Wang Huaikeng,Li Nanzhu.Literature review of Brodie bone abscess[J].Journal of Clinical Pediatric Surgery,2021,20(02):187-190.[doi:10.12260/lcxewkzz.2021.02.015]
Brodie骨脓肿的诊疗进展
- Title:
- Literature review of Brodie bone abscess
- 关键词:
- Brodie骨脓肿/诊断; Brodie骨脓肿/治疗
- Keywords:
- Brodie Bone Abscesses/DI; Brodie Bone Abscesses/TH
- 分类号:
- R681.2 R726.8
- 摘要:
- Brodie骨脓肿多见于儿童和青年，致病菌常为金黄色葡萄球菌或链球菌，好发于四肢长骨干骺端。发病时症状、体征不典型，炎症指标可正常或轻度升高，因此诊断较困难。本病一旦确诊，应尽早治疗，根据病情选择单纯药物或者药物-手术联合治疗，大部分患者效果较好。本文从Brodie骨脓肿的发病机制、病理学、临床表现、实验室及影像学检查、鉴别诊断、治疗等方面进行综述，以期更好地指导小儿骨科医师在临床中诊治该疾病。
- Abstract:
- Brodie bone abscess occurs frequently in metaphyses of long bones of four extremities of children and adolescents.The common pathogens are Staphylococcus aureusthe and Streptococcus.Due to non-typical symptoms and signs at the time of onset,inflammatory parameters may be normal or slightly elevated.A definite diagnosis is often difficult.Once diagnosed,it should be treated as soon as possible.Simple drugs or combined drug-surgery options may be selected.Most treatment outcomes are excellent.The pathogenesis,pathology,clinical manifestations,laboratory tests,imaging examinations,differential diagnosis and treatment of Brodie bone abscess were summarized for guiding the practices of pediatric orthopedists.
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备注/Memo
收稿日期:2020-08-08。
作者简介:王怀铿,Email:447645192@qq.com