【摘要】 目的:探讨膝骨关节炎与风湿寒性关节痛的TTM鉴别诊断。方法:选择64例已经确诊的膝骨关节炎患者和56例风湿寒性关节痛患者分别行膝关节前位、后位TTM扫描,比较二者热源形态及热源强度。结果:膝关节前位热源形态比较:风湿寒性关节痛患者为圆形或类椭圆形的较大凉区,膝骨关节炎患者为形状不规则的热区。风湿寒性关节痛和骨关节炎后位热源都表现为类椭圆形小热区。热源值比较:风湿寒性关节痛前位热源差值较低,膝骨关节炎前位热源差值较高,二者差值对比有显著性差异,P<0.01;二者膝后位热源值比较无明显差异。结论:TTM检测膝关节的热源形态和热源值的差异可以作为TTM鉴别诊断膝骨关节炎和风湿寒性关节痛的指标。更多还原

【Abstract】 Objective:To investigate the diagnosis value of TTM(thermal texture maps system)between knee osteoarthritis and wind-dampness arthralgia.Methods:Thirty-six cases of osteoarthritis and 56 cases of wind-dampness arthralgia which all had been definitely diagnosed were chosen to have TTM scanning both anterior and posterior.The form and intensity of the heat were compared.Results:Comparisons between heat forms of anterior TTM scanning: the heat forms of wind-dampness arthralgia patients were larger cooler zone with round or oval shape,and that of knee osteoarthritis patients were hot zone with irregular shape;comparisons between heat forms of posterior TTM scanning:the heat forms of both the two kind diseases all appeared as hot zone with small oval shape;comparisons of heat values: the heat values of anterior TTM scanning of knee osteoarthritis group was significantly higher than that in wind-dampness arthralgia group(P<0.01).Heat values of posterior TTM scanning in knee osteoarthritis group and wind-dampness arthralgia group had no significant difference(P>0.05).Conclusion:TTM can be an indicator in the differential diagnosis between knee osteoarthritis and wind-dampness arthralgia.更多还原