脑外伤后继发异位骨化1例及相关文献复习

Secondary heterotopic ossification after traumatic brain injury in 1 case and related literature reviewing

目的:探讨脑外伤后继发异位骨化的临床影像特点、治疗及鉴别诊断,并复习回顾相关文献,以提高对此病例的诊治水平。方法:采用实验室指标及影像追踪对脑外伤后继发异位骨化进行观察,并复习相关文献。结果:此例患者入院行头颅CT检查,初诊为重型颅脑损伤,弥漫性轴索损伤。给予神经营养、改善循环、醒脑开窍促醒治疗,局部骨化区中药浸浴,局部按摩理疗,影像动态观察异位骨化区域变化,异位骨化未再增加,局部肌肉有所改善。结论:中西医结合是治疗脑外伤后继发异位骨化的有效方法,但后期仍需大样本观察,完善中医辨证施治。

Objective： To Explore secondary heterotopic ossification after traumatic brain injury in clinical imag- ing features, treatment and differential diagnosis, and review the relevant literature, in order to improve the diagnosis and treatment of the case. Methods： Using laboratory indexes and image tracking to look at the secondary heterotopic ossifi- cation after traumatic brain injury, and review the relevant literature. Results： This example patient admission line head CT examination, first diagnosis of severe head injury, diffuse axonal injury. Give nerve nutrition, improve circulation, up brain begin to understand and promote wake treatment, local ossification area Chinese medicine bath, local massage therapist,image dynamic observation of heterotopic ossification area change, heterotopic ossification did not add, lo- cal muscle improved. Conclusion： Combine traditional Chinese medicine and western medicine is an effective method in treating secondary heterotopic ossification after traumatic brain injury, but later still need large sample observation, per- fect the evidence-based medicine in TCM.