Study on correlation between bone marrow edema, stage of necrosis and area ratio of necrosis with the hip pain grading in nontraumatic osteonecrosis of the femoral head
Study on correlation between bone marrow edema, stage of necrosis and area ratio of necrosis with the hip pain grading in nontraumatic osteonecrosis of the femoral head
复制标题
非外伤性股骨头坏死骨髓水肿、坏死分期、坏死面积比与髋部疼痛分级的相关性研究
DOI：
10.1515/med-2015-0076
复制
发表时间：
2015-01-01
期刊：
影响因子：
2.1
通讯作者：
Zhao Dewei
中科院分区：
文献类型：
--
作者：
Wang Jianchuan;Yang Lei;Zhao Dewei
摘要本研究旨在探讨非创伤性股骨头坏死骨髓水肿、坏死分期、坏死面积比与髋关节疼痛分级的相关性。各级别骨髓水肿分级及髋关节疼痛分级差异均有统计学意义（P < 0.001）。骨髓水肿分级增加0、1和2级，而平均疼痛评分也增加至40.73、104.66和143.49。I ~ III期坏死分期与髋关节疼痛分级差异有统计学意义（P < 0.001），随着疼痛分期平均分级的进展，由死亡一级逐渐增加，I期、II期、III期分别为57.00、88.58和120.62。坏死面积比在0 ~ 3之间与疼痛程度呈正相关，两者比较有统计学意义（P < 0.001），且随着病变程度的加重，疼痛程度的平均等级增加。0、1、2和3的平均值分别为36.88、98.03、123.87和151.93。可根据患者骨髓水肿程度、坏死分期、坏死面积比等因素选择治疗方法和评价治疗效果。
Abstract The objective of this study was to explore the correlation between bone marrow edema, stage of necrosis, and area ratio of necrosis with the hip pain grading in non-traumatic osteonecrosis of the femoral head. Bone marrow edema grading at all levels and the hip pain grade differences were statistically significant (P < 0.001). Bone marrow edema grading increased by levels of 0, 1, and 2, whereas average pain rating increased as well to 40.73, 104.66 and 143.49. I ~ III period stage of necrosis and the hip pain grade difference was statistically significant (P < 0.001), with the average grade progress pain stage by the death of a rank gradually increased, I period, II period, III period was 57.00, 88.58 and 120.62, respectively. Area ratio of necrosis between 0 ~ 3 were positively correlated with pain, compared the two was statistically significant (P < 0.001), and with the degree of pathological changes is aggravating, increase the average rank of levels of pain. 0, 1, 2 and 3 are 36.88, 98.03, 123.87 and 151.93 respectively. We can choose the treatment method and evaluate treatment effect by considering a patients’ degree of bone marrow edema, stage of necrosis and area ratio of necrosis.