论文部分内容阅读
儿童急性骨髓炎的早期诊断、及时引流对防止感染扩散、死骨形成或转成慢性骨髓炎有重要意义。如延误诊断,其致残率和死亡分别为20％和1％。急性骨髓炎在发病后10～12d普通X光片才能观察到骨质破坏、骨膜增生等骨质本身的改变,因此,X光片不能做为早期诊断的依据。自1971年sub-ramanian首次报道应用锝—99m标记的磷酸盐复合物进行骨扫描以来,它在骨科领域的应用得到迅速扩展。文献报道表明,在急性骨髓炎临床症状出现后24～48h,骨扫描即可呈阳性。它为骨髓炎的早期诊断提供了新的客观依据。本文就近些年来应用骨扫描早期诊断儿童急性骨髓炎的文献作一综述。
Early diagnosis of acute osteomyelitis in children, timely drainage to prevent the spread of infection, the formation of sequestrum or into chronic osteomyelitis is of great significance. If delayed diagnosis, the disability and death were 20% and 1%. Acute osteomyelitis in the 10 ~ 12d after the onset of ordinary X-ray can be observed in bone destruction, periosteal hyperplasia and other bone itself changes, therefore, X-ray can not be used as a basis for early diagnosis. Since 1971 when sub-ramanian first reported the use of technetium-99m labeled phosphate complexes for bone scans, its use in orthopedics has rapidly expanded. Reported in the literature, in clinical symptoms of acute osteomyelitis after 24 ~ 48h, bone scans can be positive. It provides a new objective basis for the early diagnosis of osteomyelitis. This article reviews the recent literature on early diagnosis of acute osteomyelitis in children using bone scan.