Döhler J R, Hansmann M L
Orthopädische Klinik, Christian-Albrechts-Universität, Kiel.
Chirurg. 1993 Mar;64(3):190-4.
Plasma cellular osteomyelitis was seen in the metaphysis while sclerosing osteomyelitis affected the diaphysis of long bones. In only about 20% of both forms local bacteria were noted. The onset of symptoms was inconspicuous and both clinical and radiological signs were nonspecific. Curettment or resection usually cured the disease. In some cases, however, aggressive surgery was necessary. As to surgery and outcome sclerosing osteomyelitis appeared less riskful than plasma cellular osteomyelitis. Both forms apparently represent the same basic pathological condition.
浆细胞性骨髓炎见于干骺端，而硬化性骨髓炎累及长骨骨干。两种类型中只有约20%发现局部细菌。症状起病不明显，临床和放射学征象均无特异性。刮除术或切除术通常可治愈该病。然而，在某些情况下，需要进行积极的手术。关于手术和预后，硬化性骨髓炎似乎比浆细胞性骨髓炎风险更小。两种类型显然代表相同的基本病理状况。
