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目的探讨骨雅司病的临床及X线特点。方法对12例骨雅司病临床与X线片表现进行分析总结,结合有关文献进行讨论。结果Ⅱ期雅司病9例,四肢皮肤多发对称或不对称丘疹及小结节,伴全身中毒症状。Ⅲ期3例,四肢皮肤及深层组织多发褐色脓疮,溃疡上下方环行排列多个杨梅大小结节。9例Ⅱ期雅司侵及骨骼,以骨膜、骨质增生为主。3例Ⅲ期雅司病,骨质增生同时伴骨质破坏。结论该病X线特点:(1)多骨受累;(2)病变主要在长骨骨干;(3)局限性不规则状骨膜骨皮质增生,骨髓腔模糊或消失;(4)弥漫性长骨骨硬化,伴骨皮质穿凿样破坏及松质骨虫蚀样破坏;(5)病变骨没有死骨形成。
Objective To investigate the clinical and X-ray features of osteoarthritis. Methods Clinical and radiographic manifestations of 12 cases of osteoarthritis were analyzed and summarized, and the related literatures were discussed. Results: There were 9 cases of stage II yaws disease. Sympathetic or asymmetric papules and nodules were frequently seen on the skin of extremities with symptoms of systemic poisoning. Stage Ⅲ in 3 cases, multiple limbs and deep skin brown abscess, arranged in the upper and lower ulcer a number of bayberry size nodules. 9 cases of Ⅱ Ya invasion of bones, periosteum, mainly bone hyperplasia. 3 cases of yaws disease, bone hyperplasia accompanied by bone destruction. Conclusion The X-ray features of the disease: (1) multiple bone involvement; (2) lesions mainly in the long bone trunk; (3) localized irregular periosteal cortical hyperplasia, marrow cavity blurred or disappeared; (4) diffuse long bone sclerosis , With cortical bone cutting wear and destruction of cancellous bone worm damage; (5) no formation of bone necrosis.