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在儿童切除术后的骨骨髓炎:一项20年的审计

Kent K Reji¹, Ananth P Abraham¹, Ranjith K Moorthy²

¹Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery

|January 6, 2026

概括

骨骨髓炎 (BFO) 发生在1.7%的小儿科患者头骨切除术后. 积极的手术除菌和抗生素导致了良好的结果,没有观察到复发.

科学领域:

儿科神经外科儿科神经外科
传染性疾病传染性疾病
骨感染骨感染

背景情况:

骨骨髓炎 (BFO) 是儿童切除术后的一种罕见但严重的并发症.
它可能导致严重的发病率,需要及时管理.

研究的目的:

为了确定骨切割术后的儿科患者中BFO的发生率.
研究诊断为BFO的儿童的微生物特征和手术结果.

主要方法:

一个回顾性审查18岁以下的患者的医疗记录,他们经历了 supratentorial头骨切除术.
从2004年1月到2023年12月在一个神经外科单位收集的数据.

主要成果:

在519名儿童中,有9名 (1.7%) 患有BFO,平均年龄为8岁.
金黄色葡萄球菌是最常见的病原体;三个病例显示结核性骨髓炎.
所有患者都接受了手术干预,并接受了抗生素治疗,在中位数14个月的随访期间没有复发.

结论:

在儿童中,BFO发生率高达2%.
积极的手术除菌与适当的抗生素相结合,确保了有利的长期结果.
结核性骨髓炎应在BFO的病因学中考虑,特别是在特有地区.

关键词:

感染感染感染儿科儿科儿科手术后的情况.结核性BFO是一种疾病.

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