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为了研讨小儿急性化脓性股骨颈骨髓炎的早期诊断和与化脓性髋关节炎的鉴别诊断,通过28例小儿急性化脓性股骨颈骨髓炎的临床观察和核医学等检查,以及手术中发现,小儿急性化脓性股骨颈骨髓炎早期除髋关节前后压痛外,股骨大粗隆附近亦有肿胀和压痛,髋关节腔穿刺液体为稀薄的渗出液体。同位素股骨颈扫描,可见患侧同位素吸收增多。因此,经过仔细的临床检查和同位素检查,可以早期作出诊断。对诊断困难,临床高度怀疑的病例应行手术探查,以达到早期诊断和早期治疗。
In order to study the early diagnosis of acute suppurative femoral neck osteomyelitis in children and the differential diagnosis of suppurative arthritis, 28 cases of acute suppurative femoral neck osteomyelitis in children with clinical observation and nuclear medicine examination, and surgery found that children Acute suppurative femoral neck osteomyelitis in addition to before and after hip joint tenderness, there are swelling and tenderness near the greater trochanter of the femur, hip puncture fluid puncture fluid thin leaching liquid. Isotope femoral neck scan shows increased ipsilateral isotope absorption. Therefore, after careful clinical examination and isotope examination, you can make an early diagnosis. Difficult to diagnose, highly suspected cases of clinical surgical exploration should be to achieve early diagnosis and early treatment.