoms.84 children were 2-<5 years old:35 children had mild symptoms,49 had moderate symptom,and 0 had severe symptoms.80 children were 5-12 years old:36 children had mild symptoms,44 had moderate symptom,and 0 had severe symptoms.There were a total of 87 children who had mild symptoms,113 had moderate symptoms,and 0 had severe symptoms.The detection rate of knee epiphyseal plate-diaphyseal angle measurement method is higher to traditional measurement methods in mild and moderate types(P<0.05).Conclusion The knee epiphyseal plate-diaphyseal angle measurement has clinical application value in the detection rate of knee inversion and eversion.

唐勇;薛志强;伏剑;李军

四川省绵阳市骨科医院小儿骨科,四川绵阳 621000

临床医学

膝关节内外翻;膝关节骺板-骨干角;应用价值;小儿

Knee inversion and eversion;Epiphyseal plate-diaphyseal angle;Application value;Children

《中国医药科学》 2024 (012)

67-69,120 / 4

"绵阳市卫生健康委医学科研"项目(202065).

10.20116/j.issn2095-0616.2024.12.16

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