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膝关节镜下大骨节病与骨性关节炎的病理形态对照分析
引用本文:凌鸣,易智,常彦海,李建发,罗振群. 膝关节镜下大骨节病与骨性关节炎的病理形态对照分析[J]. 中国地方病学杂志, 2003, 22(3): 253-255
作者姓名:凌鸣  易智  常彦海  李建发  罗振群
作者单位:1. 陕西省人民医院,骨科,陕西,西安,710068
2. 洛川县人民医院,外科,陕西,洛川,727400
基金项目:陕西省科学技术研究发展计划项目 (2 0 0 1K10 -G9)
摘    要:目的 通过膝关节镜将大骨节病与骨性关节炎病变形态进行对照,以便膝关节镜下对大骨节病的诊断和选择治疗方法。方法 采用膝关节清理术,于膝关节手术中镜下观察滑膜、髌骨、股骨、胫骨及半月板改变。结果 大骨节病患者膝关节的滑膜、软骨、半月板损伤重且改变明显,与骨性关节炎比较差异有显著意义。结论 尽管大骨节病发展的结局也是骨性关节炎,但其病理形态与骨性关节炎仍有差别,手术中要充分考虑大片软骨剥离的特殊性。

关 键 词:膝关节镜 大骨节病 骨性关节炎 病理形态 软骨剥离
文章编号:1000-4955(2003)03-0253-03
修稿时间:2002-09-13

The pathological form of Kashin-Beck disease and Osteo arthritis contrast and analysis by arthroscope
LING Ming ,YI Zhi ,CHANG Yan-hai ,LI Jian-fa ,LUO Zhen-qun. The pathological form of Kashin-Beck disease and Osteo arthritis contrast and analysis by arthroscope[J]. Chinese Jouranl of Endemiology, 2003, 22(3): 253-255
Authors:LING Ming   YI Zhi   CHANG Yan-hai   LI Jian-fa   LUO Zhen-qun
Affiliation:LING Ming 1,YI Zhi 1,CHANG Yan-hai 1,LI Jian-fa 2,LUO Zhen-qun 1
Abstract:Objective To contrast and analyze the pathological form of Kashin-Beck disesae and Osteo arthritis by arthroscope of knee. To help to diagnose Kashin-Beck disease and select method of cure under arthroscope.Methods To observe synovium, patella,femur,tibia and meniscus by arthroscopt.Results Of Kashin-Beck disease, the lesion of synovium cartilage and meniscus of knee were more serious than Osteo arthritis.Conclusions To compare Osteo arthritis, the alteration of pathological form of Kashin-Beck disease knee is different obviously.So,the particularity of cartilage being strip largely should be considered in operation.
Keywords:Kashin-Beck disease  Osteo arthritis  pathological form
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