Orzincolo C, Bedani P L, Tamarozzi R, Scutellari P N, Cerruti S
Radiol Med. 1987 Jun;73(6):518-22.
Skull X-rays of 60 patients with chronic renal failure were examined. Alterations included diminished or increased bone density, radiolucent areas, pepper pot skull and the disappearance of vascular grooves and sutures. It is suggested that the radiological aspect of the skull is of very little diagnostic use in the assessment of uremic osteopathy since specific alterations are rare and tardive and show no correlation with clinical and laboratory findings. Skull X-rays can be useful in assessing the effects of treatment (vitamin D derivatives, parathyroidectomy) and for the identification of focal lesions (brown tumors).
对60例慢性肾衰竭患者的颅骨X线片进行了检查。改变包括骨密度降低或增加、透亮区、胡椒盐样颅骨以及血管沟和骨缝消失。有人认为，颅骨的放射学表现对评估尿毒症性骨病的诊断价值很小，因为特异性改变罕见且出现较晚，与临床和实验室检查结果无相关性。颅骨X线片在评估治疗效果（维生素D衍生物、甲状旁腺切除术）和识别局灶性病变（棕色瘤）方面可能有用。
