摘要
目的 探讨先天性早发型骨梅毒X线表现及其特点。材料与方法 回顾性分析近 3年临床资料较完整 ,均有四肢长骨X线检查资料 ,并经血清学证实为先天性早发型骨梅毒 10例。结果 按照病变累及的部位分为干骺端炎、骨干炎、骨膜炎。 10例均有干骺端炎 ,主要表现为先期钙化带不规则增厚及其下方的透亮横带。 5例有骨干炎 ,多累及尺桡骨 ,显示轻度的斑片状和虫蚀状骨质破坏 ,以及皮质增厚为主的骨质增生。 8例有骨膜炎 ,显示葱皮状骨膜增厚 ,8例伴有干骺端炎 ,3例伴有骨干炎。 10例病变均具有多发、广泛 ,对称性分布的特点 ,骨骺及颅骨、椎骨、肋骨一般不累及或极少累及。结论 X线检查能够明确诊断并确定病变范围及程度。凡疑有先天性早发型梅毒患儿应常规作四肢长骨X线照片检查。
Objective To investigate the X ray features of precocial congenital skeletal syphilis.Materials and Methods Clinical data and X ray materials (radiographs of extremities) of 10 cases with serologically proved congenital syphilis were retrospectively analyzed.Results In this study, the following skeletal lesions were found: (1) metaphysitis (n=10), manifested as irregular thickening of the provisional calcification zone with a translucent transverse stripe beneath the zone; (2) diaphysitis (n=5), mostly involved the ulna and radius, presented as patchy moth eaten osseous destruction and cortical thickening; (3) periostitis (n=8), took the form of onion skin like periosteal thickening. On radiographs, the distinctive feature of the lesions was multiple, extensive, and symmetrically distributed. Usually, the epiphyses, skull, vertebrae and ribs were not involved.Conclusion Radiography is very helpful in diagnosing early congenital skeletal syphilis. Radiographs of the extremities should be routinely taken in suspected infants.
出处
《临床放射学杂志》
CSCD
北大核心
2001年第9期707-709,共3页
Journal of Clinical Radiology
