论文部分内容阅读
目的：为了提高小儿化脓性髂骨骨髓炎早期诊治水平。方法：总结近２０年收治的２４例该病患儿的临床资料及随访情况。结果：出院时症状消失、功能恢复者１４例；功能恢复、局部伤口经换药３月内愈合者４例；２年以上窦道遗留再次手术治愈者５例；１例未愈。结论：髂骨骨髓炎Ｘ线改变出现晚，早期诊断主要靠仔细的物理学检查。如诊断确立，应用大剂量抗生素治疗是本病的重要原则，不主张过急切开引流术
Objective: To improve the early diagnosis and treatment of purulent iliac osteomyelitis in children. Methods: The clinical data and follow-up of 24 children with this disease admitted in recent 20 years were summarized. Results: At discharge, symptoms disappeared and functional recovery was performed in 14 cases. Functional recovery was found in 4 cases of local wound healing within 3 months after dressing change; in more than 2 years, sinus surgery remained in 5 cases and 1 case was cured. Conclusion: The iliac osteomyelitis X-ray changes appear late, early diagnosis mainly by careful physical examination. If the diagnosis is established, the application of high-dose antibiotic treatment is an important principle of the disease, does not advocate too urgent to open drainage