基于MRI测量成人髌下脂肪垫厚度的形态学研究

潘斯学; 吴江川; 何光雄; 向俊宜; 夏吉良; 保超宇

doi:10.12259/j.issn.2095-610X.S20230315

基于MRI测量成人髌下脂肪垫厚度的形态学研究

doi: 10.12259/j.issn.2095-610X.S20230315

1.
云南中医药大学第一临床医学院，云南昆明　650500
2.
云南中医药大学第一附属医院/云南省中医医院骨四科，云南昆明　650100

基金项目: 云南省科技计划基金资助项目（202101AZ070001-119，2018NS0037）

详细信息

作者简介:
潘斯学（1991～），男，湖北黄冈人，在读硕士研究生，住院医师，主要从事创伤与骨关节外科临床工作

通讯作者:
保超宇，E-mail：1039114368@qq.com

中图分类号: R365;R451
计量
- 文章访问数: 4310
- HTML全文浏览量: 2119
- PDF下载量: 12
- 被引次数: 0
出版历程
- 收稿日期: 2022-09-25
- 网络出版日期: 2023-03-02
- 刊出日期: 2023-03-25

Morphological Study of Adult Infrapatellar Fat Pad Thickness Measured by MRI

1.
The First Clinical Medical College of Yunnan University of Traditional Chinese Medicine，Kunming Yunnan 650500
2.
Fourth Department of Orthopedics，The First Affiliated Hospital of Yunnan University of Traditional Chinese Medicine/Yunnan Provincial Hospital of Traditional Chinese Medicine，Kunming Yunnan 650100，China

摘要

摘要: 目的探讨基于MRI测量成人髌下脂肪垫厚度的可行性及成人髌下脂肪垫厚度与性别、年龄、体重、身高的相关性，为全膝关节置换时考虑保留髌下脂肪垫厚度提供依据。方法随机抽取1 019例18～80岁成人膝关节磁共振扫描的影像作为研究对象，取膝关节正中矢状面影像作为测量层面，以髌下脂肪垫前缘画一基线，取其与脂肪垫后缘最远点的距离作为测量厚度，测量结果采用 SPSS26.0统计学软件包进行统计学分析。结果男性髌下脂肪垫平均厚度大于女性，分别为（28.08±4.64）mm 和（24.58±4.22）mm，差异有统计学意义（P < 0.05）；男性与女性年龄分别为（49.09±17.78）岁和（50.42±17.88）岁，差异无统计学意义（P > 0.05）；男性身高、体质量均大于女性，差异有统计学意义（P < 0.05），考虑为生理性差异；男性髌下脂肪垫厚度与年龄、身高、体重均无相关性（P > 0.05）；女性髌下脂肪垫厚度与体重具有相关性（P < 0.05），与年龄、身高均无相关性（P > 0.05）。结论男性髌下脂肪垫平均厚度大于女性且与年龄、身高、体重没有相关性，而女性脂肪垫平均厚度与体重具有一定的关联。
- 髌下脂肪垫 /
- 脂肪垫厚度 /
- 磁共振成像 /
- 全膝关节置换术
Abstract: Objective To investigate the feasibility of measuring the thickness of adult subpatellar fat pad based on MRI and the correlation between the thickness of adult subpatellar fat pad and sex, age, weight and height, to provide the basis for keeping the thickness of subpatellar fat pad in total knee arthroplasty. Methods 1019 cases of 18-80-year-old adult knee MRI scan images were randomly selected as the research object, and the median sagittal image of the knee joint was taken as the measurement plane. The distance of the farthest point of the edge was used as the measurement thickness, the measurement results were statistically analyzed by SPSS26.0 statistical software package, the measurement data of normal distribution were expressed by $\bar x \pm s $, and the comparison of measurement data of normal distribution between two groups was used two independent samples t Pearson correlation analysis was used for correlation analysis, and P < 0.05 indicated that the difference was statistically significant. Results The average thickness of the infrapatellar fat pad in males was greater than that in females, which were （28.08±4.64） mm and （24.58±4.22） mm, respectively, and the difference was statistically significant （P < 0.05）. The ages of males and females were （49.09±17.78） years old, respectively. and （50.42±17.88） years old, the difference was not statistically significant （P > 0.05）; the height and weight of males were greater than those of females, and the difference was statistically significant （P < 0.05）, which was considered as a physiological difference; male infrapatellar fat pad There was no correlation between the thickness and age, height and weight （P > 0.05）; the thickness of the infrapatellar fat pad in women was correlated with body weight （P < 0.05）, but not with age and height （P > 0.05）. Conclusion The average thickness of subpatellar fat pad in male is larger than that in female and has no correlation with age, height and weight.
- Infrapatellar fat pad /
- Fat pad thickness /
- Magnetic resonance imaging /
- Total knee arthroplasty.

