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目的:探讨马杜拉足的临床X线表现以及与化脓性骨髓炎的区别。方法:收集马杜拉足33例,分析其临床X线表现,对比左右两足在骨受累类型、分布以及X线表现上的差异。结果:临床特征有青年好发(28.6岁),慢性病程(45月),足部软组织肿胀和疼痛(29例),皮肤糜烂、溃疡及反复流脓(16例)。X线特征有跖骨和楔骨最常受累,以多骨受累为主,主要征象为骨质破坏(28例)、软组织肿胀(22例)、骨质硬化(15例)、骨膜反应(8例)、骨干增粗和皮质增厚(7例),上述表现常合并存在。左足多骨受累多见,右足单骨受累多见,但左右两足之间在X线表现上无明显差异。结论:虽然马杜拉足的X线表现与慢性化脓性骨髓炎相似,但它们各有其不同的特征
Objective: To investigate the clinical X-ray findings of Madura foot and the difference between suppurative osteomyelitis. Methods: 33 cases of Madura were collected and their clinical X-ray findings were analyzed. The differences of the type, distribution and X-ray findings of left and right feet were compared. Results: The clinical features were young good hair (28.6 years old), chronic disease course (45 months), swelling and pain of foot soft tissue (29 cases), skin erosion, ulcer and repeated pus (16 cases). X-ray features include the most common metatarsal and cuneiform involvement with multiple bone involvement, with the main signs of bone destruction (28 cases), soft tissue swelling (22 cases), bone sclerosis (15 cases), periosteal reaction (8 cases ), Thickening of the trunk and cortical thickening (7 cases), the above-mentioned performance often combined. Left foot bone involvement more common, right foot bone involvement more common, but there is no significant difference between the left and right feet in the X-ray performance. Conclusion: Although the X-ray findings of Madura Foot are similar to those of chronic suppurative osteomyelitis, they all have different characteristics