CAJ | 학술논문

目的:测定小儿急性骨髓炎早期病灶骨内压变化,探索其在早期诊断和治疗中的应用价值.方法:对18例早期小儿急性骨髓炎进行了病灶骨内压和健侧骨内压的对照测定.结果:18例病灶骨内压均显著升高(5.5±0.9 kPa,1cmH_2O=0.098 kPa),与对照侧骨内压(2.6±0.5 kPa)相比,差异有非常显著意义(P＜0.01).结论:急性骨髓炎早期病灶骨内压显著升高.骨内压测定有助于该病的早期诊断,术中骨内压的动态监测可作为判断减压钻孔是否准确有效的客观标准,对保证手术效果有重要的价值.
목적:측정소인급성골수염조기병조골내압변화,탐색기재조기진단화치료중적응용개치.방법:대18례조기소인급성골수염진행료병조골내압화건측골내압적대조측정.결과:18례병조골내압균현저승고(5.5±0.9 kPa,1cmH_2O=0.098 kPa),여대조측골내압(2.6±0.5 kPa)상비,차이유비상현저의의(P＜0.01).결론:급성골수염조기병조골내압현저승고.골내압측정유조우해병적조기진단,술중골내압적동태감측가작위판단감압찬공시부준학유효적객관표준,대보증수술효과유중요적개치.
Objective:To determine the changes of the intraosseous pressure (IOP) at the lesion of acute osteomyelitis (AO),and to evaluate its practical significance in the diagnosis and treatment of AO.Methods:Eighteen patients with AO were studied by measuring the IOP of the lesion and the contralateral hone sarved as control.Results:The IOP was 5.5±0.9 kPa in the AO lesions,but 2.6±0.5kPa in the control bones.The IOP of AO lesion was significantly higher than that of the control (P＜0.01).Conclusion:The increased IOP is a significant indication of drilling decompression to obtain a better operative result of AO in children.