膝关节骨性关节炎髌下脂肪垫在中药治疗前后的CT变化研究
Chinese Imaging Journal of Integrated Traditional and Western Medicine（2014）
Abstract
目的:通过对比膝骨性关节炎(knee osteoarthritis,KOA)膝关节髌下脂肪垫治疗前后CT图像的变化,探讨中医药治疗KOA的疗效.方法:将1 30例KOA患者随机分为2组,治疗组65例给予健步通络熏蒸液熏洗,30min/d,10d为1个疗程,共3个疗程;对照组65例每6d关节内注射玻璃酸钠30 mg,共5次;2组皆治疗30 d.治疗前后均行膝关节CT扫描,观察治疗前后髌下脂肪垫的变化.结果:治疗组经治疗后髌下脂肪垫的前后径、内外径、上下径均有缩小,密度均有降低,优于对照组;治疗组总有效率(83.08％)优于对照组(76.92％),差异有统计学意义(P＜0.05).结论:对比膝关节髌下脂肪垫CT图像的变化是评价中医药治疗KOA疗效的有效方法.
MoreKey words
Knee joint,Osteoarthritis,Infrapatellar fat pad,Swift Tongluo Fumigation Liquid,Tomography,X-ray computed
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