蜡泪样骨病的影像诊断

目的：探讨蜡泪样骨病(Melorheostosis)的X线表现特点。方法：结合临床病例和献资料分析本病的X线表现征象。结果：病变常选择性分布于肢体的同一侧。本病可单发或多发，多侵犯一侧肢体的数个骨结构，其典型影像特征为受累的肢骨皮质呈不规则的波浪状骨质增生硬化，增生的骨质形似蜡烛表面向下流淌的溶蜡柱，多跨越关节，个别病例关节周围软组织中可以见到骨化或钙化。结论：本病多具有典型的影像表现，常规X线检查可以提供满意的诊断信息。

X-ray diagnosis of melorheostosis

Objective:To study the X-ray characteristics of melorheostosis.Methods:The X-ray characteristics of melorheostosis were analysed with the clinical data and references.Results:The lesions often involved the one side of the bones of the unilatreral limb,and often several bones were involved. Deposits of dense bone were found running down the surface of the bones,causing wavy thickening. The bony thickening had an irregular shape and looked just like a candle with waxen drops on its body.The lesions might stride across the joint,but the joint surface remained intact.Conclusion: Melorheostosis has typical X-ray features and can be well diagnosed by X-ray plain film.