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强直性脊柱炎髋关节病变的X线表现及鉴别诊断
引用本文:张丽芳,李亚敏,杨亚英,赵珍.强直性脊柱炎髋关节病变的X线表现及鉴别诊断[J].昆明医学院学报,2012,33(4):75-77.
作者姓名:张丽芳  李亚敏  杨亚英  赵珍
作者单位:1. 昆明医学院第一附属医院影像学中心,云南,昆明,650032
2. 昆明医学院学报编辑部,云南,昆明,650031
基金项目:云南省应用基础研究面上基金资助项目
摘    要:目的 提高对强直性脊柱炎髋关节病变的认识.方法 回顾性分析50例经临床诊断及治疗的强直性脊柱炎髋关节病变的X线表现.结果 x线表现为:髋关节间隙狭窄50例;髋臼及股骨头边缘明显硬化,骨赘形成22例;股骨头及髋臼关节面下囊变20例;股骨头及髋臼虫蚀状骨质破坏8例;附着点病19例;关节面及关节间隙模糊5例.结论 强直性脊柱炎髋关节病变的X线表现具有一定特征性,结合临床具有较高诊断价值.

关 键 词:强直性脊柱炎  髋关节  X线

The X-ray Sign and Differential Diagnosis of Ankylosing Spondylitis
ZHANG Li-fang , LI Ya-min , YANG Ya-ying , ZHAO Zhen.The X-ray Sign and Differential Diagnosis of Ankylosing Spondylitis[J].Journal of Kunming Medical College,2012,33(4):75-77.
Authors:ZHANG Li-fang  LI Ya-min  YANG Ya-ying  ZHAO Zhen
Institution:1)Medical Imageology Center,The First Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032;2)Editorial Department of Kunming Medical University Journal, Kunming Yunnan 650031,China)
Abstract:Objective To increase the knowledge towards to the Ankylosing Spondylitis hip joint pathological changes.Methods We retrospectively analyzed the X-ray signs of 50 cases of ankylosing spondylitis hip joint pathological changes which have been approved and treated by the clinical diagnosis.Results X-ray signs include: hip joint interval narrow(50 cases).The edge of Acetabulum and Caput Femoris presents clear harder,and osteophyte forming(22 cases);Caput Femoris and acetabulum articular surface cystoid degeneration(20 cases);Caput femoris and acetabulum have etat vermolu bone destruction(8 cases);enthesopathy(19 cases);Articular surface and joint interval unclear(5 cases).Conclusion The X-ray signs of ankylosing spondylitis hip joint pathological changes have certain characteristics,combining with the clinical information will have high diagnosis value.
Keywords:Ankylosing spondylitis  Hip joint  X-ray
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