儿童群体中的骨髓炎:一个系统的范围审查
Ibrahim Cherry1, Marion Mutschler1, Eleftheria Samara1
1Department of Pediatric Orthopedic Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Frontiers in pediatrics
|January 1, 2024
概括
骨髓炎 (MO) 是儿童罕见的良性疾病. 早期识别良性是非常重要的,以避免不必要的手术,并确保适当的治疗这种异种类型的骨形成.
科学领域:
- 儿科整形外科 儿科整形外科
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 骨髓炎 (MO) 是一种罕见的良性疾病,涉及软组织中的异型骨形成.
- 对于MO的临床表现,诊断和治疗策略,特别是在儿科病例中,仍然不清楚.
研究的目的:
- 审查关于儿科骨髓炎的文献.
- 为了澄清儿童MO的临床表现,诊断方法和治疗方法.
主要方法:
- 在PubMed,Scopus和谷歌学者中进行了全面的文献搜索.
- 关于创伤性和非创伤性MO的研究由两个独立审查员根据PRISMA指南进行了选择.
- 提取的数据包括患者人口统计,创伤史,诊断方法,治疗和随访.
主要成果:
- 确定了60例儿科MO病例 (2002-2023年),其中61.7%是局限性和38.3%是伪性.
- 诊断时的平均年龄为9.5岁;21.7%的患者最初被误诊为瘤.
- 在46.7%的病例中,手术切除是主要治疗方法,随之而来的后续策略各不相同.
结论:
- 准确的诊断良性MO在儿童中至关重要,以防止过度治疗.
- 对于MO诊断的最佳成像缺乏共识;缺少创伤可能会导致外科手术的考虑.
- 建议进行保守的管理,对于成熟的病变考虑进行外科切除;由于潜在的复发,建议进行密切的临床随访.
相关概念视频
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00:55Skeletal Muscle Anatomy
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01:48Classification of Skeletal Muscle Fibers
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01:28Disorders of the Skeletal Muscle
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