王林森 宋其韬 孙鼎元 300211 天津医院放射科 中华放射学杂志 1999 0 33 6


    关键词：关节炎；幼年型类风湿；放射摄影术；诊断；化验室 期刊 zhfsxzz 0 骨骼肌肉系统放射学 fur -->


    

【摘要 】 目的 分析22例幼年性慢性关节炎(JCA)的X线平片，探讨X线诊断的价值。 方法22例中男15例，女7例，年龄3～14岁。全部病例的X线分析基于常规X线平片。结果 膝关节是JCA的主要累及部位，平片根据病期将其分为4级：Ⅰ级6例，Ⅱ级5例，Ⅲ级7例，Ⅳ级4例；Ⅱ～Ⅳ级共16例，占72.7%，具有诊断慢性关节炎较为典型的征象，其中骨骺的“气球样”膨大、髌骨的“方形化”是本病的特征性表现。结论 平片是诊断JCA的有效方法，对于不典型的病例需随访观察，提高诊断准确性。

X-ray analysis of juvenile chronic arthritis( report of 22 cases)

WANG Linsen, SONG Qitao, SUN Dingyuan.

    Department of Radiology ,Tianjin Hospital, Tianjin 300211

【 Abstract 】 Objective To evaluate the X-ray diagnosis by analyzing 22 cases of JCA on plain film. Methods All X-ray study of 22 cases (15 males,7 females, age 3-14) were based on conventional X-ray film. Results The knee joint was the region mainly involved. The based on X-ray film it could be divided into 4 grades. Grade Ⅱ～Ⅳ (16 cases, 72.7%) had classical diagnostic features especially the balloon-like expansion of the epiphysis and “ squaring” patella characteristic of the disease. Conclusions The plain film is an effective method of diagnosing JCA. For atypical cases, follow up study is necessary to establish the diagnosis.

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