【摘要】 目的　分析多部位骨关节结核的X线表现 ,以提高对该病的诊断能力。方法　 5例均经病理证实 ,男 1例 ,女 4例 ,年龄15～ 5 6岁。均拍摄病变部位X线平片 ,其中 1例行椎管造影术 ,2例行局部活检术 ,3例行局部病灶清除术。结果　 5例病例均累及多个部位 ,3～ 5个不等 ,其中同时累及长管状骨和短管状骨 3例 ,累及扁骨和椎体 1例 ,累及长管状骨、扁骨和椎体 1例。 3例同时累及长管状骨和短管状骨者为同侧发病 ,而同时累及扁骨和椎体者 2例为双侧发病。X线平片表现为溶骨性骨质破坏区 ,呈圆形、椭圆形或不规则形 ,部分边缘硬化 ,伴周围软组织肿胀。结论　多部位骨关节结核累及的部位多 ,临床表现和X线征象有一定的特点 ,但确诊需行病理检查更多还原

【Abstract】 Objective To improve the diagnosis of multiple tuberculosis of bone and joints by analyzing its radiologic findings respectively .Methods 5 cases with multiple tuberculosis of bone and joints were all proved by pathology of them, there were 1 male and 4 female, the age ranged from 15 to 56 years old. X-ray films were all taken in 5 cases. Vertebral canal iodolography was performed in 1 case, 2 cases were undergone biopsy, and operation was done in 3 cases.Results Multiple bones in 5 cases were involved, including 3～5 bones. Of all cases, long bone and short bone were involved together in 3 cases, plat bone and vertebra were involved together in 1 case, long bone, plat bone and vertebra were simultaneously involved in 1 case. And 3 cases involved long bone and short bone simultaneously had pathosis in unilateral limbs, 2 cases involved plat bone had pathosis in bilateral. X-ray plain films demonstrated osteolytic destruction with slight sclerosis at the margin of partial destructive areas, which were round, oval or irregularity. There were soft tissue masses around the involved bones.Conclusion The multiple tuberculosis of bone and joint is of some clinic symptoms and X-ray features, but the confirmed diagnosis of which is entertained by biopsy and pathology.更多还原