HTML全文

图 1 髌下脂肪垫厚度a测量示意图

a：髌下脂肪垫厚度。

Figure 1. Schematic diagram of measurement of thickness a of infrapatellar fat pad

下载: 全尺寸图片幻灯片

图 2 男性年龄与脂肪垫厚度

Figure 2. Male age and fat pad thickness

下载: 全尺寸图片幻灯片

图 3 男性身高与脂肪垫厚度

Figure 3. Male height and fat pad thickness

下载: 全尺寸图片幻灯片

图 4 男性体重与脂肪垫厚度

Figure 4. Male body weight and fat pad thickness

下载: 全尺寸图片幻灯片

图 5 女性年龄与脂肪垫厚度

Figure 5. Female age and fat pad thickness

下载: 全尺寸图片幻灯片

图 6 女性身高与脂肪垫厚度

Figure 6. Female height and fat pad thickness

下载: 全尺寸图片幻灯片

图 7 女性体重与脂肪垫厚度

Figure 7. Female body weight and fat pad thickness

下载: 全尺寸图片幻灯片

表 1 男、女一般情况比较（$ \bar x \pm s $）

Table 1. General situation comparison between male and female （$ \bar x \pm s $）

指标	男	女	t	p
脂肪垫厚度（mm）	28.08 ± 4.64	24.58 ± 4.22	12.351	< 0.001^*
年龄（岁）	49.09 ± 17.78	50.42 ± 17.88	−1.157	0.247
身高（cm）	170.37 ± 6.09	159.00 ± 5.74	19.900	< 0.001^*
体重（kg）	69.13 ± 10.12	57.77 ± 7.94	29.904	< 0.001^*
^*P < 0.05。

下载: 导出CSV

参考文献(16)

[1]	Jang S,Lee K,Ju J H. Recent updates of diagnosis,pathophysiology,and treatment on osteoarthritis of the knee[J]. Int J Mol Sci,2021,22(5):2619.
[2]	Driban J B,Harkey M S,Barbe M F,et al. Risk factors and the natural history of accelerated knee osteoarthritis: a narrative review[J]. BMC Musculoskelet Disord,2020,21(1):332.
[3]	Keppler L,Klingbeil S,Navarre F,et al. Implantation accuracy of a lateral unicompartmental knee arthroplasty:A Hoffa’s fat pad-preserving medial approach versus the transpatellar lateral approach[J]. J Arthroplasty,2021,36(8):2752-2758. doi: 10.1016/j.arth.2021.03.047
[4]	Nishino K,Hashimoto Y,Iida K,et al. Association of postoperative lateral meniscal extrusion with cartilage degeneration on magnetic resonance imaging after discoid lateral meniscus reshaping surgery[J]. Orthop J Sports Med,2022,10(5):23259671221091997.
[5]	任翠,朱巧,郎宁,等. 创伤相关性膝关节髌下脂肪垫病变的MRI表现[J]. 实用放射学杂志,2021,37(6):980-984. doi: 10.3969/j.issn.1002-1671.2021.06.026
[6]	国云波. 磁共振成像与CT检查诊断膝关节损伤的临床效果[J]. 中国医疗器械信息,2022,28(2):101-103. doi: 10.3969/j.issn.1006-6586.2022.02.034
[7]	Ricatti G,Veronese N,Gangai I,et al. Hoffa's fat pad thickness: a measurement method with sagittal MRI sequences[J]. Radiol Med,2021,126(6):886-893. doi: 10.1007/s11547-021-01345-9
[8]	房传武,江华,黄彰,等. 全膝关节置换术中保留髌下脂肪垫对膝关节功能恢复的影响[J]. 安徽医药,2021,25(8):1628-1631. doi: 10.3969/j.issn.1009-6469.2021.08.036
[9]	Okita Y,Sadamatsu T,Kawahara T,et al. Volume and mobility of the infrapatellar fat pad during quasi-static knee extension after manual therapy in patients with knee osteoarthritis: a randomized control trial study[J]. J Phys Ther Sci,2022,34(8):561-570. doi: 10.1589/jpts.34.561
[10]	Zhong L,Li M,Du X,et al. Quantitative evaluation of the characteristic of infrapatellar fat pad Fat Content and Unsaturation Index by using hydrogen proton MR spectroscopy[J]. Magn Reson Imaging,2022,94:18-24. doi: 10.1016/j.mri.2022.07.014
[11]	Li L J,Zhang H S,Chen S,Liu C. Influence of retention or resection subpatellar fat pad on patella height during rheumatoid knee replacement[J]. Zhongguo Gu Shang,2020,33(10):922-927.
[12]	Ye C,Zhang W,Wu W,et al. Influence of the infrapatellar fat pad resection during total knee arthroplasty:A systematic review and meta-analysis[J]. PLoS One,2016,11(10):e0163515.
[13]	Zhu Z,Han W,Lu M,et al. Effects of infrapatellar fat pad preservation versus resection on clinical outcomes after total knee arthroplasty in patients with knee osteoarthritis (IPAKA):Study protocol for a multicentre,randomised,controlled clinical trial[J]. BMJ Open,2020,10(10):e043088.
[14]	Yao B,Samuel L T,Acuña A J,et al. Infrapatellar fat pad resection or preservation during total knee arthroplasty: A systematic review[J]. J Knee Surg,2021,34(4):415-421.
[15]	保超宇,钟宗雨,秦新,等. MRI测量正常成人桡骨头关节面软骨厚度的研究[J]. 实用放射学杂志,2020,36(2):263-266. doi: 10.3969/j.issn.1002-1671.2020.02.023
[16]	潘斯学,何光雄,夏吉良,等. 基于MRI测量正常成人半月板厚度的形态学研究[J]. 昆明医科大学学报,2022,43(12):99-104. doi: 10.12259/j.issn.2095-610X.S20221219

