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目的 :探讨本病的 X线、临床、病理联系及 X线诊断依据。方法 :回顾性分析 5 6例滑膜骨软骨瘤病的资料 ,抽出 2 1～41岁的 38例患者的 X光片为病变组 ,并随机抽取同时期 10 0例相应关节 X线光片为对照组进行对照 ,观察本病与退变性关节的关系。结果 :膝关节为最易受累关节 ,占 5 5 .4%。游离体形态多样 ,数目从 1枚至 96 8枚 ,通过分析病变组 (38例 )和对照组 (10 0例 )中退行性关节病的构成比 ,经 X2 检验有显著性差异 (P<0 .0 5 )。结论 :关节游离体是 X线诊断本病的依据 ,并且因游离体存在可早发退行性关节病。
Objective: To investigate the X-ray, clinical, pathological and X-ray diagnosis of this disease. Methods: The data of 56 cases of synovial osteochondromatosis were retrospectively analyzed. Thirty-eight patients from 21 to 41 years old were selected as the lesion group, and 10 cases of the corresponding joint X-ray films The control group to control the relationship between the disease and degenerative joint. Results: The knee joint was the most vulnerable joint, accounting for 55.4%. The number of free bodies varied from 1 to 968. According to the analysis of the constituent ratios of degenerative joint disease in the lesion group (38 cases) and the control group (100 cases), there were significant differences (P <0 .0 5). Conclusion: Articular synovial fluid is the basis of X-ray diagnosis of the disease, and due to the presence of free premature degenerative joint disease.