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目的:观察和探讨CT在老年糖尿病患者踝关节关节炎骨质改变方面的特点,以期为糖尿病患者踝关节关节炎临床诊断和治疗提供客观的理论依据。方法:选取2012年1月-2015年1月于我院就诊的2型糖尿病老年患者22例作为研究观察对象,同时选取同期于我院住院治疗的老年非糖尿病患者22例作为对照对象,所有入选患者均采用CT进行踝关节扫描,观察和分析两组受试者CT图像变化。结果:糖尿病组受试者右踝关节面下骨质改变共9只,左踝关节面下骨质改变7只,发病率为36.4%;非糖尿病受试者右踝关节面下骨质改变共3只,左踝关节面下骨质改变1只,发病率为9.1%;糖尿病患者关节面下骨质改变率明显高于非糖尿病组,差异具有显著性,P<0.05。结论:糖尿病患者踝关节骨关节炎发病率对比非糖尿病者明显提高。
OBJECTIVE: To observe and discuss the characteristics of CT in the diagnosis of osteoarthritis of ankle in elderly patients with diabetes mellitus, in order to provide an objective theoretical basis for clinical diagnosis and treatment of ankle arthritis in diabetic patients. Methods: Twenty-two elderly patients with type 2 diabetes treated in our hospital from January 2012 to January 2015 were enrolled in this study. Twenty-two elderly non-diabetic patients hospitalized in our hospital during the same period were selected as control subjects. All patients were enrolled All patients underwent ankle joint scan with CT, and the CT images of the two groups were observed and analyzed. Results: In the diabetic group, there was a total of 9 bone changes in the right ankle joint and 7 bone changes in the left ankle joint, with a prevalence of 36.4%. In the non-diabetic subjects, There was only 1 bone in the left ankle joint, with a prevalence of 9.1%. The rate of change of bone in the articular surface of diabetic patients was significantly higher than that of the non-diabetic patients, the difference was significant (P <0.05). Conclusion: The incidence of ankle osteoarthritis in diabetic patients was significantly higher than that in non-diabetic patients.