先天性梅毒患儿肺部、四肢骨骼的X线及颅脑超声征象的特点分析

目的通过分析先天性梅毒患儿肺部、四肢骨骼X线征象的改变及颅脑超声的表现,总结出早期诊断的方法。方法对84例确诊的先天性梅毒患儿进行胸部和四肢骨骼的X线检查及颅脑超声检查,并进行分析、总结。结果84例患儿中胸片异常的有54例,占64.2%,以肺炎表现为主;四肢骨骼改变的有30例,占35.7%,病变以长骨干骺端为主;颅脑超声异常27例,占32.1%,以室管膜下出血及囊性改变为主。结论简便的胸及骨骼X线摄片与颅脑超声检查有助于先天性梅毒的早期诊断,可为治疗和预后提供重要参考。

Characteristics of Chest and Skeleton Radiograph and Craniocerebrum Ultrasonograph of Congenital Syphilis

Objective To explore the changes of the characteristics of chest and skeleton radiograph and craniocerebrum ultrasonograph of congenital syphilis,and try to develop early diagnosis.Methods 84 cases of congenital syphilis were checked by X-ray and ultrasonography of craniocerebrum.Results 54 cases with pathological changes in lung were found,accounting for 64.2%,and were marked by pneumonia.30 cases(35.7%)showed abnormal changes in four limbs,mainly in the metaphyseal of long bones.27 cases(32.1%)showed abnormal craniocerebrum ultrasonograph,mainly SHE and SEC.Conclusion Plain chest and skeleton radiograph and craniocerebrum ultrasonograph are useful for early diagnosis of congenital syphilis.