早期先天性骨梅毒的X线诊断价值

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。

Diagnostic value of X-ray photograph on early congenital skeletal syphilis

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,metaphys...