目的 分析武警部队官兵膝关节MRI检查结果,明确官兵膝关节损伤情况及特点,探讨膝关节训练伤的防治措施。方法 按纳入条件收集2018-01-01至2018-12-31 就诊武警特色医学中心,并初次行膝关节MRI检查的武警部队官兵的基本信息及MRI检查结果,对不同性别、不同年龄、左右膝、内外侧半月板损伤情况进行统计分析。结果 共纳入1015例武警官兵,男949例(93.50%),女66例(6.50%),41例行双侧膝关节MRI检查,共1056例膝。其中861例(81.53%)存在膝关节损伤,伴有膝关节良性病变的95例(8.99%),对不同性别和不同年龄组(≤30岁,＞30岁)膝关节损伤进行对比分析(χ2 =2.19,χ =1.48),两组差异均无统计学意义,对左右膝关节和内外侧半月板损伤(损伤≤Ⅱ级,损伤＞Ⅱ级)分别对比分析(χ =4.427,χ =8.894),两组差异均有统计学意义(P<0.05),右侧膝关节损伤概率更大,外侧半月板损伤程度更为严重。结论 需要根据不同性别、不同年龄和膝关节易损伤部位制定科学的训练计划和内容,减少膝关节训练伤的发生。
Abstract
Objective To find out about the conditions and characteristics of knee joint injuries and to explore prevention and treatment measures by analyzing the MRI results of knee joints of some servicemen in the Armed Police Force.Methods According to the inclusion criteria, the basic information and MRI results of some servicemen in the Armed Police Force who had visited the Chinese People Armed Police Special Medical Center between January 1, 2018 and December 31, 2018 and undergone MRI examination of knee joints for the first time were collected. The difference in gender, age, knees and meniscus injury was statistically analyzed.Results A total of 1015 patients were enrolled, including 949(93.50%) males and 66(6.50%)females. Forty-one of them underwent bilateral knee MRI examination. There were 1056 knee joints involved, 861(81.53%)of them injured, and 95(8.99%)with benign lesions. The different gender and age groups(≤30 years old, and >30 years old) with knee injuries were compared by chi-square test(χ2 =2.19,χ2 =1.48). There was no significant difference between the two groups. The difference between knee joint and meniscus injury groups (injury ≤Grade Ⅱ, injury >Grade Ⅱ) was analyzed by chi-square test(χ2 =4.427,χ2 =8.894), and was found to be statistically significant(P<0.05). The right knee joint was more likely to be injured and the lateral meniscus was more severely injured.Conclusions Appropriate training plans and contents should be formulated according to the gender, age and vulnerable parts of knee joints to reduce the incidence of knee joint injuries.
关键词
膝关节损伤 /
交叉韧带 /
半月板 /
军事训练伤 /
MRI
Key words
knee joint injury /
ruciate ligament /
meniscus /
military training injury /
magnetic resonance imaging
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