早发型先天性骨梅毒的X线诊断及随访价值  

The value of radiography in diagnosis of early congenital syphilis of bone and in the follow-up after treatment

作　　者：曾令延[1] 温兆意 黄志明[1] 

机构地区：[1]深圳市宝安区慢性病防治院放射科,广东深圳518101

出　　处：《实用放射学杂志》2015年第3期451-453,457,共4页Journal of Practical Radiology

基　　金：深圳市宝安区科技计划社会公益项目（20130562）。

摘　　要：目的：探讨早发型先天性骨梅毒 X线表现特点及治疗后随访的价值。方法回顾性分析本院门诊近6年临床资料较完整,均有四肢长骨 X线片,并经血清学证实为早发型先天性骨梅毒7例。结果7例均有长骨异常改变,7例均有干骺端炎和骨膜炎；2例有骨干炎。经正规治疗后随访观察见病损的长骨恢复迅速,最短的干骺端炎约需3个月,最长的骨干炎约需9个月。结论早发型先天性梅毒骨骼受累出现率较高,X线检查能明确诊断并确定病变范围和程度,并能指导治疗,为随访评价提供重要信息。Objective To explore the value of radiography in diagnosis of early congenital syphilis and follow-up after treatment. Methods Seven cases of early congenital syphilis of the bone confirmed by serology and radiography in our outpatient in the past six years were retrospectively analyzed.Results Bone abnormalities,including metaphysitis,periostitis and osteomyelitis were identified in all of seven cases.Metaphysitis and periostitis were found in seven cases.Osteomyelitis was identified in two cases.After treat-ment,lesions of the long bones were restored rapidly,which took three months for a patient with metaphysitis,and the longest time for entire recovery for a patient with osteomyelitis took nine months after treatment.Conclusion High incidence of skeletal abnor-malities can be identified in infants with early congenital syphilis,the characteristic radiographic manisfestations are very useful for the diagnosis,assessment of the extent of lesions,treatment planning and follow-up evaluation.

关 键 词：梅毒 先天性 骨骼 

分 类 号：R759.151[医药卫生—皮肤病学与性病学] R681[医药卫生—临床医学]