中国中西医结合影像学杂志2024，Vol.22Issue(2)：164-167,183,5.DOI:10.3969/j.issn.1672-0512.2024.02.008
基于能谱CT物质分离成像的膝骨关节炎中医证型的相关参数研究
Correlation between TCM syndrome of knee osteoarthritis and energy spectrum CT material separation images
摘要
Abstract
Objective:To investigate the differences of the fat content in the infrapatellar fat pad(IPFP),the joint space area and osteophyte grading of knee osteoarthritis(KOA)in different TCM syndromes by energy spectrum CT.Methods:A total of 118 patients with acute painful KOA were retrospectively analyzed,among whom 51 case were cold-dampness stagnation syndrome(Group A),40 were qi stagnation and blood stasis syndrome(Group B),16 were liver-kidney deficiency syndrome and 11 were qi-blood deficiency syndrome(Group C).All patients underwent energy spectrum CT,and the base material separation images were obtained and analyzed.The differences in the IPFP fat content,the joint space area and osteophyte grading in KOA patients with different TCM syndromes were compared.Results:There were no significant differences in the IPFP maximum area and CT value of the fat/muscle substance separation images among the three groups(both P＞0.05).Group A had the least IPFP fat content and Group C the most(P＜0.05),Group B had the least medial joint space area(P＜0.05).While there were no significant differences in the lateral joint space area and osteophyte grading among the three groups(both P＞0.05).Conclusion:There are certain correlations between the IPFP fat content,the joint space area and the TCM syndrome of acute painful KOA.The material separation images of energy spectrum CT has a clinical application value in TCM syndrome differentiation and treatment of KOA.关键词
骨性关节炎,膝/体层摄影术,X线计算机/中医证型/辨证分型Key words
Osteoarthritis,knee/Tomography,X-ray computed/Traditional Chinese medicine syndrome/Syndrome differentiation引用本文复制引用
翟冰莹,贾永军,康武林,李晓伟,姚洁,刘芳..基于能谱CT物质分离成像的膝骨关节炎中医证型的相关参数研究[J].中国中西医结合影像学杂志,2024,22(2):164-167,183,5.基金项目
陕西省中医药管理局"骨退行性疾病中西医结合防治"双链融合"中青年科研创新团队"(2022-SLRH-LJ-001) （2022-SLRH-LJ-001）
陕西省科技计划项目(2023-JC-YB-805) （2023-JC-YB-805）
陕西中医药大学优势特色与交叉学科支持计划项目(2022XKZC05). （2022XKZC05）
