Sonographic Diagnosis of Acute Hematogenous Osteomyelitis in the Early Stage

（康斌）（朱通伯）（杜靖远）（刘基仁）（黄建华）ＳｏｎｏｇｒａｐｈｉｃＤｉａｇｎｏｓｉｓｏｆＡｃｕｔｅＨｅｍａｔｏｇｅｎｏｕｓＯｓｔｅｏｍｙｅｌｉｔｉｓｉｎｔｈｅＥａｒｌｙＳｔａｇｅ￥ＫＡＮＧＢｉｎ，ＺＨＵＴｏｎｇ－ｂｏ，ＤＵＪｉｎｇ－ｙｕａｎＬＩＵ...

Sonographic diagnosis of acute hematogenous osteomyelitis in the early stage

This article presents sonographic diagnosis of acute hematogenous osteomyelitis in early stage.24 clildren with clinically suspected acute hematogtnous osteomyelits were detected to have subptrosteal abscesses by ultrasond during four to fourteen days after onset.The mean length and anteroposterior distance of the subperiosteal abscesses were 86.4 mm and 10.7 mm,respectively.Of 24 cases of subperiosteal atscesses,aspiration performed under ultrasound guidance revealed purulent fluid in al and 23 were verified surgically.The results obtained indicate that ultrasound can be used it diagnosis of actue hematogerous osteomyelitis in the early stage.the earliest case was diagrosed by ultrasound 4 days afttr onset.By use of ultrasound, differentiation diagnosis of acute hematogenous osteomyelitis from other diseases such as cellulitis,soff tissue abscess,acutt septic arthritis and maignant bone tumors is also discussed.