中国地方病防治杂志1993年第8卷第6期刊登的陕西省地方病防治研究所王立志等“儿童大骨节病指骨干骺、骨骺X线改变及其检出率季节性变化的研究”一文,读后有几个问题提出与作者商榷,以求澄清问题的实质,有助于对本病诊断的准确性。本文作者发表此文的目的是为了搞清大骨节病儿童手骨干骺、骨骺等病灶的演变规律和这些X线征象的实际意义。以及观察以X线检出率为表现的病情有无波浪性变化问题。鉴于此,拟与作者讨论以下3个问题。 Chinese Journal of Endemiology and Prevention, 1993, Volume 8, Number 6, published in the Shaanxi Provincial Institute of Endemic Diseases, such as Wang Lizhi “children KBD epiphyseal finger epiphysis, epiphyseal X-ray changes and the detection rate of seasonal changes in a study,” after reading Several questions have been put forward to discuss with the author in order to clarify the substance of the problem and help to diagnose the disease. The purpose of this article published by the author is to clarify the evolution of lesions such as epiphyseal and epiphyseal epiphysis of children with Kashin-Beck disease and the actual significance of these X-ray findings. As well as to observe the X-ray detection rate for the performance of the wavy changes in the problem. In view of this, intends to discuss with the author the following three questions.