文献类型：期刊文献

中文题名：维生素D缺乏性佝偻病的X线诊断

英文题名：X-ray diagnosis of vitamin D deficiency rickets

作者：裘华兴[1];夏瑞明[2]

机构：[1]绍兴市妇幼保健院放射科,浙江绍兴312000;[2]绍兴文理学院附属医院放射科

年份：2012

卷号：28

期号：8

起止页码：1262

中文期刊名：实用放射学杂志

外文期刊名：Journal of Practical Radiology

收录：CSTPCD、、北大核心2011、CSCD_E2011_2012、北大核心、CSCD

语种：中文

中文关键词：佝偻病;维生素D;婴幼儿;X线摄影;骨

外文关键词：rickets ; vitamin D ; infant ; radiography; bone

中文摘要：目的探讨维生素D缺乏性佝偻病的x线表现。方法对238例临床诊断维生素D缺乏性佝偻病的婴幼儿X线摄片进行回顾性分析。结果维生素D缺乏性佝偻病活动期的主要x线表现：尺骨干骺端凹凸不平、边缘毛糙191例，占80．3％；尺骨．临时钙化带变薄、部分或全部消失233例，占97．9％；桡骨骨骺出现93例，骺板显示增宽79例，占已出现骨骺患儿的84．9％；第3、．4、5掌骨头骨密度减低，边缘模糊211例，占88．7％；有胸片资料的27例患儿，上胸部肋骨前端膨大呈干骺端样改变，其膨大的前端内部骨密度减低23例，占85．2％。在佝偻病恢复期，除尺、桡骨干骺端增宽可继续存在外，干骺端边缘均变光整，临时钙化带重新出现，掌骨前端变得光整清晰。结论维生素D缺乏性佝偻病的x线表现主要以尺骨、掌骨及肋骨前端为主，X线检查是佝偻病诊断和评估治疗效果的明确、简便而可普及的方法。

外文摘要：Objective To investigate Xray findings of vitamin D deficiency rickets. Methods X-ray findings in 238 infants with clinical diagnosis of vitamin D deficiency rickets were retrospectively analyzed. Results In rickets of vitamin D deficiency, the main X-ray manifestations at active stage included：relatively coarse on ulnar metaphysial edges in 191 cases （accounting for 80.3%） , thin- nig and disappeared partly or all disappeared of the provisional zone of calcification in 233 cases（ accounting for 97. 9~）, radial epiphyses occur presented in 93 cases, 79 cases with epiphyseal plate width （accounting for 84.9%）, third, fourth and fifth metacar pal bone mineral density to be reduced and blur edge in 211 cases （accounting for 88.7%）, expansive anterior ends of rib at upper chest in 27 cases undergone chest radiography, which were low dense in 23/27（85.2% ）. At the recovery period, in addition to the ulnar metaphysis and radial metaphyseal widening were still exist, the ulnar metaphysis and radial metaphyseal edges were smooth, the provisional calcified zone reappears, the metacarpal anterior ends became smooth. Conclusion The main radiographic findings of rickets present on the anterior ends of ulnar metacarpal bone and ribs. Radiographic examination is a simple and universal method in diagnosis and assessment of therapeutic effects of rickets.