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目的总结血友病性骨关节病的X线表现。方法回顾性分析经临床证实血友病性骨关节病13例(21个关节)患者的X线影像资料。结果 19个慢性关节炎期关节X线表现为骨质疏松、股骨髁间窝及桡骨鹰嘴窝增宽加深、骨端增大、方髌、关节间隙变窄、关节面硬化、关节面不光整和囊变、关节半脱位、关节囊肿胀等征象。2个退行性变期关节X线均表现为纤维性强直,可见严重骨质疏松、关节间隙变窄、跖屈畸形、跟腱增厚挛缩。结论血友病性骨关节病X线表现具有特征性,结合临床及实验室检查可明确诊断。
Objective To summarize the X-ray manifestations of hemophilic osteoarthrosis. Methods The X-ray images of 13 patients (21 joints) with clinically confirmed hemophilic osteoarthrosis were retrospectively analyzed. Results Nineteen chronic arthritis X-ray showed osteoporosis, femoral intercondylar fossa and radial hippocampus broadening deepened, bone ends increased, the square patella, joint space narrowing, articular surface hardening, articular surface not only the whole And cystic degeneration, joint subluxation, joint capsule swelling and other signs. Two degenerative joint X-ray showed fibrous ankylosis, showing severe osteoporosis, joint narrowing, plantar flexion deformity, Achilles tendon thickening contracture. Conclusions X-ray manifestations of hemophilic osteoarthrosis are characteristic and combined with clinical and laboratory tests can confirm the diagnosis.