先天性早发型骨关节梅毒的影像诊断

Imaging of the Congenital Early-onset Osteoarticular Syphilis

目的:探讨先天性早发型梅毒患者骨关节改变的影像学表现。方法:收集经临床及病理证实的先天性早发型骨梅毒患儿病列23例,结合临床及试验检查,分析其影像学改变。结果:先天性早发型骨关节梅毒的X线表现为多发、对称且广泛的骨软骨炎,骨膜炎,骨髓炎。其中骨软骨炎是最早出现的X线征象,骨膜炎是常见的征象。结论:对RPR,TPHA阳性的婴儿应进行常规四肢长骨X线检查,可及时发现早发型先天性骨梅毒,以便早期治疗,获得满意疗效。

Objective：To probe into the radiological diagnosis of early attacking congenital syphilis. Methods： Twenty-three patients with early attacking congenital syphilis were diagnosed by clinical and pathological proof. The radiological changes on the basis of clinical tests were analyzed. Results： The symmetrical and extensive gristle osteitis, periostitis and osteomyelitis were the specific radiological changes of bones and joints. The gristle osteitis was the earliest sign and the periostitis was a common sign. Conclusion： Regular limb X-ray check-up for the infants with RPR or TPHA positive is useful for the disease to be detected earlier, diagnosed earlier and treated earlier.