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回顾性分析19例经临床诊断糖尿病足的骨关节异常X线表现,结果:DF的X表现为骨质疏松伴病变处软组织肿胀;骨干对称性萎缩;早期骨端,关节边缘性骨质破坏;晚期趾间,跖趾关节碎裂和(或)破坏溶解消失及骨干破坏溶解消失;足背血管壁钙化;所有病例均未见明显骨质增生和骨膜反应。病变部位:趾间,跖趾关节及趾、跖骨,并好发于足着力点。结论:趾间,跖趾关节及趾、跖骨的骨关节破坏、溶解伴局部软组织肿胀为DF的X线主要表现,“图钉征”为本病特征,病变部位与足着力点有密切关系。
X-ray findings of 19 cases of clinically diagnosed diabetic foot bone were retrospectively analyzed. Results: The X-ray findings of DF showed swelling of soft tissue in the area of osteoporosis accompanied with atrophy of the symmetry of the backbone, early destruction of the bone end and the edge of the joint, Late toe, metatarsophalangeal joint fragmentation and (or) the destruction of dissolution disappears and the backbone of the destruction of dissolution disappear; dorsal vascular wall calcification; in all cases were no significant hyperosteogeny and periosteal reaction. Lesions: toes, metatarsophalangeal joints and toes, metatarsals, and occur in the full force point. CONCLUSION: The destruction of the joints and joints of the metatarsophalangeal and metatarsal metatarsals and the joints of the metatarsals and the swelling of the soft tissue with the soft tissue are the main manifestations of X-ray of DF. The features of the “Pushpin” are characteristic of this disease, and the lesion is closely related to the foot force.