10岁儿童晚期Legg-Calvé-Perthes疾病的保守管理:一个病例报告
Rishi Ram Banjade1, Sandesh Dhakal2, Prithu Nepal2
1Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
JNMA; journal of the Nepal Medical Association
|March 2, 2026
概括
老年儿童的Legg-Calvé-Perthes疾病 (LCPD) 可以通过保守的方式进行管理. 这份案例报告显示,一个患有LCPD的10岁男孩在引和造方面得到了改善,即使有经济限制.
科学领域:
- 儿科整形外科 儿科整形外科
- 血管性坏死研究研究
- 儿科病例研究 小儿病例研究
背景情况:
- 莱格-卡尔维-珀斯病 (LCPD) 影响儿童的股骨头.
- 晚期发病的LCPD (8年以上) 通常有较差的预后.
- 股骨头骨瘤可以导致退行性变化.
研究的目的:
- 报告一个10岁男孩晚期发病的LCPD病例.
- 评估在资源有限的环境中对LCPD的保守管理策略.
- 突出LCPD非手术干预的潜在结果.
主要方法:
- 一名10岁的男性患者出现了暗示LCPD的症状.
- 诊断成像证实了左腿骨头骨髓缩.
- 由于财务限制,进行了双边皮肤引和佩特里造的保守治疗.
主要成果:
- 在6个月的随访期间,患者的症状显著改善.
- 保守的管理表明,尽管患者的年龄和晚期诊断,积极的结果.
- 该案例强调了在资源有限的环境中非手术性LCPD治疗的可行性.
结论:
- 保守的管理,包括引和造,可以有效治疗晚发的Legg-Calvé-Perthes病.
- 由于财务限制,可能需要采用其他治疗方法,例如保守护理.
- 这一案例强调了在资源有限的环境中保守的LCPD治疗的潜力.
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