目的:分析马杜拉足的临床X线特点及某些征象的病理基础,并对致病菌加以探讨。方法:收集经手术证实的马杜拉足100例进行临床X线分析,其中选有窦道形成的30例做病理及细菌学检查。结果:临床特点:1病程长;2软组织肿胀;3多发窦道形成,可经窦道排出黑褐色颗粒。X线表现:1软组织肿胀,可见软组织内结节样改变;2溶骨性骨破坏,死骨少见,足骨间关节及多骨受累,溶骨破坏较骨修复占优势。病理特点:1霉菌性肉芽肿形成;2霉菌颗粒;3溶骨性骨破坏。结论:马杜拉足在X线上具有持征性表现,X线平片是诊断本病的主要影像学方法。 Objective: To analyze the clinical X-ray features of Madura foot and the pathological basis of some signs, and to explore the pathogens. Methods: Clinical data of 100 confirmed cases of Madura were collected for clinical X-ray analysis. Pathological and bacteriological examination was performed in 30 of the 30 cases selected for sinus formation. Results: Clinical features: 1 long course of disease; 2 soft tissue swelling; 3 multiple sinus formation can be discharged through the sinus black particles. X-ray findings: 1 soft tissue swelling, visible changes in nodular soft tissue; 2 osteolytic bone destruction, rare sequestrum, foot bone involvement and bone involvement, osteolytic destruction than bone repair predominance. Pathological features: 1 mold granuloma formation; 2 mold particles; 3 osteolytic bone destruction. Conclusion: Mudulla foot has the character of X-ray. X-ray film is the main imaging method to diagnose this disease.