原创《类风湿性关节炎膝关节病变的X线影像学》：这篇类风湿性关节炎论文范文为免费优秀学术论文范文,可用于相关写作参考。
摘 要 目的：分析类风湿性关节炎（RA）膝关节病变的X线影像学特征,以提高诊断正确率.方法：收集2 0 1 5年2月至2 0 1 7年2月收治的RA患者5 2例和骨关节炎患者45例,进行X线摄片,分析两组膝关节病变的影像学特征.结果：RA组中,关节间隙呈均匀性狭窄47例（90.4%）,髌上囊肿胀41例（78.8%）,关节面毛糙、关节面不同程度侵蚀破坏22例,关节周缘轻度骨质增生43例,明显重度增生、骨赘形成5例,未见明显骨质增生4例,52例均有不同程度骨质疏松.OA组中,关节间隙呈均匀性狭窄5例（11.1%）,髌上囊肿胀16例（35.6%）,关节面下小囊性改变7例,45例有不同程度骨质增生、骨赘形成改变.两组关節间隙均匀狭窄及髌上囊肿胀改变发生率差异有统计学意义（P<0.05）.结论：RA膝关节病变的X线影像学表现具有一定特征性,尤其是关节间隙均匀性狭窄、髌上囊肿胀及关节面侵蚀的改变在鉴别RA和OA的诊断中有重要价值.
关键词 类风湿性关节炎；骨关节炎；膝关节；X线
中图分类号：R593.22 文献标志码：A 文章编号：1006-1533（2017）22-0018-03
X-ray imaging study of knee joint lesions in rheumatoid arthritis
HU Jinghong1, LIU Xiuhua2, GU Wenye1（1.Chengjiaqiao Community Health Service Center of Changning District, Shanghai 201103, China； 2.Department of Radiology of Guanghua
Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai 200052, China）
ABSTRACT Objective： To analyze the X-ray imaging features of knee joint lesions in rheumatoid arthritis （RA） to improve the diagnostic accuracy. Methods： From February 2015 to February 2017, 52 patients with RA and 45 patients with osteoarthritis were collected, X-ray images were taken for them and the imaging features of knee joint lesions in the two groups were analyzed. Results： The joint space of group RA was homogeneous and narrowed in 47 cases （90.4%）, the suprapatellar bursa swelling was in 41 cases （78.8%）, the articular surface roughness and different degrees of erosion of articular surface in 22 cases, mild peripheral bone hyperplasia in 43 cases, significantly severe hyperplasia and osteophyte formation in 5 cases, no obvious bone hyperplasia in 4 cases, and all 52 patients had different degrees of osteoporosis. The joint space of group OA was homogeneous and narrowed in 5 cases （11.1%）, suprapatellar bursa swelling was in 16 cases （35.6%）, the all cystic changes under Joint capsule in7 cases, bone hyperplasia and osteophyte formation were found in 45 cases. There were significant differences in the incidence of joint space narrowing and patellar bursa swelling in the two groups （P<0.05）. Conclusion： The X-ray imaging features of RA knee joint lesions have some characteristics, in particular, uniformity of the joint space stenosis, suprapatellar bursa swelling, and erosion of the articular surface changes have important values in the differential diagnosis of RA and OA.
KEY WORDS rheumatoid arthritis； osteoarthritis； knee joint； X-ray
类风湿性关节炎（RA）是一种以关节滑膜炎为特征的慢性全身性自身免疫性疾病,侵犯全身各处关节,如手、足、腕、膝等[1].膝部RA受累常导致行走功能障碍,严重影响患者的生活质量.RA发病高峰年龄在45～65岁[2],与骨关节炎（OA）发病年龄段重叠较多,对两者的鉴别诊断有一定困难,尤其对未行磁共振成像（MRI）检查患者.本文回顾性分析RA患者膝关节病变的影像学表现,以提高临床医生对该病的认识、临床诊断正确率及与OA鉴别诊断的能力.
类风湿性关节炎论文参考资料：
结论：类风湿性关节炎膝关节病变的X线影像学为适合不知如何写类风湿性关节炎方面的相关专业大学硕士和本科毕业论文以及关于类风湿性关节炎论文开题报告范文和相关职称论文写作参考文献资料下载。
