骨梅毒的临床特点与X线诊断  

Analysis of clinical and X-ray features of bone syphilis

作　　者：李建军[1] 王澄泉[1] 陈文清[1] 

机构地区：[1]海南省人民医院放射科,海口市570311

出　　处：《中国热带医学》2003年第4期462-463,共2页China Tropical Medicine

摘　　要：目的　探讨骨梅毒的临床特点与X线表现。　方法　回顾性分析早发型先天性骨梅毒 7例和后天性骨梅毒 2例 ,全部病例经血清学证实并摄四肢长骨X线片。　结果　早发型先天性骨梅毒的临床特点为受累肢体活动障碍、肿胀 ,但无红热 ,主要X线表现为累及四肢长骨的干骺端炎、骨膜炎或骨髓炎 ,具有多发性、对称性 ,临时钙化带增宽及其下方出现透亮带与干骺端边缘锯齿状骨质破坏是其特征性表现 ;后天性骨梅毒临床表现为受累肢体疼痛 ,休息时加重的特点 ,X线表现为长骨 (胫骨为主 )骨干骨膜增生和骨皮质增厚 ,骨髓腔密度增高。　结论　早发型先天性骨梅毒和后天性骨梅毒的临床和X线表现有一定的特征性 ,只要提高认识 ,并结合血清学检查 。Objective To discuss the clinical and X-ray features of bone syphilis. Methods 7 cases of early congenital bone syphilis and 2 Postnatal bone syphilis proved serologically were retrospectively analyzed.The long bone radiographs were performed in all patients. Results The main X-ray findings of early congenital bone syphilis were multiple,symmetrical soft tissue swelling,metaphysitis,periostitis and osteomyelitis involving all of the long bones of the extremitis.An important X-ray finding was thickening of the provisional calcification zone with a translucent transverse stripe beneath the zone and focal bone defect of metaphyses.Postnatal bone syphilis often showed tibia periosteal proliferation. Conclusion Bone syphilis has some characteristic clinical and radiographic findings,combined with VDRL test,diagnosis of bone syphilis can be confirmed.

关 键 词：骨梅毒 临床特点 X线检查 诊断 血清学检查 

分 类 号：R759.1[医药卫生—皮肤病学与性病学] R816.8[医药卫生—临床医学]