新生儿先天性梅毒的骨骼X线表现  

Skeletal radiographic findings in neonates with congenital syphilis

作　　者：杨诚[1] 周银宝[1] 杨兴惠[1] 杨光钊[2] 

机构地区：[1]浙江大学医学院附属儿童医院放射科,杭州310003 [2]浙江大学医学院附属第二医院放射科

出　　处：《中华放射学杂志》2001年第5期377-379,共3页Chinese Journal of Radiology

摘　　要：目的　评价骨骼X线片在新生儿先天性梅毒诊断中的价值。方法　搜集 2 8例新生儿先天性梅毒的骨骼X线片 ,分析其表现。结果　 2 8例中 2 6例有骨骼异常改变。先期钙化带增宽2 3例 ,先期钙化带呈锯齿状边缘 19例 ,先期钙化带下透亮带 2 6例 ,骨膜反应 6例 ,骨髓炎 5例。骨骼改变呈多发、对称、广泛性 ,多侵犯长骨 ,也累及不规则骨。结论　新生儿先天性梅毒骨损害出现率高 ,其X线表现具有特征性 ,可作为诊断手段。Objective To evaluate the values of skeletal radiographs in diagnosing congenital syphilis in newborns. Methods Twenty eight bone radiographs were obtained for newborns with congenital syphilis and their abnormalities were analyzed. Results Bone radiographic abnormalities were identified in 26 of 28 cases. There were deepening or increase of the width of the provisional zone of calcification (23 cases), serrated appearances of the zone at the diaphyso epiphyseal junction (19 cases), lucent metaphyseal bands (26 cases), periosteal reactions (6 cases), and osteomyelitis (5 cases). The skeletal changes were multiple, symmetric, and extensive, and changes were also found in irregular bones besides long bone in most of cases. Conclusion There was high frequency of bone abnormalities in newborns with congenital syphilis. The bone radiographic findings were characteristic, and it could be served as means of diagnosing this condition. The irregular bones such as pelvis should also be included in radiographs.

关 键 词：先天性梅毒 骨骼 X线表现 胎传梅毒 新生儿 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]