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目的:结合流行病学史及临床表现,对确诊的48例氟骨症患者X线平片表现进行分析,了解滇东北地方性氟骨症影像表现特点。方法:48例患者给予摄中枢骨及外周骨X线平片,分析其X线分型及不同部位表现结果:48例地方性氟骨症患者X线平片均有不同程度骨质异常改变,骨质硬化:36例,占75.0%;骨质疏松、软化:2例,占4.2%;骨转换(混合型):10例,占20.8%。结论:地方性氟骨症X线表现呈多样化改变,滇东北地区氟中毒骨质改变总体偏向煤型氟骨症表现,掌握其典型影像学表现及结合流行病学史不难做出诊断。
OBJECTIVE: To analyze the epidemiological history and clinical manifestations of X-ray findings of 48 cases of skeletal fluorosis patients and to understand the imaging features of endemic fluorosis in northeastern Yunnan. Methods: 48 patients were given the central and peripheral bone X-ray films, X-ray classification and analysis of different parts of the results: 48 cases of endemic fluorosis in patients with X-ray films have varying degrees of bone abnormalities, Bone sclerosis: 36 cases, accounting for 75.0%; osteoporosis, softening: 2 cases, accounting for 4.2%; bone conversion (mixed type): 10 cases, accounting for 20.8%. CONCLUSION: The X-ray findings of endemic skeletal fluorosis showed diversified changes. The skeletal changes of fluorosis in northeastern Yunnan generally favor skeletal fluorosis. It is not difficult to diagnose the typical radiological findings and the combination of epidemiological history.