蜡油样骨病X线诊断及鉴别诊断（附2例报道并文献复习）

目的探讨蜡油样骨病的临床及X线影像表现。方法回顾2例蜡油样骨病患者的临床及X线影像学资料,选取1990-2012年国内文献报道有X线检查且临床及影像资料完整的蜡油样骨病病例48例,总计50例病例作统计分析。结果蜡油样骨病少见,无明显性别差异,发病年龄11-40岁多见,病变均表现为不规则骨质硬化,骨质硬化形态如蜡油样向下滴注状改变,病变以四肢管状骨多见、右侧肢体多于左侧肢体、下肢多于上肢、皮质及皮质内多于皮质外,周围软组织及关节受累少见。结论蜡油样骨病具有比较典型的X线表现,结合临床表现影像学可以明确诊断。

X-ray Diagnosis and Differential Diagnosis of Melorheostosis: Report of 2 Cases and Literature Review

Objective To discuss the clinical and X-ray imaging manifestations of Meiorheostosis. Methods A statistical analysis based on total 50 cases of data from clinical and X-ray imaging manifestations of Meloheostosis, including 2 of our sample cases and 48 selected cases reported on domestic document among the year of 1990 to 2012. Result The Melorheostosis is rare and of no obvious difference in gender. It occurs mainly at an age between 11 and 40. The performance of pathology is of irregular osteosclerosis, the form of which likes the shape change of wax oil dripping. The pathology mainly appears on limb of tubular bones, of which the right side limb is more than the left, the upper is more than the lower, and Cortex and its inside is more than its outside, yet surrounding soft tissues and joints involvement appears less. Conclusion Melorheostosis can be correctly diagnosed by clinical manifestation and radiographic imaging as its typical feature of X-ray appearance .