超声检查早期发现骨膜下脓肿。小儿骨髓炎进一步成功治疗的一种方法。

Early detection of subperiosteal abscesses by ultrasonography. A means for further successful treatment in pediatric osteomyelitis.

作者信息

Kaiser S, Rosenborg M

机构信息

Department of Pediatric Radiology, Karolinska Institute, St. Göran Children's Hospital, Stockholm, Sweden.

出版信息

Pediatr Radiol. 1994;24(5):336-9. doi: 10.1007/BF02012120.

DOI:10.1007/BF02012120

PMID:7824366

Abstract

Subperiosteal abscess (SA) is a well-known complication of osteomyelitis (OM) in children. The efficiency of treatment of OM with this complication is dependent on early drainage of the abscess. We present a prospective study of 32 children with clinical suspicion of OM. Ultrasonography detected SA in 13 of these children. In nine cases OM with SA was confirmed surgically and in the remaining four other radiographic modalities and/or blood cultures supported the sonographic diagnosis. In the remaining 19 cases, OM without SA was the final diagnosis.

摘要

骨膜下脓肿（SA）是儿童骨髓炎（OM）的一种常见并发症。伴有这种并发症的骨髓炎的治疗效果取决于脓肿的早期引流。我们对32例临床怀疑患有骨髓炎的儿童进行了一项前瞻性研究。超声检查在其中13例儿童中检测到了骨膜下脓肿。在9例病例中，通过手术证实为伴有骨膜下脓肿的骨髓炎，其余4例通过其他影像学检查和/或血培养支持超声诊断。在其余19例病例中，最终诊断为不伴有骨膜下脓肿的骨髓炎。