为了分析先天性梅毒骨骼改变的X线征象 ,以利于梅毒的早期诊断 ,将经血清学检查确诊的11例先天性梅毒 ,结合临床症状分析其骨骼改变的X线表现。结果 :①长骨干骺端致密改变 ,致密线下方出现横形透亮带 ,长骨干骺端锯齿状改变 ,局限性骨质缺损 ;②骨膜反应 ;③病理性骨折。提示 :X线平片能反映骨骼尤其是长骨的改变 (包括干骺端炎、骨膜炎、病理性骨折等 ) ,结合临床表现 ,有助于及时发现先天性梅毒。 In order to analyze the X-ray signs of congenital syphilis skeletal changes in order to facilitate the early diagnosis of syphilis, confirmed by serological examination of 11 cases of congenital syphilis, combined with clinical symptoms analysis of skeletal changes in X-ray findings. Results: ① The metaphysis of the long bones changed densely, the transverse translucent belts appeared below the dense lines, serrated changes of metaphyseal long bone, and localized bone defects; ② periosteal reaction; ③ pathological fracture. Tip: X-ray film can reflect the changes of bones, especially long bones (including metaphyseal inflammation, periostitis, pathological fractures, etc.), combined with clinical manifestations, contribute to timely detection of congenital syphilis.