小儿急性血源性骨髓炎分型的病理解剖学基础

Anatomical and Patholog ical Basis for the Classification of Acute Hematogenous Osteomyelitis in Children

Calandruccio将小儿急性血源性骨髓炎分为婴儿型与儿童型^((1)),但其命名不够确切,临床特点及病理解剖学基础缺乏详尽阐述.本文结合我院近年来85例急性骨髓炎1～10年随访资料,分为急性骨骺骨髓炎和急性骨干骨髓炎两型,并从小儿骺板成熟前后的骨骼解剖特点探讨两型的临床、病理的区别,以及临床意义.

Acute osteomyelitis in children shoud be divided into anepiphyseal type and a diaphyseal type according to the material that we obtained through following up 85 cases with acute osteomyelitis.Both of types have an obvious difference in affected age,region,clinical features,incidence of chronic osteomyelitis and residual deformities,The classification is based on whether the epiphysis was affected or not.The pathological development of two types are stated depending on the anatomical characteristics before and after maturing ration of epiphysis,It is very important that the epiphyseal csteomyelitis be early diagn osed.It can prevent severe residual deformities caused by the epiphysis being destroyed.