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本文分析饮用水氟含量4～11mg/L 40年以上地方性氟骨症23例,骨质改变可识别为氟骨症的8例,骨质疏松不伴骨纹理粗网状者5例,骨质无改变的10例。骨周及骨外有改变的23例。作者认为单纯以骨质改变作为分型的基础,不能全面包括氟骨症的 X 线表现,即使是饮用高氟水40年以上的晚期氟骨症患者,也有78%(17例)不具有明确的氟骨症骨质改变,但骨周和骨外改变明显,故而增加骨间膜骨化和/或骨旁骨增生型是符合实际的,它有利于明确诊断。
This article analyzes the drinking water fluorine content 4 ~ 11mg / L for more than 40 years, 40 cases of skeletal fluorosis, skeletal changes can be identified as skeletal fluorosis in 8 cases, osteoporosis without skeletal coarse reticular in 5 cases, bone Quality unchanged in 10 cases. Peripheral bone and bone changes in 23 cases. The authors believe that bone changes alone as the basis for typing can not fully include the X-ray findings of skeletal fluorosis, even 78% (17) of patients with advanced skeletal fluorosis who drink high-fluoride water for more than 40 years do not have a clear Of the skeletal changes of skeletal fluorosis, but the peri-osseous and extramedullary changes significantly, and therefore increase the interosseous ossification and / or periosteal hyperplasia is in line with the actual, it is conducive to a clear diagnosis.