早发型先天性骨梅毒的X线诊断

The radiographic diagnosis of early attacking congenital syphilis of bone

目的探讨早发型先天性骨梅毒的X线诊断。方法回顾分析资料较完整的早发型先天性骨梅毒7例,且全部经血清学诊断并摄四肢长骨X线片。结果7例中6例有骨骼异常改变:骨膜炎5例,干骺端炎6例,骨干、骨髓炎3例,软组织肿胀7例,7例颅骨、脊柱及骨骺未见明显异常改变。结论X线检查能明确诊断并确定病变的范围及程度。广泛、多发、对称性的干骺端炎、骨膜炎、骨炎、骨髓炎为骨梅毒的X线特征。

Objective To explore the method of radiological diagnosis of early attacking congenital syphilis. Methyls Seven cases of early attacking congenital syphilis of bone were retrospectively analyzed, diagnosed serologically, and were taken X-rays of the long bones. Results Bone radiographs abnormalities were identified in 6 of 7eases. Five cases suffered periotities, six eases metaphysitis, and three cases combined with diaphysitis. Seven eases had swollen soft tissue. The vertabraes, craniums and epiphysitis were not found abnormal in 7 cases. Diffusion, multiple and symmetric metaphysitis, periosteitis and osteitis were the radiological characters of congenital syphilis of bone. Conclusion Radiography cart affirm the diagnose of early attacking congenital syphilis and definite the arrange and depth. Radiographs of the extremities should be routinely taken in suspected infants.