浅谈血友病性骨关节病的X线表现

目的：结合本院收集的多个病例，分析血友病性骨关节病的X线表现，提高对该病的认识。方法结合本院多年来收集的20例血友病性骨关节病的临床与X线表现，并分析文献所见。结果20例病例中均为多发，其中单侧膝关节合并单侧肩关节12例，双侧膝关节8例，双侧膝关节并单侧肩关节13例；均可见股骨髁间窝明显增宽加深，关节间隙明显变窄15例，轻度变窄5例。7例见肱骨外科颈处见分叶状囊样透亮区。结论血友病的关节受累常出现于容易受伤和承受重力的四肢大关节，膝关节最为常见，股骨髁间凹的变宽、变深，髌骨呈方形，被认为是血友病较特征的表现。

Introduction to X-ray manifestations of hemophilic arthropathy

Objective To raise awareness to this kind of disease by reviewing the X-ray findings of osteoarthrosis of hemophilia within multiple cases of our collection. Methods Combined with 20 cases were collected in our hospital for many years the clinical and X-ray findings of hemophilia osteoarthropathy, and review the literature. Results 20 cases were multiple, including unilateral knee joint merger unilateral shoulder joint in 12 cases, 15 cases were bilateral knee, bilateral knee joint merger unilateral shoulder joint （13 cases）. All visible between the femoral condyle nest widened significantly darker, joint space narrowing obviously 15 cases, mild narrowing in 5cases. 7cases of humerus surgical neck dispose bright leaf capsule sample area. Conclusion Hemophilia joints involved often appeared in the vulnerable and limbs large joints under the force of gravity, the knee, the ost common femoral condyle between concave change wide, deep, patellar shows square, is regarded as hemophilia osteoarthropathy is characteristic performance.