[1]邱乾德,赵余祥,林达,等.糖尿病性骨质溶解X线特征[J].中医正骨,2011,23(11):31-33.
　QIU Qian-de*,ZHAO Yu-xiang,LIN Da,et al.X-ray Features of Diabetic Osteolysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2011,23(11):31-33.
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糖尿病性骨质溶解X线特征()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第23卷
期数:
2011年11期
页码:
31-33
栏目:
影像诊断
出版日期:
2011-11-30

文章信息/Info

Title:
X-ray Features of Diabetic Osteolysis
作者:
邱乾德2; 赵余祥1; 林达1; 蔡庆虎1; 胡明哲1; 项剑瑜1
1.浙江省温州市第三人民医院,浙江 温州,325002; 2.浙江省 温州市第八人民医院,浙江 温州 325000
Author(s):
QIU Qian-de*; ZHAO Yu-xiang; LIN Da; et al.*
The Third People's Hospital of Wenzhou,Wenzhou 325000,Zhejiaing,China
关键词:
糖尿病 骨质溶解 X线平片
Keywords:
Diabetes Mellitus;  Osteolysis;  X-ray
摘要:
目的:探讨糖尿病性骨质溶解X线特点,以提高对本病认识。方法:回顾性分析经临床确诊的33例糖尿病性骨质溶解患者的X线表现。33例中男20例,女13例。年龄45～81岁,平均61岁。患糖尿病史9～23年,平均12年。结果:33例共累及47块骨,其中趾骨18例26块,跖骨9例14块,楔状骨4例5块,骰骨1例1块,跟骨1例1块。X线表现为骨质呈斑片状溶解17例累及22块骨; 斑块状完全溶解缺如,溶解区无残留骨组织者6例累及10块骨; 多囊状溶解破坏者4例累及9块骨; 骨干的一端溶解,呈“削铅笔尖样”3例累及3块骨; 骨干部分骨质溶解、消失,且关节端骨质基本正常,呈“图钉征”3例累及3块骨; 溶解边缘的骨质均无硬化,溶解区附近骨质均未见骨膜增生和骨皮质增厚,溶解区均无死骨; 肿胀的软组织内多发积气者8例; 软组织内多发斑片状钙化者5例。结论:糖尿病性骨质溶解的X线征象以斑块状、斑片状、多囊状骨质溶解破坏,病变边缘骨质无硬化、无骨膜反应、无死骨为特征。
Abstract:
Objective:To study X-ray features of diabetic osteolysis to improve its diagnosis.Methods:X-ray findings of 33 cases with diabetic osteolysis confirmed by clinical follow-up were retrospectively analyzed.There were 20 males and 13 females,aged from 45-81 years with mean age of 61 years.Diabetes history 9-23 years(mean 12 years).Results:47 bone masses was involved of 33 cases,of which 18 cases(26 bones)were in phalanx bone,9(14 bones)in metatarsal bone,4(5 bones)in cuneiform bone, 1(1 bone)in cuboid bone, 1(1 bone)in calcaneus. X-ray findings:patch flake dissolution present in 17 cases(22 bones); patch plaque dissolution and no residual bone in dissolving zone in 6 cases(10 bones); 4(9 bones)more cystic dissolution; 3(3 bones)”shave lead pen sampies”in the one end dissolution of backbone; 3(3 bones)“drawing pin sign” of part dissolution and disappeared of backbone and almost normal of bone in joint end; no sclerosis and no periosteal proliferation and no thickening of bone cortex in dissolution edge of bone, and no sequestrum in dissolving zone; 8 multiple pneumatosis in swollen of soft; 5 calcification of patch flake in soft.Conclusion:X-ray the diabetic osteolysis features patch flake and patch plaque and more cystic of dissolution, no sclerosis and no periosteal proliferation and no sequestrum.

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更新日期/Last Update: 1900-01-01