Abernethy L J, Lee Y C, Cole W G
Department of Orthopaedic Surgery, Royal Children's Hospital, Melbourne, Australia.
J Pediatr Orthop. 1993 Nov-Dec;13(6):766-8. doi: 10.1097/01241398-199311000-00015.
Ultrasonography was undertaken in nine children with late presenting acute osteomyelitis, in four children with typical superficial cellulitis, and in four with a soft tissue abscess. Ultrasound distinguished between superficial cellulitis, soft tissue abscess, and subperiosteal abscess. The abscesses were confirmed at operation, and a subperiosteal abscess was also detected in the child with deep periosseous cellulitis. Ultrasonography was particularly useful in confirming the existence of a subperiosteal abscess and in localizing it precisely in children with diffuse swelling and tenderness of a limb owing to late-acute osteomyelitis. Surgical drainage of pus can be avoided in patients without ultrasound features of an abscess and can be better planned in those who require it.
对9例迟发性急性骨髓炎患儿、4例典型浅表蜂窝织炎患儿和4例软组织脓肿患儿进行了超声检查。超声可区分浅表蜂窝织炎、软组织脓肿和骨膜下脓肿。手术证实了脓肿的存在，在深部骨膜蜂窝织炎患儿中还检测到了骨膜下脓肿。超声检查对于确诊骨膜下脓肿的存在以及在因迟发性急性骨髓炎导致肢体弥漫性肿胀和压痛的患儿中精确确定其位置特别有用。对于没有脓肿超声特征的患者可避免进行脓液的外科引流，对于需要进行引流的患者则可以更好地规划手术。
