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本文报道了新近发现的7例沙依瓦克病与248例大骨节病骨与关节损害特点的比较研究,通过分析两病的临床表现、X线征象与活体测量的结果认为:1.两病相似的临床表现有18个,占85.71%,完全不同的临床表现有3个,占14.29%;2.沙依瓦克病的关节损害是外周四肢关节与中枢脊椎同时受侵,大骨节病是由外周四肢关节向中枢侵犯;3.沙依瓦克病身高、坐高低于正常人,躯干腿长指数在正常人范围值内;大骨节病人中仅Ⅲ°患者的身高与躯干腿长指数明显偏低,而坐高降低不显著。作者等认为,两病虽然有类似的临床表现,但属性质不同的两类骨关节病。
This article reports the newly discovered characteristics of 7 cases of Sjavacs disease and 248 cases of Kashin-Beck bone and joint damage. By analyzing the clinical manifestations of the two diseases, X-ray findings and in vivo measurement results are as follows: 1. Two similar clinical manifestations of 18, accounting for 85.71%, completely different clinical manifestations of 3, accounting for 14.29%; 2. Sjavac disease is the joint damage peripheral limbs and central spine of the central spine invasion, Kashin-Beck disease by the peripheral limbs and joints to the center of violations; 3. Sjavac disease height, sitting height lower than normal, trunk leg length index within the normal range of values; only patients with large bones of the degree of  °  ° height and trunk leg length index was significantly lower, while the height was not significantly reduced. The authors believe that although the two diseases have similar clinical manifestations, but the nature of two different types of osteoarthritis.