大骨节病指骨X线征演变观察

本文通过四年连续观察儿童大骨节病指骨Ｘ线征象演变过程，认为有两点值得提出讨论：（１）指骨干骺端凹陷，硬化持续存在２年以上，经过２年完全恢复正常，提示大骨节病疗效观察上，干骺端病变有时修复非常缓慢。（２）骨端关节软骨病变，在某些情况下可以得到较好的修复，甚至恢复正常。而原骨端正常，２年后出现凹陷、硬化不整，是否视为进展征象，值得进一步探讨。

SERIAL ROENTGENOGRAPHIC OBSERVATION ON PHALANGES IN CHILDREN WITH KASCHIN-BECK DISEASE

The phalanx roentgenograms taken for four years in succession wereanalysed in children with Kaxchin-Beck. The results were that(1) metaphysialsclerosis and invagination lasting for more than two years were found to be restored tonormal throughout two years , suggesting that the reconstruction of pathogenicmetaphysis was very slow , nd(2)in a certain condition , pathologic change ofepiphysial articular cartilage could be restored to a better extent or to a normal state.It is a problem requiring further discussion whether the normal epiphysis suffering fromslerosis amd invagination two years after onset is a worse sign.