儿科脊柱结核的非典型表现为慢性腹痛:一个病例报告
Bilal Aslam1, Faiza Farooq2, Shafiq Ur Rahman3
1University of Lahore Lahore Punjab Pakistan.
Clinical case reports
|February 25, 2026
概括
儿童脊柱结核 (波特病) 可能伴有慢性腹痛,延迟诊断. 早期成像和多学科护理,包括抗结核疗法,对于成功治疗和改善结果至关重要.
科学领域:
- 儿童传染病 儿童传染病
- 脊柱外科手术 脊柱外科手术
- 放射学 放射学是一门学科.
背景情况:
- 脊柱结核病 (波特病) 是儿童结核病的一种罕见的肺外表现.
- 慢性腹痛等非特异性症状可能会延迟诊断.
研究的目的:
- 报告一个14岁女孩脊髓结核病例,呈现腹部和背部疼痛.
- 突出成像的诊断作用以及手术和医疗管理的有效性.
主要方法:
- 一个患有脊柱结核的14岁女性的案例研究.
- 基于临床表现和先进成像 (MRI,CT) 的诊断.
- 治疗包括后部手术减压,稳定和12个月的抗结核疗法.
主要成果:
- 显著改善了形变形 (角度从38°减少到22°).
- 6个月后明显减少疼痛 (VAS评分从8/10下降到2/10).
- 在6个月的治疗后,临床和放射性康复良好.
结论:
- 儿童脊柱结核病可以表现为慢性腹痛.
- 放射性评估对于诊断至关重要,当活检是不可行的.
- 迅速的多学科护理,包括抗结核治疗,可以防止严重的后果.
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