膝关节镜下大骨节病与骨性关节炎的病理形态对照分析  

The pathological form of Kashin-Beck disease and Osteo arthritis contrast and analysis by arthroscope

作　　者：凌鸣[1] 易智[1] 常彦海[1] 李建发 罗振群[1] 

机构地区：[1]陕西省人民医院骨科,陕西西安710068 [2]洛川县人民医院外科,陕西洛川727400

出　　处：《中国地方病学杂志》2003年第3期253-255,共3页Chinese Jouranl of Endemiology

基　　金：陕西省科学技术研究发展计划项目 (2 0 0 1K10 -G9)

摘　　要：目的　通过膝关节镜将大骨节病与骨性关节炎病变形态进行对照 ,以便膝关节镜下对大骨节病的诊断和选择治疗方法。方法　采用膝关节清理术 ,于膝关节手术中镜下观察滑膜、髌骨、股骨、胫骨及半月板改变。结果　大骨节病患者膝关节的滑膜、软骨、半月板损伤重且改变明显 ,与骨性关节炎比较差异有显著意义。结论　尽管大骨节病发展的结局也是骨性关节炎 ,但其病理形态与骨性关节炎仍有差别 ,手术中要充分考虑大片软骨剥离的特殊性。Objective To contrast and analyze the pathological form of Kashin-Beck disesae and Osteo arthritis by arthroscope of knee. To help to diagnose Kashin-Beck disease and select method of cure under arthroscope.Methods To observe synovium, patella,femur,tibia and meniscus by arthroscopt.Results Of Kashin-Beck disease, the lesion of synovium cartilage and meniscus of knee were more serious than Osteo arthritis.Conclusions To compare Osteo arthritis, the alteration of pathological form of Kashin-Beck disease knee is different obviously.So,the particularity of cartilage being strip largely should be considered in operation.

关 键 词：膝关节镜 大骨节病 骨性关节炎 病理形态 软骨剥离 

分 类 号：R684.1[医药卫生—骨科学]