在维护木素透的骨间隔器的情况下战胜了儿科慢性石骨髓炎:一个避免第二阶段手术的案例
Wynnie Hui Yin Voon1, Muhamad Nurasnol Khamis2
1Orthopedic, Hospital Tawau, Tawau, MYS.
Cureus
|July 29, 2025
概括
这份案例报告显示,在单一阶段使用米素浸聚甲基甲酸盐 (PMMA) 水泥有效治疗儿童慢性骨髓炎,防止其复发.
科学领域:
- 整形外科 整形外科 整形外科
- 传染性疾病 传染性疾病
- 儿科手术 儿科手术
背景情况:
- 儿童慢性骨髓炎带来了重大治疗挑战,往往复发率很高.
- 对于儿科慢性骨骨质炎,有效的治疗选择有限.
研究的目的:
- 报告一个成功的单阶段手术治疗慢性骨骨质炎在儿科患者.
- 评估使用米素浸聚甲基甲酸 (PMMA) 水泥治疗儿科慢性骨髓炎的疗效和长期结果.
主要方法:
- 一个案例报告,一个八岁的女孩在跌倒和初始治疗失败后被诊断患有慢性骨骨质炎.
- 外科干预包括脱bridement和sequestrectomy,随后是应用化浸的聚甲基甲酸盐 (PMMA) 水泥.
- 术后进行了为期六周的口服抗生素疗程.
主要成果:
- 患者在三年随访后实现了无症状状态.
- 没有第二阶段的手术是需要PMMA水泥去除.
- 治疗证明了长期的功能恢复和完全控制感染.
结论:
- 用带有抗生素的PMMA水泥进行单阶段治疗是治疗儿科慢性骨髓炎的可行和有效策略.
- PMMA水泥具有优势,包括生物相容性,易于使用,可加工性和成本效益,使其适合复杂的儿科骨感染.
- 这种方法提供了持久的,无感染的结果,可能避免需要分阶段程序.
相关概念视频
01:30Urinary Tract Calculi III: Medical Management
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...