滑膜骨软骨瘤病临床X线分析  

Clinical and Radiologic Analysis of Synovial Osteochondromatosis

作　　者：张伟[1] 李君[1] 高伟明 蒋联合 

机构地区：[1]山东省单县中心医院放射科,山东单县274300

出　　处：《实用放射学杂志》2000年第7期420-422,共3页Journal of Practical Radiology

摘　　要：目的 :探讨本病的 X线、临床、病理联系及 X线诊断依据。方法 :回顾性分析 5 6例滑膜骨软骨瘤病的资料 ,抽出 2 1～41岁的 38例患者的 X光片为病变组 ,并随机抽取同时期 10 0例相应关节 X线光片为对照组进行对照 ,观察本病与退变性关节的关系。结果 :膝关节为最易受累关节 ,占 5 5 .4%。游离体形态多样 ,数目从 1枚至 96 8枚 ,通过分析病变组 (38例 )和对照组 (10 0例 )中退行性关节病的构成比 ,经 X2 检验有显著性差异 (P<0 .0 5 )。结论 :关节游离体是 X线诊断本病的依据 ,并且因游离体存在可早发退行性关节病。Objective:To study the relationship between clinical X-ray signs and pathology,and the diagnostic basis of X-ray.Methods:To observe the relationship between synovial osteochondromatosis and degenerating joints,We selcted X-ray films of 38 cases,whose age ranged from 21～41 years in 56 cases with synovial chonoromatosis and X-ray films of 100 normal cases with degenerating joints as control group.Results:The knee joint was mostly involved in synovial chondromatosis (55.4%),the amount of loose bodies was from 1 to 968.By analysing the constituting rate of degenerating joints between diseased group and control group,we found that both groups had significant difference(P<0.05).Conclusion:The loose bodies within joint are the X-ray diagnostic basis and can early lead to the chance of degenerating joints in synovial chondromatosis. [

关 键 词：滑膜软骨瘤病 X线诊断 关节游离体 

分 类 号：R738.04[医药卫生—肿瘤] R730.44[医药卫生—临床医学]