早发型先天性骨梅毒的X线诊断  

Early congenital skeletal syphilis diagnosis

作　　者：黄玉芬[1] 

机构地区：[1]绍兴市妇幼保健院放射科,绍兴312000

出　　处：《中国优生与遗传杂志》2013年第11期89-90,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨先天性早发型骨梅毒X线表现及其特点。提高对早发型先天性骨梅毒的认识。方法回顾性分析近4年临床资料较完整,均有四肢长骨X线检查资料,并经血清学证实为先天性早发型骨梅毒27例。结果按照病变累及的部位分为干骺端炎、骨干炎、骨膜炎。27例均有干骺端炎,主要表现为先期钙化带不规则增厚及其下方的透亮横带;6例有骨干炎,显示轻度的斑片状和虫蚀状骨质破坏,以及皮质增厚为主的骨质增生;18例有骨膜炎,显示层状、葱皮状骨膜增厚。骨骺及颅骨、椎骨、肋骨一般不累及。结论四肢长骨摄片应作为评估新生儿先天性骨梅毒的一种重要手段,可以早期发现新生儿先天性梅毒骨损害及其受累程度,有助于临床进行及时治疗。Objective ： Discussion of early congenital syphilis X - ray manifestation and characteristics, to improve the early con- genital skeletal syphilis awareness. Methods ： Retrospective analysis of nearly 4 years of clinical data is complete, have long bone X - ray examination data, and serology confirmed early congenital syphilis in 27 cases. Results ： In accordance with the involvement of the parts for metaphyseal inflammatory arthritis, backbone, periostitis. 27 cases with metaphyseal arthritis, mainly for the early calcifica- tion with irregular thickening and beneath the translucent transverse bands ; 6 cases have the backbone of arthritis, showed mild patchy and worm -eaten shaped bone destruction, and cortical thickening based bone hyperplasia; in 18 eases with periostitis, show lamellar, onion skin periosteal thickening. Epiphyseal and skull, vertebrae, fibs, generally do not involve. Conclusion： Bone radiography should be used as the assessment of neonatal congenital syphilis of bone is a kind of important means, can be detected early neonatal congenital syphilis of bone damage and involvement, contribute to the clinical treatment.

关 键 词：先天性 骨梅毒 放射摄影术 X线诊断 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]