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骨斑点症属硬化性骨发育异常,临床上极罕见,本文报告16例(男10例,女6例),X线表现具有特征性,通常为多数边缘清楚、密度均匀、成串的、小的圆形或椭圆形致密斑点,对称分布于关节端的松质骨内,最好发于长管骨的骨骺和干骺区,腕、跗骨、骨盆和肩胛骨,肋、销骨和脊柱罕见,CT扫描能明确显示斑点所在骨内的部位,病灶大多位于松质骨内,并与骨小梁的分布一致,少数可位于骨皮质内,或紧贴骨皮质的内或外表面,在儿童期,随访片显示病灶大小和多少,可增加或减少以至消失,对其发病机理、合并症和鉴别诊断等进行了讨论。
Bone spot syndrome is a sclerotic bone dysplasia, clinically very rare, 16 cases reported in this paper (10 males and 6 females), X-ray findings are characteristic, usually most of the edge of a clear, uniform density, a series of small Round or oval dense spots symmetrically distributed in the cancellous bone at the joint end, the best occurred in the epiphyseal and long epiphysis of the long bones, wrist, tarsal bone, pelvis and scapula, ribs, pin bones and spine rare, CT scan can clearly show the spot where the bone is located, the lesions are mostly located in the cancellous bone, and the distribution of trabecular same, a few can be located in the cortical bone, or close to the inner or outer surface of cortical bone in childhood The follow-up films showed that the size and number of lesions can increase or decrease or even disappear, and its pathogenesis, complications and differential diagnosis were discussed.