膝关节骨关节炎患者的骨髓损伤和5年间的关节手术:一项回顾性队列研究
Liang Lin1,2, Jinshan Zhang3,4, Hongyi Zhu5,6
1Department of Orthopedics, Jinjiang Municipal Hospital, Fujian, China.
Journal of orthopaedic surgery and research
|May 20, 2024
概括
最初的膝盖MRI扫描中的骨髓病变 (BMLs) 预测了未来的膝盖手术风险. 没有BML的患者在五年内需要手术的可能性很低,这表明了高负预测值.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 识别手术风险因素有助于早期干预,使患者受益.
- 很少有研究将骨髓病变 (BMLs) 与长期关节手术风险联系起来.
研究的目的:
- 评估初始MRI上的BML严重程度与膝关节骨关节炎 (OA) 患者5年膝关节手术发生率之间的关联.
- 为了确定后续膝关节手术BMLs的预测值.
主要方法:
- 对1011名膝关节OA患者的回顾性队列研究 (2015年1月至2018年1月).
- 评估的Max BML等级,BML负担和Presence BML等级用于中侧,侧侧,骨骨和总隔间.
- 使用多变量逻辑回归和计算预测值为5年事件手术.
主要成果:
- 在1011名参与者中,有74人在5年内接受了手术.
- 较高的BML等级 (2和3) 在中间,骨头骨和总隔间显著预测了手术.
- 没有发现侧腔室BML和手术之间的关联;PPV低,NPV高.
结论:
- 初始MRI上的BML与5年的关节手术有关,但不包括侧腔病变.
- 高负预测值表明没有BML的患者在5年内需要手术的风险很低.
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