摘要
本文介绍了河南淇县宋庄东周贵族墓葬的一例殉人骨骼标本M9-X2,对标本中疑似类风湿关节炎的表现特征进行描述和分析。该殉人的肩、肘、手腕、髋、膝、脚踝等多处关节面的骨质存在对称性侵蚀。相关的X光片显示,侵蚀关节附近有骨质疏松。因未保存全部脊椎和两侧骶髂关节,虽然无法完全排除血清阴性脊椎关节炎的可能,但是对比多种关节疾病的不同骨骼病变特征后认为,该殉人骨质病变更倾向于类风湿关节炎。
The purpose of this study is to describe and analyze the evidence for rheumatoid arthritis in a sample of human sacrifice skeleton uncovered from a noble tomb of eastern Zhou period at Qixian Songzhuang cemetery in Henan Province.The human sacrifice is characterized by numerous symmetrical surface erosions in the joints of the shoulder,elbow,wrist and hand,hip,knee,ankle,and foot.Radiographs revealed that osteoporosis was evident in the joints with erosions.The possibility of seronegative spondyloarthropathies cannot be completely ruled out due to the lack of preservation of all the vertebrae and both sacroiliac joints.However,by comparing the major differential signs for diagnosing various joint diseases,rheumatoid arthritis is suggested as the most probable cause of this pathology in the human sacrifice skeleton.
作者
孙蕾
SUN Lei(Henan Provincial Institute of Cultural Relics and Archaeology,Zhengzhou 45009)
出处
《人类学学报》
CSSCI
CSCD
北大核心
2022年第2期248-260,共13页
Acta Anthropologica Sinica
基金
2018年国家社科基金项目(18BKG012)“河南淇县宋庄东周贵族墓地考古发掘研究报告”阶段性成果。
关键词
类风湿关节炎
侵蚀
淇县
东周墓葬
殉人
Rheumatoid arthritis
Erosion
Qixian
Eastern Zhou Tomb
Human sacrifice
