| 刘文亚,木合拜提,邢艳,刘开泰.地方性氟骨症X线征象[J].中国医学影像技术,2005,21(5):769~771 |
| 地方性氟骨症X线征象 |
| X-ray findings of endemic skeletal fluorosis |
| 投稿时间：2004-12-22 修订日期：2005-02-25 |
| DOI： |
| 中文关键词: 地方性氟骨症 X线 |
| 英文关键词:Endemic skeletal fiuorosis X-ray |
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| 中文摘要: |
| 目的 分析地方性氟中毒骨骼改变的X线表现特点,探讨氟骨症相关影响因素。方法 88例地方性氟骨症患者和45例健康人作为研究对象,全部拍摄了头颅、胸部、腰椎、骨盆、前臂、双手及下肢平片。分析其X线平片所见,进行诊断及分型和分度。结果 88例地方性氟骨症患者X线平片可见不同程度的骨质异常改变,57例表现为骨小梁粗大,骨小梁呈纱布状或粗网状,严重者骨小梁融合而消失,代之以骨质硬化,为硬化型,占64.8%。26例表现为骨小梁稀疏、模糊,骨密度普遍减低甚至椎体呈双凹、楔形变和骨盆变形,分为疏松型及软化型,占29.6%。混合型5例,占5.6%。病变以头颅和骨盆的损害最常见,各个部位的损害不平行且各有特点。骨骼损害的程度与年龄和当地氟含量有关。结论 地方性氟骨症的X线表现有骨硬化、骨疏松、骨软化和骨旁软组织骨化等多样性改变,掌握其基本X线特征并结合流行病学史是诊断和鉴别诊断的关键。 |
| 英文摘要: |
| Objective To analyze the X-ray findings of endemic skeletal fiuorosis, and to reveal the correlated factors of this disease. Methods A total of 88 cases of endemic skeletal fiuorosis as well as 45 healthy subjects underwent X-ray films on head, chest, pelvis, spine, and extremities. Results The prevalent roentgenographic signs varied in degrees and forms with different bones. The coarsening or thickening of trabecular patterns and net-like bone marks were found in 57 cases (64.8%). Giving way to the calcification or ossification, the bone marks of some serious cases were even disappeared. Decreasing of the bone density was found in 26 cases (29.6%), and deformation of vertebrae and pelvis were also seen in some cases. Head and pelvis were involved frequently. The damages of different bones were no mean parallel but diversify. There was correlation between the damage degree of bones and age, also between the changes and the amount of fluorine in water. Conclusion The X-ray findings of endemic skeletal fluorosis are characteristic and changeable.Corrective diagnosis can be made by comprehension of clinical data, endemic situation and imaging findings. |
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