缺骨结核性骨髓炎:在注射富血小板血后的一种罕见并发症:一个病例报告
Elad Epshtein1, Yiftach Bar, Moshe Dahan
1Department of Orthopaedic Surgery, Shamir Medical Center (Assaf Harofeh Hospital), Zerifin, Israel.
JBJS case connector
|February 12, 2026
概括
针对腿筋肌病的富血小板血 (PRP) 注射可以导致罕见的石骨炎. 通过骨活检和抗生素治疗的早期诊断可以在没有手术的情况下解决感染.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 靠近腿筋肌病是一种常见的病症,用富血小板血 (PRP) 注射治疗.
- 在注射PRP后出现的并发症很少见,但可能很严重.
- 脊椎骨质炎是一种严重的骨感染,可以发生在骨盆区域.
研究的目的:
- 报告PRP注射后第一个缺骨骨质炎病例,用于近端腿筋肌病变.
- 在这种情况下,要强调微创性骨活检的诊断效用.
- 强调在注射PRP后对感染的警的重要性.
主要方法:
- 一名48岁的男性患者因腿筋肌病变而接受了多次PRP注射.
- 包括MRI和PET-CT在内的成像研究显示出缺骨感染的迹象.
- 进行了CT指导的愿望,随后进行了封闭的内镜骨活检.
- 感染被用静脉注射和口服抗生素治疗.
主要成果:
- 骨活检证实了 Pseudomonas aeruginosa 的感染.
- 患者的炎症标志物在11周的抗生素治疗后正常化.
- 在治疗后5个月内观察到石骨髓炎的放射性解消.
- 没有需要手术除.
结论:
- 这一案例代表了与PRP相关的第一个被记录的骨质炎.
- 最少侵入性盆腔骨活检对于诊断深层骨感染至关重要.
- 注射后对感染迹象的监测对于及时管理至关重要.
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