【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。更多还原

【Abstract】 Objective To investigate the hand X-ray image characteristics of Kaschin-Beck Disease( KBD) adult patients.Method In the KBD historical endemic areas of Heilongjiang,Jilin and Sichuan province,statistical analysis of various signs of changes in their hand X-ray images.Results 299 of 1 645 adults were diagnosed as KBD in the survey.The detection rate of abnormal X-ray changes was Pseudocyst 17.73%( 53/299),Bone thorn in the edge of interphalangeal Joint( Bone cristae Bone spur)56.52%( 169/299),Hyperplasia of tuberosity and Osteophyte 19.06%( 57/299),Free bone fragments 11.37%( 34/299),Articular surface defects or destruction 14.38%( 43/299),Basal broadening or Spindle-shaped of the proximal end of phalanx 57.86%( 173/299),Horn mouth shape change of proximal end of phalanx 4. 68%( 14/299), Collapse repair phase of phalanx 12. 04%( 36/299),Swelling and semiluxation or Sickle shadow of metacarpal head 47.49%( 142/299),and Deformation and congestion of carpus 46.49%( 139/299),respectively.Conclusion Basal broadening is the hand X-ray image with the highest detection rate in the adult KBD patients.更多还原