马杜拉足的临床X线表现(附33例报告)  

Clinical and Radiological Findings of Madura Foot:A Report of 33 Cases

作　　者：陈志刚[1] 王金堂[1] 

机构地区：[1]西安医科大学第一临床医学院影像中心

出　　处：《实用放射学杂志》1998年第9期527-529,共3页Journal of Practical Radiology

摘　　要：目的：探讨马杜拉足的临床Ｘ线表现以及与化脓性骨髓炎的区别。方法：收集马杜拉足３３例，分析其临床Ｘ线表现，对比左右两足在骨受累类型、分布以及Ｘ线表现上的差异。结果：临床特征有青年好发（２８．６岁），慢性病程（４５月），足部软组织肿胀和疼痛（２９例），皮肤糜烂、溃疡及反复流脓（１６例）。Ｘ线特征有跖骨和楔骨最常受累，以多骨受累为主，主要征象为骨质破坏（２８例）、软组织肿胀（２２例）、骨质硬化（１５例）、骨膜反应（８例）、骨干增粗和皮质增厚（７例），上述表现常合并存在。左足多骨受累多见，右足单骨受累多见，但左右两足之间在Ｘ线表现上无明显差异。结论：虽然马杜拉足的Ｘ线表现与慢性化脓性骨髓炎相似。Objective:To investigate the clinical and radiological of Madura foot and to compare with that of the pyogenic osteomyelitis.Methods:To collect 33 cases,to analyze its clinical and radiological findings,and to compare differences in type,distribution and X-ray findings of bone involvement between the left foot and the right foot.Results:The clinical features included:Predilection in the youngster(28.6 age),chronic history(45 months),soft tissue swelling and pain of the foot(29 cases),skin erosion,ulcer and repeatedly flowing pus(16 cases).X-ray features included;Multiple bone involvement the commonest involvenent in the metatarsal and cuneiform bones ,bone destruction(28 cases),soft tissue swelling(22 cases),osteosclerosis(15 cases),periosteal reaction(8 cases),widening of the shaft and cortical thickness(7 cases).These features were often coexist.Multiple bone involvement was common seen in the left foot,while single bone involvement was common in the right foot.But there was no obvious difference in X-ray findings between thd left and the right foot.Conclusion:Although the X-ray findings of Madura foot are similar with that of chronic pyogenic osteomyelitis,but they have some different characteristics.

关 键 词：X线摄影 马杜拉足 骨感染 软组织感染 霉菌 

分 类 号：R658.304[医药卫生—外科学] R519[医药卫生—临床医学]