探讨老年性骨性关节病的临床及影像诊断

目的：探讨老年性膝关节骨性关节病的临床及影像学诊断。方法：分析368例老年性膝关节骨性关节病的临床资料、影像学表现及手术结果。结果：老年性膝关节骨性关节病发生于中、老年人，包括骨性关节炎和滑膜骨软骨瘤病。全部患者均有关节骨质退变增生；其中关节间隙变窄、关节面硬化280例，约占76．1％；关节受力轴线改变、关节畸形158例，约占42．9％；关节游离体存在136例，约占37．0％。结论：老年性膝关节骨性关节病是一种复杂的复合性疾病，以放射检查为依据，CT和MRI检查明确病变的程度，为临床制定治疗方案提供依据。

A Study on Clinic and Radiography Diagnosis of Senile Osteoarthritis

A Study on the clinic and radiography diagnosis of senile knee bone perosis was carried out by analyzing the clinic data, radiographs and operation results of 368 cases. Results showed that this disease including osteoarthritis and synovial membrane cartilage tumors hit generally mediumaged and aged people. All these patients showed sclerotin cataphasia or hyperphasia, among them 280 cases i.e.76.1% showed joint interspace narrowing and sclerosis, 158 i.e.42.9% showed joint deformity and 136 cases i.e. 37% showed articulation loose body. It was concluded that this disease is a very complicate complex disease and radiography examination e.g. CT, MRI can offer precise diagnosis data forming a sound basis for its treatment.