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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。
Objective To investigate the characteristic changes of hand X-ray findings in adults with Kashin-Beck disease. Methods Kashin-Beck disease was screened in patients with Kashin-Beck disease in Heilongjiang, Jilin and Sichuan Provinces, and the signs of various changes in the hand X-ray films were statistically analyzed. Results Among the 1645 adults surveyed, 299 patients with Kashin-Beck disease were detected. The detection rates of abnormal X-ray signs in their hands were 17.73% (53/299) of pseudocysts, , Bone metastasis (56.52%, 169/299), tuberculation (19.06%), bone free mass (11.37%), articular surface defect or destruction of 14.38% (43/299) 57.86% (173/299) of widening and spindle changes, 4.68% (14/299) in trumpet flaps, 12.04% (36/299) in collapsed prosthesis, 47.49% in metacarpal bony enlargement (subluxation and sickle shadow) (142/299) and carpal crowding and deformation 46.49% (139/299). Conclusion Basal broadening is the most common X-ray sign of hand in adults with adult patients with Kashin-Beck disease.