形过程的骨髓炎:文献综述和建议
Justin Choi1, Krishnamurthi Sundaram1
1Department of Otolaryngology, SUNY Downstate Health Sciences University, Brooklyn, New York, United States.
Journal of orthopaedic case reports
|April 11, 2025
概括
早期诊断牙骨质炎 (OOM) 需要高度怀疑. 磁共振成像 (MRI) 是诊断的关键,即时的抗生素治疗和排水往往避免手术,除非发生带压缩.
科学领域:
- 脊髓感染 脊髓感染
- 类风湿病学 类风湿病学
- 神经外科 神经外科
背景情况:
- 牙骨髓炎 (OOM) 是一种罕见的脊髓感染.
- 诊断需要高度的怀疑指数.
- 对早期诊断和管理建议的文献综述.
研究的目的:
- 审查关于OOM的文献.
- 为早期诊断提供建议.
- 概述OOM管理的最佳实践.
主要方法:
- 对案例研究和系列的综合文献综述.
- 在PubMed和谷歌学者中进行的搜索.
- 分析了1944年至2024年间发表的47篇文章.
主要成果:
- 审查了54例OOM确诊病例;中位数年龄为52岁,64%为男性.
- 常见的症状:部疼痛 (87%),发烧 (57%),部硬 (44%).
- 核磁共振 (85%) 经常显示OOM;金黄色葡萄球菌是最常见的病原体 (82%).
结论:
- 彻底的病史,体检和风险因素评估对于早期诊断至关重要.
- 磁力共振成像是诊断OOM的黄金标准.
- 早期的抗生素和排水可以治疗OOM,但对于带有带压缩的atlantoaxial外置,手术是必要的.
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