大骨节病患者手部X线征像的研究

发布时间：2018-03-24 13:22

本文选题：大骨节病　切入点：成人　出处：《中国地方病防治杂志》2017年06期

【摘要】：目的探讨成人大骨节病患者手部X线影像学的特征性改变。方法在黑龙江、吉林和四川省大骨节病历史病区筛选成人大骨节病病人,对其手部X线片各种改变征象进行统计分析。结果在调查的1645名成人中,共检出大骨节病患者299人,其手部异常X线改变征像的检出率分别为假性囊肿17.73%(53/299)、骨棘(骨嵴、骨刺)56.52%(169/299)、粗隆增生与骨赘19.06%(57/299)、游离骨块11.37%(34/299)、关节面缺损或破坏14.38%(43/299)、基底增宽与纺锤样改变57.86%(173/299)、喇叭口状改变4.68%(14/299)、塌陷修复相12.04%(36/299)、掌骨头膨大(半脱位与镰状影)47.49%(142/299)和腕骨拥挤与变形46.49%(139/299)。结论基底增宽是成人大骨节病患者手部检出率最高的X线征像。
[Abstract]:Objective to investigate the characteristic changes of X-ray imaging in the hands of adults with Kaschin-Beck disease (KBD). Methods the patients with Kashin-Beck disease (KBD) were screened in the historical areas of Kaschin-Beck disease in Heilongjiang, Jilin and Sichuan provinces. Results among the 1645 adults surveyed, 299 patients with Kashin-Beck disease were detected. The detection rates of abnormal X-ray signs of the hands were 17.7335% 299U, 17.73c / 299m, respectively, and bony spine (bone cristae). Bone prickles 56.52% 169 / 299, thickening and osteophyte 19.0610, free bone mass 11.37 / 294, articular surface defect or destruction 14.3843 / 299m, basal enlargement and spindle-like changes 57.86% 1733 / 2999, trumpet shape 4.68% 14 / 299, collapse repair 12.0436 / 299, metacarpal bone bulging (semi-dislocation and falciform 47.49142299) and carpal bone congestion and degeneration 47.499,142299, 57.86% 1793, 4.68% / 299, 12.0436 / 299m, 12.0436 / 299m, 57.86% / 299, 12.0436 / 299m, 57.86% / 299m, 12.0436 / 299m, 57.86% / 299m, 12.0436 / 299m, 12.0436 / 299m, respectively. Conclusion widening of the base is the highest radiographic sign in the hand of adult patients with Kaschin-Beck disease.
【作者单位】：哈尔滨医科大学中国疾病预防控制中心地方病控制中心大骨节病防治研究所;吉林省地方病第二防治研究所;四川省疾病预防控制中心地方病预防控制所;黑龙江省哈尔滨医科大学第一附属医院;
【基金】：国家自然科学基金(81472931)
【分类号】：R684.1

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