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題 名 | Sonographic and Color Doppler Sonographic Diagnosis of Acute Osteomyelitis: Report of One Case=以超音波與彩色杜卜勒超音波診斷骨髓炎:一病例報告 |
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作 者 | 趙舜卿; 江文山; 林奏延; 邱政洵; 王超然; 李宗料; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷 期 | 40:4 民88.07-08 |
頁 次 | 頁268-270+292 |
分類號 | 417.626 |
關鍵詞 | 骨髓炎; 超音波; 彩色杜卜勒超音波; 孩童; Osteomyelitis; Sonography; Color doppler sonography; Children; |
語 文 | 英文(English) |
中文摘要 | 急性骨髓炎在孩童並不常見,它的早期診斷往往不容易。我們提報一個七歲男孩, 其主訴為持續發燒併左大腿腫脹七天。初期X光片檢查並無異樣,但在超音波檢查中可見骨 膜增厚及骨膜下積液併膿癢形成,骨頭的核醫檢查為陽性。藉由超音波及核醫檢查強烈懷疑 病童罹患骨髓炎。二十天後,彩色杜卜勒超音波追蹤檢查發現病灶處骨膜與附近軟組織有血 流增加的現象顯示病灶處仍然有強烈發炎反應。此病童最後接受手術治療,術後情況良好。 超音波有助於早期診斷與臨床上評估孩童骨髓炎,彩色杜卜勒超音波可做為孩童骨髓炎 的臨床指標來偵測疾病的嚴重程度與進展以當做治療之參考。 |
英文摘要 | Acute osteomyelitis in childhood is uncommon. Early diagnosis is often difficult. We present a 7-year-old boy with clinical manifestation of fever and progressive left thigh swelling for one week. Sonography of the left thigh showed periosteal thickening with subperiosteal abscess around the metaphysis of the left distal femur. Tc-99m bone scintigraphy showed increased uptakes at the left distal femur. Osteomyelitis was suspected from the examination of ultrasound and bone scan examinations. His symptoms were not relieved following systemic antibiotic therapy and a follow-up color Doppler sonography showed vascular flows within and around the periosteum indicating active inflammation. He finally received surgical drainage and the operative findings confirmed the diagnosis of osteomyelitis. In conclusion, ultrasound may be a helpful and convenient tool for establishing the early diagnosis of pediatric osteomyelitis. Ultrasound and color Doppler sonography can be used as clinical parameters to evaluate the disease severity and the progression of osteomyelitis in children. |
本系統中英文摘要資訊取自各篇刊載內容。