先天性梅毒骨骼改变的X线表现:附11例报告

为了分析先天性梅毒骨骼改变的X线征象，以利于梅毒的早期诊断，将经血清学检查确诊的11例先天性梅毒，结合临床症状分析其骨骼改变的X线表现。结果：①长骨干骺端致密改变，致密线下方出现横形透亮带，长骨干骺端锯齿状改变，局限性骨质缺损；②骨膜反应；③病理性骨折。提示：X线平片能反映骨骼尤其是长骨的改变（包括干骺端炎、骨膜炎、病理性骨折等），结合临床表现，有助于及时发现先天性梅毒。

Primary analysis on the X- ray characteristic patterns of the bone lesions in 11 children with congenital syphilis

With the incidence of the children with congenital syphilis increasing yearly,and the early clinical manifestation of such disease being quite different and non_specifical.It is quite easy to make misdiagnosis.In order to raise our vigilance and make early diagnosis,the X_ray characteristic patterns of the bone lesions in 11 children with congenital syphilis were analyzed.X_ray findings on the plain bone films in 11 serologically confirmed children were retrospectively analyzed.As a result the main positive findings were as follows:(1)The change of the bone density,lucent transverse bands appearing beneath the dense line,sawtoothed pattern in the metaphyseal part of the long bone and the localized bone defects;(2)periosteal reaction;and(3)pathological fractures.The conclusion suggests that the bone lesions (including metaphysitis,periosteolitis and pathological fracture),especially happened in long bone,can be shown on the plain bone X_ray films.So it is quite useful to make the early diagnosis of the children with congenital syphilis,combined with these children'sclinical and laboratory data.