CAJ | 학술논문

目的探讨近端指间关节周围胶原沉积症的影像学表现及在其诊断中的价值.方法回顾性分析于河北联合大学附属开滦总医院临床证实的11例近端指间关节周围胶原沉积症患者的临床表现及影像学表现.结果 11例行普通X线检查,11例双侧第3指、8例双侧第2及第4指、5例双侧第5指近节指间关节软组织影呈梭形增厚;均未见骨质改变.6例患者多螺旋CT检查,显示第3、4指近节指间关节周围关节囊影增厚,骨性关节面结构完整.5例行MRI检查显示双侧第2、3、4指近节指间关节关节囊软组织影增厚,边缘光滑,未见炎性渗出信号影,关节软骨规则,信号均匀,关节腔未见积液影,皮下脂肪层清晰.结论近端指间关节周围胶原沉积症特征影像学表现为近端指间关节周围软组织增厚,其内未见炎性渗出病变影,关节面骨质、关节软骨及滑膜无受累,影像学检查对于诊断和鉴别诊断有重要价值.
목적 탐토근단지간관절주위효원침적증적영상학표현급재기진단중적개치.방법 회고성분석우하북연합대학부속개란총의원림상증실적11례근단지간관절주위효원침적증환자적림상표현급영상학표현.결과 11례행보통X선검사,11례쌍측제3지、8례쌍측제2급제4지、5례쌍측제5지근절지간관절연조직영정사형증후;균미견골질개변.6례환자다라선CT검사,현시제3、4지근절지간관절주위관절낭영증후,골성관절면결구완정.5례행MRI검사현시쌍측제2、3、4지근절지간관절관절낭연조직영증후,변연광활,미견염성삼출신호영,관절연골규칙,신호균균,관절강미견적액영,피하지방층청석.결론 근단지간관절주위효원침적증특정영상학표현위근단지간관절주위연조직증후,기내미견염성삼출병변영,관절면골질、관절연골급활막무수루,영상학검사대우진단화감별진단유중요개치.
Objective To discuss image features of para-proximal interphalangeal collagen deposition.Methods The clinical manifestation and imaging features were retrospectively analyzed in 11 patients with paraproximal interphalangeal collagen deposition.Results All 11 patients underwent plain X-ray examination.11 patients had bilateral third,8 patients had bilateral second and forth and 5 patients had bilateral fifth of proximal interphalangeal fusiform soft tissue swollen.6 patients who underwent MSCT showed that the third and fourth proximal interphalangeal joint capsules were swollen.5 patients who underwent MRI showed that bilateral second,third and fourth proximal interphalangeal joint capsules were swollen without inflammatory exudation and the surface of cartilage was smooth and complete ; no fluid was seen in articular cavity.Conclusions The image feature of paraproximal interphalangeal collagen deposition is proximal interphalangeal soft tissue thickening without inflammatory exudation.Articular surface,cartilage and synovial membrane are not involved.