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Turner氏综合征的临床与骨改变分析(附15例报告)

Analysis of clinic and osteal change in Turner syndrome(report of 15 cases)

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【作者】 叶志球; 郭庆禄; 冯长征; 魏北阳; 肖炜; 刘永熙; 张嫣;

【Author】 YE Zhi- qiu,GUO Qin- lu, FENG Chang- zheng,WEI Bei- yang,XIAO Wei- wei,LIU Yong- xi,ZHANG Yan.Department of Radiology. Guangdong Maternal and Children Hospital, Guangzhou Guangdong 510010

【机构】 广东省妇幼保健院放射科; 广东省妇幼保健院放射科;

【摘要】 目的通过对15例有详细的临床及影像资料的Turner氏综合征分析,探讨先天性卵巢发育不良综合征(Turner)的临床与骨改变特点。方法收集15例Turner氏综合征临床及骨骼X线平片,分析其表现。结果染色体核型分3型,第1型45,X,8例;第2型46,XX,5例;第3型46,XX/45,X,2例。X线表现有:骨质稀疏14例,掌骨征阳性8例,指骨优势9例,肘外翻10例,脊柱骨化不良5例,足趾趾节短9例,颅底凹陷11例。结论Turner氏综合征患者最终身高明显低于正常人群,智力低下,性发育不全。X线表现典型,骨改变对临床的诊断具有主要参考价值。

【Abstract】 Objective To research the clinical and osteal radiology imaging features in Turner’ s syndrome. Methods Analyzed the clinical and osteal radiology imaging features of 15 Turner’ s syndrome.Results 15 patients were Karyotyped into 3 groups Ⅰ , 45,X,n=8; Ⅱ , 46, XX, n=5;Ⅲ ,46,XX/45,X,n=2.Radiology imaging features: osteoporosis, n =14; metacarpal sign, n =8;phahanx, n=9; cubitus valgus , n=10; vertebra steodystrophia, n=5; brachydactylya, n=9; basilar impression malformation, n=11. Conclusion The terminal heights of Turner’ s patients were marked lower than normal growth, hormone was deficiency, learning ability declined and the sex gland was hypoplastic . The typical imaging feature do main reference value to diagnosis.

【关键词】 阳性掌骨征; 指骨优势; 肘外翻;
【Key words】 Metacarpal sign; Phahanx; Cubitus valgus;
  • 【文献出处】 影像诊断与介入放射学 ,Journal of Diagnostic Imaging & Interventional Radiology , 编辑部邮箱 ,2006年06期
  • 【分类号】R711.75
  • 【被引频次】5
  • 【下载频次】93
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