蜡泪样骨病的影像诊断.pdfVIP

DOI :10.13609/j .cnki .1000 -0313.2004.07.023 放射学实践 2004 年 7 月第 19 卷第 7 期 　Radiol Practice, Jul 2004 , Vol 19 , No .7 515 ·骨骼肌肉影像学· 蜡泪样骨病的影像诊断 陈振强 , 刘国瑞 , 郭岳霖 , 黄楚绵 , 柳楚强 , 杨深泉 【摘要】　目的 :探讨蜡泪样骨病(M elorheostosis)的 X 线表现特 点 。 方法 :结合临 床病例 和文献资 料分析 本病的 X 线 表现征象 。 结果 :病变常选择性分布于肢体的同一 侧 。本病 可单发或多发 , 多侵犯一侧肢体 的数个骨 结构 , 其 典型影像 特 征为受累的肢骨皮质呈不规则的波浪状骨质增生硬化 , 增生的骨质形似蜡烛表面向下流淌的溶 蜡柱 , 多跨越关节 , 个别 病 例关节周围软组织中可以见到骨化或钙化 。 结论 :本病多具有典型的影像表现 , 常规 X 线检查可以提供满意的诊断信息 。 【关键词】　肢骨纹状肥大 ;放射摄影术 ;诊断 【中图分类号】R814.41 ;R681 　【文献标识码】A 　【文章编号】1000-0313(2004)07-0515-03 X-ray diagnosis of melorheostosis 　CHEN Z hen-qiang , LIU Guo-rui, G UO Yue-lin , et al .Department of Radiology , the Seco nd A ffiliated Hospital of Shantou U niversity Medical College , G uang dong 515041 【Abstract】　 Objective:To study the X-ray characteristics of melorheostosis.Methods:T he X-ray characteristics of melo rheostosis were analysed with the clinical data and references .Results:T he lesions often invo lved the one side of the bo nes of the unilatreral limb , and often several bones were involved.Deposits of dense bone w ere found running down the surface of the bones , causing wavy thickening .The bony thickening had an irregular shape and looked just like a candle with waxen drops on its body .The lesions might stride across the joint, but the joint surface remained intact .Conclusion :Melo rheostosis has typical X-ray features and can be well diagnosed by X-ray plain film . 【Key words】　M elorheosto sis;Radiog raphy ;Diag nosis 　　蜡泪样骨病又称为蜡油骨病或肢骨纹状肥大症 ,