在骨盆X射线中"悬挂下降标志"
C Rex1, A Kesavram1, M Harishkumar1
1Rex Ortho Hospital, Coimbatore, Tamilnadu 641002 India.
Indian journal of orthopaedics
|May 5, 2025
概括
盆腔X射线上的"悬浮滴标志"是血清阴性类风湿性关节炎 (SNRA) 的常见发现,比神经炎更频繁地出现. 这种与特定肌肉来源相关的放射性特征有助于SNRA诊断.
科学领域:
- 放射学 放射学是一门学科.
- 类风湿病学 类风湿病学
- 整形外科 整形外科 整形外科
背景情况:
- 血清阴性类风湿性关节炎 (SNRA) 的诊断依赖于临床,放射学和MRI发现.
- 简单的X射线对于类风湿性疾病的差异诊断至关重要.
- 在SNRA患者的骨盆X射线中发现的常见发现是Ischiopubic ramus enthesopathy.
研究的目的:
- 在SNRA患者的骨盆X射线中调查肠病变特征.
- 为了识别和描述一个特定的放射性发现,称为"悬挂掉落标志".
- 为了比较这种征兆与SNRA中神经炎的患病率.
主要方法:
- 基于ACR/EULAR和ASAS标准,对152名被诊断患有SNRA的患者的骨盆X射线进行了分析.
- 对肠病特征的记录,包括神经炎和骨盆肌肉和带附着部位的化/骨化.
- 一个对10个标本的尸体研究,以确定"悬挂下降标志"的解剖起源.
主要成果:
- 在110名SNRA患者中,有64名 (58.18%) 患有放射性证据观察到"悬挂下降标志".
- 在25名患者 (22.72%) 中出现了圣炎,在21名患者中发现了其他特征.
- 尸体解剖证实了"悬挂的落下标志"对应于添加器部分的来源的添加器大肌肉和Gracilis肌肉在骨骨.
结论:
- "悬挂的掉落标志"是患有血清阴性类风湿症的患者的骨干骨中常见的放射性发现.
- 这个标志起源于补充器大肌和Gracilis肌肉.
- "悬挂的掉落标志"比神经炎更为普遍,是SNRA的宝贵诊断工具.
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