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骨关节炎的性质和命名由其组织病理学决定。

The nature and designation of osteoarthritis determined by its histopathology.

作者信息

Soren A, Cooper N S, Waugh T R

机构信息

Department of Orthopaedic Surgery, New York University Medical Center, N.Y. 10016.

出版信息

Clin Exp Rheumatol. 1988 Jan-Mar;6(1):41-6.

PMID:3396247
Abstract

Specimens of synovial tissue and articular cartilage removed at operations of patients with primary degenerative joint disease were scrutinized for defined histopathological parameters. The findings in the synovial membrane were subsequently compared as to frequency and intensity with identical parameters ascertained in specimens removed from patients with definite rheumatoid arthritis. These examinations disclosed the presence of synovial inflammatory features, although at lesser incidence and intensity than in rheumatoid arthritis; therefore the designation of arthritis is indicated. On the basis of the concurrently examined tissue specimens of the articular cartilage, and in consensus with the generally acknowledged start of the degenerative joint disease by disintegrating changes in the articular cartilage, the prefix of chondrosis is appropriate.

摘要

对原发性退行性关节病患者手术切除的滑膜组织和关节软骨标本进行检查,以确定组织病理学参数。随后,将滑膜的检查结果在频率和强度方面与从明确类风湿性关节炎患者身上取出的标本中确定的相同参数进行比较。这些检查揭示了滑膜炎症特征的存在,尽管其发生率和强度低于类风湿性关节炎;因此,关节炎这一名称是合适的。根据同时检查的关节软骨组织标本,并与普遍认可的退行性关节病始于关节软骨崩解变化的观点一致,软骨病这一前缀是合适的。

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