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早发型先天性骨梅毒的X线诊断42例分析 被引量:14

CLINICAL ANALYSlS OF x-RAY FEATURES IN 42 CASES OF EARLY CONGENITAL BONE SYPHILIS
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摘要 42例早发型先天性骨梅毒患儿的x线改变为累及四肢长骨的多发对称性及广泛性软组织肿胀、骨膜炎、干骺端炎及骨髓炎。临时钙化带增宽及其下方出现透亮带与干骺端骨质破坏、碎裂、局灶性骨质缺损为本病特征性的X线表现。 orty-two cases of early congenital bone syphilis were reported.The diagnosis of this diseasewas made on the following bases:①The disease was seen in infants aged between birth and 2years.②Treponsemal hemagglutination(TPHA)tests of these cases and their mothers were allpositive,③The main X-ray findings were multiple,symmetrical and widespread soft tissueswelling, periostitis,metaphysitis and osteomyelitis involving all of the long bones of the extrem-ities. An important X-ray finding was made on the metaphyses in that there were widened and en-hanced zones of provisional calcifications accompanied by underlying zones of radiolucent bandsand areas of bone destruction and fragmentation with focal bone defect.Atypical cases should bedifferentiated from some other diseases such as infantile cortical hyperostosis,late congenitalbone syphilis and septic osteomyelitis etc.
作者 周顺科
出处 《湖南医科大学学报》 CSCD 1996年第5期447-449,共3页 Bulletin of Hunan Medical University
关键词 梅毒 先天性 骨梅毒 X线诊断 病例分析 Syphilis Bone Congenital Radiolography
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  • 1梁起,中华放射学杂志,1985年,19卷,38页
  • 2徐德明,中华放射学杂志,1980年,14卷,226页
  • 3王纪岚,中华儿科杂志,1964年,13卷,150页
  • 4刘陶,临床放射学杂志,1985年,4卷,155页

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