骨斑点症的X 线分析(附5 例报告及文献复习).pdfVIP

·312· 骨斑点症的X线分析(附5例报告及文献复习) 邱伟江，侯文忠 (广东省梅州市人民医院放射科，广东梅州514031) 【摘要】目的分析骨斑点症的影像学表现。方法5例临床怀疑骨斑点症患者经头颅、胸部、肩关节、双肱骨、双尺桡 骨、双手骨、脊柱、骨盆、双股骨、双胫、腓骨及足骨x线摄影检查，对全部患者的x线照片结合文献复习进行分析。结果病变以 骨盆、腕骨、跗骨、指(趾)骨和长管状骨的骨骺及干骺端为好发部位．很少累及颅骨、肋骨、脊柱、胸骨、锁骨。病变晕对称性分布，以 松质骨内0．2～I．5cm散在多发的大小不等的圆形或卵圆形致密阴影为特征，越靠近关节病灶越密集。结论骨斑点症是一种罕 见的无临床症状的遗传性疾病，可依据其特征性x线表现进行确诊和鉴别诊断。 【关键词】骨斑点症；松质骨；x线分析 【中图分类号】R814．41；R681【文献标识码】A【文章编号】1009—6817(2008)05—0312—03 the of5cas博andreviewoftheliterature of osteopoikilosis：areport Roentgenographicanalysis aⅡWe驴iang,HouWewhong．De- 514031．China pcutmentofRadiology,Guangdong胁加趔MeizhouMunicipalPeoplesHospital,Meizhoushi To the ofthe Five with 【Abstract】Objective findings analyzeroentgenographieosteopoikilesis(OPK)．Methodspatientsclinically OPKunderwentthe examinationsofthe and skull,chest，shoulderhumeri，ulnae-radiihands，ver- suspected roentgenographie joint，bilateral tebral andfeet．The ofall were witIIreviewofthe column,pelvis，bilateralfemura。tibia,fibularoentgenographspatientsanalyzedtogether literature．ResultsOPKlesionsinall distributedintothe of of patients toes，andepiphy- mostly pelvis，carpus，tarsus，bonesfingers，phalanges gesand of tubularbonesbut involvedintotheskull andelavide．OPKlesionsWelechar- metaphyseslong rarely bone，costalbone，8te而DOI aeterized0．2-1．5cmin