先天性骨梅毒的X线表现分析

目的 :探讨先天性骨梅毒X线表现及其特点。方法 :收集 10例先天性骨梅毒婴儿骨骼X线平片分析其表现。结果 :10例中 8例有骨骼异常改变。骨梅毒的X线表现为 :骨骺端炎 8例 ,主要表现为先期钙化带致密、增厚 ,其下方有不规则的透亮带和不规则硬化。骨膜炎 7例 ,显示葱皮状骨膜增厚。骨干炎 5例。骨骼改变呈多发、对称、广泛性 ,侵犯长骨为主 ,也可以累及不规则骨。结论 :X线检查对发现婴儿骨梅毒病变的诊断非常重要 ,能够明确诊断并确定病变范围。摄片还应包括骨盆等不规则骨

Skeletal Radiographic Findings Inneonates with Congenital Syphilis

Objective: To analyse radiological features and characteristic of bone in congenital syphilis.Materials and Methods:Ten bone radiographs were obtained for newborns with congenital syphilis and their abnormalities were analyzed.Results:bone radiographs abnormalities were identified in 8 of 10cases. Sevent cases suffered periotitis,which showed onion-peel like periosteal proliferation. Eight caseshad metaphysitis,the provisional calcification zone thickened irreguarly and there was a bright transverse stripe under it.Eight cases suffered periotitis,which showed onion eel like periosteal proliferation.Five cases combined with diaphysitis.The skeletai changes were multiple,symmetric,and exentsive,and changes were also found in irregular bones besides long one in most of cases.Conclusion: Radiography is very important in diagnosis and evaluate degree of congenital syphilis.The irregular bones such as pelvis should also be included in radiographs.