摘要
目的:探讨先天性梅毒早期骨骼改变的X线表现,提高对早发型先天性骨梅毒的认识。方法:搜集我院42例先天性梅毒患儿的骨骼X线片和临床资料,分析其X线表现。结果:42例早期先天性梅毒患儿中34例有骨异常改变,表现为:(1)长管状骨:①骨膜炎7例;②干骺端改变:先期钙化带异常8例,干骺端透亮线形成19例,干骺端密度增高18例,干骺端呈尖角样改变15例;③骨质破坏5例;(2)不规则骨:髂骨缘透亮线形成9例,跟距骨尖角样改变5例,透亮线形成1例,骨质破坏1例,坐骨透亮线1例;(3)其他:软组织内多发钙化灶1例。结论:早期先天性梅毒的骨改变有一定的特征性,X线摄影可以辅助临床诊断早发型先天性骨梅毒,评估骨损害的程度。
Objective：To investigate X-ray findings of skeletal lesions in early congenital syphilis.Methods：X-ray findings and clinic data of 42 patients with early congenital syphilis were retrospectively reviewed.Results：Bony and soft tissue abnormalities were identified in 34 of 42 cases.In long bone,there were periosteal reaction in 7 cases;abnormal zone of provisional calcification in 8 cases;lucent band under provisional calcification zone in 19 cases;bony density was increased in metaphysis in 18 cases,metaphyseal spiculation in 15 cases;and bony destruction in 5 cases.In irregular bone,there were lucent bands at the edge of ilium in 9 cases,calcaneus and talus spiculation in 5 cases;lucent band around calcaneus and talus,bone destruction and lucent band in ischium were found in 1 case respectively.The calcification was show in one case in the soft tissue. Conclusion：Skeletal X-ray findings in early congenital syphilis are characteristics,and very helpful to diagnose and estimate of extent of skeletal lesions.
出处
《医学影像学杂志》
2011年第6期911-913,共3页
Journal of Medical Imaging
关键词
先天性梅毒
骨骼
X线诊断
Congenital syphilis
Skeletal
Radiography
