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作者对54个患骨性关节炎的病膝和20个正常膝进行了胫骨上端骨内血管造影,并对6个病膝在治疗后3~6个月进行了随访造影观察。结果发现:(1)患者组骨内造影剂平均排空时间为35分钟,正常组为20分钟;(2)患者组骨内造影剂显影范围占71.1%,正常组为34.7%;(3)患者组骨内静脉呈现扩张、迂曲;(4)治疗后造影结果基本恢复正常。据此,作者认为,骨内血管造影不仅对骨性关节炎的病理学研究,而且在提高其诊断准确率,明确病变程度和评价疗效等方面亦具有重要的临床意义。
The authors performed intramedullary angiography of the upper tibia in 54 patients with osteoarthritis of the knee and 20 normal knees, and 6 knees were followed up 3 to 6 months after treatment. The results showed that: (1) the average time of emptying the contrast agent in the patient group was 35 minutes and that in the normal group was 20 minutes; (2) The developing range of the contrast agent in the patient group was 71.1% and that of the normal group was 34.7% ; (3) patients in the group showed intraosseous vein expansion, tortuous; (4) after treatment, the results returned to normal. Accordingly, the author believes that intraosseous angiography is not only the pathological study of osteoarthritis, but also has important clinical significance in improving its diagnostic accuracy, a clear degree of disease and evaluate the efficacy and so on.