39例干骺-骨骺型大骨节病X线研究  

Radiological study on Kashin-Beck disease of metaphysio-epiphyses type an analysis of thirty nine cases

作　　者：马钦华[1] 陈琦[2] 郭琪[3] 陈志刚[3] 钱致中[4] 

机构地区：[1]深圳市罗湖区人民医院放射科,广东深圳518001 [2]深圳市罗湖区人民医院儿科,广东深圳518001 [3]深圳市第二人民医院放射科,广东深圳518035 [4]西安交通大学第一医院,陕西西安710061

出　　处：《中国地方病学杂志》2003年第3期256-258,共3页Chinese Jouranl of Endemiology

摘　　要：目的　探讨骨骺 -干骺型大骨节病的 X线诊断。方法　 X线拍摄 39例干骺 -骨骺型大骨节病患者右侧肢体、骨盆、脊柱和头颅。结果　 39例病人中 ,病变均累及第 2 - 4近节指骨和 3- 4中节指骨 ,锥形骨骺和与此相连接干骺部深层锯齿状边缘或凹陷 ,或在干骺部和骨骺之间致密骨块影是该病典型的 X线征象。结论　锥型骨骺可以影响到除小指中节指骨以外的所有指骨 ,伴随多发性和可变性 X线征象可以肯定做出干骺 -骨骼型大骨节病的诊断。Objective To define and to correct the X-ray diagnosis of Kashin-Beck diseases (KBD) of metaphysio-epiphyses type.Methods The thirty-nine cases KBD of metaphysio-epiphyses type examined by X-ray films right extremities, pelvis, spine.Results The proximal phalanx of 2~4 fingers and middle phalanx of 3~4 fingers are involved in thirty-nine cases. A classical X-ray signs presented in these films which tip of cone epiphysis connected with the indentation of metaphysis in its deep border and depressed or a dense mass lie between of metaphysis and epiphysis.Conclusions Cone epiphyses can affect any phalanx but of majority of middle phalanx of the fifth finger. The unique X-ray signs go with their multiple and variety forms can make sure the diagnosis of KBD of metophysio-epiphyses type.

关 键 词：干骺-骨骺型 大骨节病 X线表现 锥形骨骺 缺血性坏死 

分 类 号：R816.8[医药卫生—放射医学]