临床小儿外科杂志Issue(2)：133-135,3.DOI:10.3969/j.issn.1671-6353.2014.02.014
儿童原发性椎间盘炎的临床特点与意义
The clinical characteristics and significance of children’s primary discitis
摘要
Abstract
Objetive To study the clinical characteristics and medical treatments of primary discitis. Methods Compare and analyze the children with primary discitis received in the hospital from July 2008 to Ju-ly 201 1 through observing the clinical features,the laboratory results,X-ray films,CT scanning &three di-mensional reconstruction,MRI results as well as diagnosis before and after the medical treatments. Result-s Three cases of primary discitis were received and cured.Among the three cases,one child was received with spinal tuberculosis.The increasing temperature,rising erythrocyte sedimentation rate (ESR),narrow interver-tebral disc space,various moth-eaten bone destruction on centrum by CT scanning,as well as MRI scanning near vertebral T1 weighted image showing symmetrical banded low signal while T2 weighted image showing sym-metrical banded high signal were the main features of these cases.The MRI checks played important roles in the early diagnosis.By resting in bed,external fixation brace and anti-inflammatory treatment,all the three children lost the clinical features,and the temperature,erythrocyte sedimentation rate (ESR),and C-reactive protein all changed to normal level.The MRI recheck showed the missing of the enhanced signal in interverte-bral disc and the near vertebral.No cases relapsed during the 2.5 years of return visit. Conclusion Early clarified diagnosis and treatments which can shorten the courses of disease are the key points to the treatments of this disease.关键词
椎间盘炎/腰椎/儿童Key words
Discitis/Lumbar Vertebrae/Child引用本文复制引用
徐会法,黄鲁豫,雷伟,黄耀添,刘宁..儿童原发性椎间盘炎的临床特点与意义[J].临床小儿外科杂志,2014,(2):133-135,3.基金项目
国家自然科学基金项目 （）
