血友病性骨关节病的X线诊断价值分析

Radiographic Appearances of Hemophilic Arth ropathy

目的探讨血友病性关节病的X线表现。方法回顾性分析已确诊的11例血友病性关节病的X线表现并复习相关文献。结果11患者关节囊均肿胀,关节腔增宽3例,关节腔狭窄8例;骨性关节面凹凸不平、增生硬化7例,骨性关节面下小囊性变5例;股骨髁间窝增宽加深7例12个关节;股骨下端、胫骨上端骨骺发育过大增宽变方8例15个关节;髌骨变方4例,髌骨后缘不规则致密和小缺损5例;血友病假肿瘤样变1例。结论血友病性关节病的X线表现有特征性,综合分析有助于其早期发现及诊断。

Objective To investigate the radiographic appearance of hemophilic arthropathy. Methods Analyzing the radiographic appearance of 11 patients who had been diagnosed hemophilic arthropathy and reviewing related data. Results The imaging manifestations showed that： all cases were of joint swelling ;3 out of 11 cases were of joint space widening; 8 cases were of joint space narrowing ;7 cases were of destruction and degeneration of joint; 5 cases were of subchondral cysts ; 15 joints in 8 cases were of fossa intercondylaris femoris deepening ;4 cases were of whirbone squaring and 5 cases destruction and degeneration ; 1 case pseudomass of hemophilic arthropathy. Conclusion According to the characteristic feature of hemophilic arthropathy, comprehensive analysis of radiographic appearance is helpful to diagnosis.