超声波显示,在连续患有膝关节疼痛的患者中,CPPD的患病率很高
Edoardo Cipolletta1,2, Francesca Francioso3, Gianluca Smerilli3
1Rheumatology Unit, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, Ancona, Italy. edoardocipolletta@gmail.com.
Clinical rheumatology
|November 17, 2023
概括
聚酸沉积 (CPPD) 在膝盖疼痛患者中很常见,特别是在老年人中. 超声波显示纤维软骨CPPD比质软骨CPPD更为普遍,并且在较小的年龄出现.
科学领域:
- 类风湿病学 类风湿病学
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
背景情况:
- 膝盖疼痛是一种常见的疾病,有各种潜在原因.
- 聚酸沉积 (CPPD) 疾病是一种水晶诱导的关节病,可以影响关节,包括膝盖.
- 超声波 (美国) 是诊断CPPD的新兴工具,但它在膝关节疼痛患者中的患病率需要进一步调查.
研究的目的:
- 估计在患有膝盖疼痛的患者中超声 (美国) 检测到的酸盐沉积 (CPPD) 的患病率.
- 为了调查CPPD,年龄,性别和膝关节骨细胞之间的联系.
主要方法:
- 一项横截面研究招募了420名膝关节疼痛患者,性别均衡,分布在七个年龄十年 (21-90岁).
- 超声波被用来评估中枢和侧面阴道骨 (纤维软骨) 和大腿骨的质软骨中存在CPPD.
- 在腿骨关节的骨质细胞也得到了评分. 数据使用多变量负二项式回归分析.
主要成果:
- 在美国检测到的CPPD在纤维软骨中发现了22.4%的参与者,在状软骨中发现9.8%.
- 随着年龄的增长,CPPD的患病率显著增加,分别在40岁和50岁之前几乎不存在,在80岁以上的人中增加到46.7% (纤维软骨) 和23.3% (质软骨).
- 年龄,骨细胞分数和质软骨CPPD分数与纤维软骨CPPD分数相关. 年龄和纤维软骨CPPD得分与质软骨CPPD得分相关.
结论:
- 超声波显示,膝关节疼痛患者中CPPD的患病率显著,纤维软骨的参与更为常见,并且发生在较年轻的年龄.
- 年龄是纤维软骨和质软骨CPPD患病率的一个重要因素.
- 这些发现强调了超声波在识别CPPD方面的实用性,并强调了它随着年龄的增长而在膝盖疼痛患者中日益普遍.
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