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目的探讨影像学检查在褐黄病性关节炎诊断中的作用,提高对本病的认识。方法分析5例经临床证实和治疗的褐黄病性关节炎的X射线平片及CT表现。结果5例均发生于脊柱,X射线平片表现为多椎体发病,椎间隙内有钙化和椎间隙广泛狭窄,椎体关节面硬化,边缘唇样改变,以腰椎最为显著,CT表现为:椎间盘钙化及真空征,椎间盘向周缘膨出。其中3例伴有膝关节改变,表现为以增生、退变为主。结论影像学检查可以发现病变的部位及骨质改变的程度,尤其在脊柱其表现特殊、典型,能为临床确诊本病提供可靠的依据。
Objective To explore the role of imaging in the diagnosis of arthritis of the pan-brown disease and improve the understanding of the disease. Methods The X-ray films and CT findings of 5 cases of clinically confirmed and treated brown-yellow arthritis were analyzed. Results All of the 5 cases occurred in the spine. X - ray films showed the incidence of multiple vertebral body. The intervertebral space had calcification and wide intervertebral space. The articular surface of the vertebral body was hardened and the lip of the edge was changed. The lumbar spine was the most obvious. Disc calcification and vacuum sign, disc to the peripheral bulging. Among them, 3 cases were accompanied by knee joint changes, which manifested as hyperplasia and degeneration. Conclusion Imaging examination can detect the extent of lesion and the degree of bone changes, especially in the spine its performance is special, typical, can provide a reliable basis for the clinical diagnosis of the disease.