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目的:进一步了解类风湿性关节炎(简称RA)患者手部小关节的X线特征。资料:选择16岁~60岁共40例RA中期女性患者。方法:均拍摄双手正位平片,结合部分临床资料分析。结果:(1)指间关节、掌指关节、腕掌关节及腕骨问关节呈不对称性损害者分别占65%、50%、80%及82.5%;双手整体观呈不对称性损害者26例,占65%。(2)比较病程从1周到10年不等的患者,X线损害并未随病程增长而逐步加重。结论:双手临床表现同其X线平片表现并不一致;病程长短同X线损害程度也不一致。
Objective: To further understand the X-ray features of the facet joint of patients with rheumatoid arthritis (RA). MATERIALS: A total of 40 RA female patients aged 16 to 60 were selected. Methods: Both hands are plain film, combined with some clinical data analysis. Results: (1) 65%, 50%, 80% and 82.5% of the interphalangeal joints, metacarpophalangeal joints, wrist metacarpophalangeal joints and wrist intervertebral joints were asymmetric. For example, 65%. (2) Compare the course of disease from 1 week to 10 years of patients, X-ray damage did not gradually increase with the course of disease increased. Conclusion: The clinical manifestations of both hands are not the same as those of X-ray film. The length of the disease is also different from that of X-ray.