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化疗后的骨缩:一个病例报告

Larissa Macedo Barros¹, Pedro Paulo Ribeiro Cortez¹, Emanuella Vaccarezza de Souza²

¹Serviço de Ortopedia e Traumatologia, Hospital das Clínicas Samuel Libânio (HCSL), UNIVÁS, Pouso Alegre, MG, Brasil.

Revista brasileira de ortopedia

|December 30, 2024

概括

本案例研究详细介绍了一名接受化疗和葡萄糖皮质激素治疗的年轻白血病患者的骨髓骨折. 涉及疼痛缓解,卸载和物理治疗的非手术管理对于这种罕见的并发症证明是有效的.

科学领域:

整形外科整形外科整形外科
儿科瘤学儿科瘤学
放射学放射学是一门学科.

背景情况:

T型急性淋巴细胞白血病 (ALL) 需要密集治疗,包括化疗和葡萄糖皮质激素.
葡萄糖皮质激素治疗与各种不良反应有关,包括无血管缩.
骨骨硬化是一种罕见但严重的并发症,特别是在接受长期医疗治疗的儿科患者中.

研究的目的:

描述了一例罕见的双边骨髓骨折病例,该病例发生在患有T细胞ALL的儿科患者身上.
概述这种疾病的诊断过程和非手术治疗策略.
强调认识到无血管亡是白血病治疗的潜在并发症的重要性.

主要方法:

一个13岁的T细胞ALL的女性在经过六个月的化疗和葡萄糖皮质激素治疗后出现了脚疼痛.
诊断成像包括骨光学和磁共振成像 (MRI) 的两个脚.
治疗涉及非手术管理:止痛药,抗炎药物,使用外部固定器暂时无重量轴承,以及随后的物理治疗.

主要成果:

图像检测证实了双侧舌体的无血管骨髓缩.
启动了患者的非手术治疗计划,包括固定和物理治疗.
患者接受了物理治疗,并逐渐减轻体重和缓解疼痛.

结论:

骨髓缩可能发生在患有T细胞ALL的儿科患者的并发症中,这些患者正在接受化疗和葡萄糖皮质激素治疗.
非手术管理,包括疼痛控制,卸载和康复,可以是一个可行的治疗选择.
早期诊断和适当的治疗对于优化这种罕见疾病患者的治疗结果至关重要.

关键词:

化疗化疗是一种化学疗法.整形外科的整形外科.骨质结核病的结核病.塔卢斯 (Talus) 是一个塔卢斯 (Talus) 的类型.创伤学是一门创伤学.

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