| 王瑞峰,张鹏天,吴虎林,秦 涛,冯 燕.SchatzkerⅡ型胫骨平台骨折患者CT骨性影像学参数与外侧半月板损伤、术后膝关节功能的相关性分析[J].,2023,(21):4137-4141 |
| SchatzkerⅡ型胫骨平台骨折患者CT骨性影像学参数与外侧半月板损伤、术后膝关节功能的相关性分析 |
| Correlation Analysis of CT Bone Imaging Parameters with Lateral Meniscus Injury and Postoperative Knee Function in Patients with Schatzker Type Ⅱ Tibial Plateau Fracture |
| 投稿时间：2023-05-05 修订日期：2023-05-31 |
| DOI：10.13241/j.cnki.pmb.2023.21.026 |
| 中文关键词: 胫骨平台骨折 SchatzkerⅡ型 CT骨性影像学参数 外侧半月板损伤 术后膝关节功能 |
| 英文关键词: Tibial plateau fracture Schatzker type Ⅱ Bone imaging parameters of CT Lateral meniscus injury Postoperative knee function |
| 基金项目:陕西省重点研发计划项目（2018SF-203） |
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| 中文摘要: |
| 摘要 目的：分析SchatzkerⅡ型胫骨平台骨折患者CT骨性影像学参数与外侧半月板损伤、术后膝关节功能的相关性。方法：选择西安交通大学附属红会医院自2020年1月至2022年12月接诊的106例SchatzkerⅡ型胫骨平台骨折患者作研究对象，根据是否发生外侧半月板损伤，分为半月板损伤组和半月板正常组。所有患者均进行CT检查，检测骨性影像学参数[胫骨外侧平台塌陷值(LPD)、胫骨外侧平台增宽值(LPW)]，比较损伤组与非损伤组的LPD、LPW，通过受试者工作特征曲线(ROC)分析LPD、LPW预测外侧半月板损伤的效能，使用Pearson相关性分析LPD、LPW与术后膝关节HSS评分的关系。结果：半月板损伤组LPD、LPW均大于半月板正常组（P<0.05）；经ROC曲线分析，LPD、LPW预测SchatzkerⅡ型胫骨平台骨折患者存在外侧半月板损伤的最佳截断值分别为14.13 mm、8.67 mm，AUC分别为0.655、0.750，两者联合预测的AUC为0.925；LPD＜14.13 mm组膝关节功能评价优良等级分布优于LPD≥14.13 mm组（P<0.05）；LPW＜8.67 mm组膝关节功能评价优良等级分布优于LPW≥8.67 mm组（P<0.05）；经Pearson相关性分析，SchatzkerⅡ型胫骨平台骨折患者LPD、LPW与术后膝关节HSS评分均呈负相关（P<0.05）。结论：在SchatzkerⅡ型胫骨平台骨折患者的CT骨性影像学参数检测中，LPD联合LPW预测外侧半月板损伤的效能较好，且两者均与术后膝关节功能的关系密切，值得进一步研究应用。 |
| 英文摘要: |
| ABSTRACT Objective: To analyze the correlation between CT bone imaging parameters and lateral meniscus injury and postoperative knee function in patients with Schatzker type Ⅱ tibial plateau fracture. Methods: 106 patients with Schatzker type Ⅱ tibial plateau fracture treated in Honghui Hospital Affiliated to Xi 'an Jiaotong University from January 2020 to December 2022 were selected as research objects. According to whether there was lateral meniscus injury,they were divided into meniscus injury group and meniscus normal group. CT examination was performed on all patients to detect bone imaging parameters [collapse value of lateral tibial plateau(LPD),widening value of lateral tibial plateau(LPW)], and LPD and LPW of injured and non-injured groups were compared. The efficacy of LPD and LPW in predicting lateral meniscus injury was analyzed by receiver operating characteristic curve(ROC). Pearson correlation was used to analyze the relationship between LPD, LPW and postoperative knee HSS score. Results: LPD and LPW in the injured meniscus group were higher than those in the normal meniscus group (P<0.05). According to ROC curve analysis, the best truncation values of LPD and LPW for predicting lateral menisus injury in patients with Schatzker type Ⅱ tibial plateau fracture were 14.13 mm and 8.67 mm, respectively,and the AUC was 0.655 and 0.750, respectively, and the AUC predicted by the combination of LPD and LPW was 0.925. The excellent grade distribution of knee function evaluation in LPD<14.13 mm group was better than that in LPD≥14.13 mm group (P<0.05). LPW<8.67 mm group was better than LPW≥8.67 mm group (P<0.05). According to Pearson correlation analysis, LPD, LPW and postoperative knee HSS scores in Schatzker type Ⅱ tibial plateau fracture were negatively correlated (P<0.05). Conclusion: In the CT bone imaging parameter detection of Schatzker type Ⅱ tibial plateau fracture patients, LPD combined with LPW has a good efficacy in predicting lateral meniscus injury, and both of them are closely related to postoperative knee function,worthy of further study and application. |
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