相关文章(20)

[1]	曹朝阳, 刘思佳, 杨亚英. 影像组学技术在结直肠癌中的研究进展, 昆明医科大学学报.
[2]	胡清, 李川, 史冲, 阮默, 杨靖泽. 膝关节骨性关节炎全膝关节置换术中新型改良3D PSI的应用效果观察, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20240313
[3]	刘思佳, 杨亚英, 彭超, 李亚敏. 增强CT及MRI检查在胰腺癌术前TNM分期中的应用, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20230628
[4]	何汇琼, 张梦梅, 严映, 雷静, 杨亚英, 解开鹏. MSCT联合MRI成像对胃癌术前T分期的诊断价值, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20230227
[5]	马海锋, 江魁明. 3.0T磁共振术前诊断儿童胰胆管合流异常的价值, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20221014
[6]	潘斯学, 何光雄, 夏吉良, 陈帅, 向俊宜, 保超宇. 基于MRI测量正常成人半月板厚度的形态学研究, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20221219
[7]	任丽香, 普有登, 王加奇, 王亚军, 袁会梅, 黄懿宸, 李清, 易三莉. 幼年特发性关节炎MRI滑膜体积定量分析与血清学对比研究, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20210710
[8]	蔡莉, 段楚玮, 朱云珍, 赵卫, 何波, 张振光. 磁共振小肠造影多序列联合成像在小肠疾病诊断中的应用, 昆明医科大学学报.
[9]	彭中鸿, 刘劲松, 李溪, 李根涛, 庞佳宁. 氨甲环酸联合肾上腺素对全膝关节置换术失血量及膝关节功能恢复的影响, 昆明医科大学学报.
[10]	黄振华, 石鑫, 王辉涛, 张劲松, 王光, 郝金刚, 刘建和. 磁共振弥散加权成像在膀胱癌T分期的应用价值, 昆明医科大学学报.
[11]	蔡莉. MRI诊断平山病1例并文献复习, 昆明医科大学学报.
[12]	杨少华. 血清多种肿瘤标记物联合磁共振成像在胰腺癌中的诊断价值, 昆明医科大学学报.
[13]	封俊. 肝脏血管平滑肌脂肪瘤的影像表现及误诊分析, 昆明医科大学学报.
[14]	王鹏. MRI动态增强在乳腺良恶性疾病鉴别诊断中的价值, 昆明医科大学学报.
[15]	章维. 多b值弥散加权成像对胰腺癌术前诊断的价值, 昆明医科大学学报.
[16]	罗承龙. MRI对膝关节损伤的诊断价值分析, 昆明医科大学学报.
[17]	尚芸芸. 十二指肠肿瘤的MRI诊断32例临床分析, 昆明医科大学学报.
[18]	谢筱晞. 3.0T磁共振成像评价踝关节运动损伤的应用价值, 昆明医科大学学报.
[19]	王甄. 磁共振成像对膝关节半月板损伤的诊断价值分析, 昆明医科大学学报.
[20]	谭军. MR扩散及灌注成像对肝脏占位病变的临床价值, 昆明医科大学学报.