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目的 总结 2 0例糖尿病性足病的X线表现 ,旨在加强对本病的再认识。方法 搜集我院 1985年以来收治的糖尿病患者85 0例 ,就其中并发足部骨关节及软组织改变的患者 2 0例 ,对其拍摄的双足正斜位X线平片表现并结合临床资料进行回顾性分析。结果 X线表现为 :(1)骨质疏松 2 0例 ;(2 )骨干对称性萎缩变细 14例 ;(3 )骨端骨质吸收破坏 11例 ;(4 )骨性关节炎 7例 ;(5 )夏科氏关节 2例 ;(6)足软组织肿胀 2 0例 ,5例见跖趾部位的小血管钙化。结论 长期患糖尿病而又得不到正规治疗的中老年患者 ,当足部反复感染甚至出现顽固性溃疡时 ,应高度警惕并发本病的可能 ,及时行X线检查以便早期诊断 ,达到有效的治疗。
Objective To summarize the X-ray manifestations of 20 cases of diabetic foot diseases, aimed at strengthening the re-understanding of this disease. Methods A total of 85 0 diabetic patients admitted to our hospital from 1985 were enrolled. Twenty patients with changes of foot joint and soft tissue in the foot were collected. Retrospective analysis. Results X-ray showed: (1) 20 cases of osteoporosis; (2) 14 cases of atrophic and symmetrical atrophy; (3) 11 cases of bone resorption and bone destruction; (4) 7 cases of osteoarthritis; (5) 2 cases of Chaco’s articular joint; (6) 20 cases of paw soft tissue swelling, 5 cases of small vessel calcification of the metatarsophalangeal site. Conclusion In the middle-aged and elderly patients who have long-term diabetes without regular treatment, they should be highly alert to the possibility of concurrent disease when repeated infection of the foot or even refractory ulcers. X-ray examination should be conducted in time for early diagnosis and effective treatment .