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儿科肌肉骨骼感染:影像学指南与建议。

Pediatric Musculoskeletal Infections: Imaging Guidelines and Recommendations.

机构信息

Department of Radiology, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA.

Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.

出版信息

Radiol Clin North Am. 2022 Jan;60(1):165-177. doi: 10.1016/j.rcl.2021.08.012.

Abstract

Pediatric musculoskeletal infections often pose a diagnostic challenge due to their frequently vague and nonspecific clinical presentation. Imaging evaluation is a crucial component to diagnostic workup of these entities. Changed epidemiology of these infections over the past 2 decades has resulted in increases in both disease incidence and severity in the pediatric population. Prompt and accurate diagnosis is essential in order to reduce the risk of morbid sequelae, and to optimize patient management. In this article, the unique pathophysiology of musculoskeletal infections and characteristic imaging findings in children compared with adults are reviewed.

摘要

小儿肌肉骨骼感染常因临床表现常模糊且非特异性而构成诊断挑战。影像学评估是这些疾病诊断的重要组成部分。过去 20 年来,这些感染的流行病学发生了变化,导致儿科人群的疾病发病率和严重程度都有所增加。为了降低病态后遗症的风险并优化患者管理,及时准确的诊断至关重要。本文回顾了小儿肌肉骨骼感染的独特病理生理学和与成人相比的特征性影像学表现。

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