| 膝部疼痛与骨内压关系的临床研究 |
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| 引用本文： | 陈清汉 许振华. 膝部疼痛与骨内压关系的临床研究[J]. 中华骨科杂志, 1996, 16(1): 25-27 |
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| 作者姓名： | 陈清汉 许振华 |
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| 作者单位： | 河南医科大学二附院骨科，河南医科大学骨科研究所，珠海市中医院骨伤科 |
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| 摘 要： | 作者对５０例膝疼痛患者进行了双侧膝关节Ｘ线检查、膝部骨内压测定以及止血带加压试验。休息痛膝的髌骨、股骨远端和胫骨近端骨内压平均值分别为４．５１ｋＰａ、４．１５ｋＰａ和３．５４ｋＰａ，无痛膝（对照组）三个部位骨内压平均值分别为２．７５ｋＰａ、３．０７ｋＰａ和２．８４ｋＰａ。休息痛膝的膝部骨内压均明显高于无痛膝（Ｐ值＜０．０２）。止血带加压试验休息痛膝阳性率为９２．７％，活动痛膝阳性率为２１．４％，无痛膝均阴性。骨内压增高、休息痛和止血带加压试验阳性三者呈一致性关系。经皮骨穿刺术是治疗膝关节休息痛的简单、有效的方法。
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| 关 键 词： | 膝关节 休息痛 骨内压 止血带加压试验 |
AClinicalStudyonTheRelationshipbetweenPainandIntraosseousPressureintheKnee |
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| ChenQing-han,XuZhenhua,LiuJiayong,et al.. AClinicalStudyonTheRelationshipbetweenPainandIntraosseousPressureintheKnee[J]. Chinese Journal of Orthopaedics, 1996, 16(1): 25-27 |
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| Authors: | ChenQing-han XuZhenhua LiuJiayong et al. |
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| Affiliation: | ChenQing-han,XuZhenhua,LiuJiayong,etal.DepartmentofOrthopaedicSurgery,TheSecondAffiliatedHos-pital,HenanMedicalUniversity,Zhengzhou450003 |
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| Abstract: | Fiftypatientswithchronicpaininthekneewereinvestigatedbymeansofbilateralradio-graphy,tourniquetstresstestandintraosseouspressure(IOP)measurements.Inthekneewithrestpain,themeanIOPinthepatela,thedistalendofthefemurandtheproximalendofthetibiais4.51,4.15and3.54kParespectively.Theyaresignificantlyhigherthanthatinthekneewithoutpain(controlknee)(P<0.02).TheIOPdiferencebetweenthekneewithpainduringactivityandthekneewithoutpainisofnostatisticsignificance(P>0.05).Thetourniquetstresstestshowedthat92.7%ofthekneesuferingrestpainhadapositiveresponsecomparedwith21.4%oftheactivitypainjoints,forthecon-trolknees,thetestisalnegative.Ourstudydemonstratedthatthereisaclosecorrelationamongrestpain,increasedIOPandpositivetourniquetstresstest.Percutaneousosteostixisisasimple,safeandefectivemethodfortreatmentofthedisorderwiththesecharacteristics. |
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| Keywords: | kneerestpainintraosseouspressuretourniquetstresstest |
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