Optimization techniques for early diagnosis of acute gematogennogo osteomyelitis in children

Abstract

A total of 138 children aged 1 month to 18 years with acute hematogenous osteomyelitis were examined. All patients completed a comprehensive survey, which included including multislice computed tomography followed by multiplanar reconstruction. In patients under the age of one year with negative results of ultrasound and the continuing clinical picture of acute hematogenous osteomyelitis, multispiral computed tomography is performed, where this diagnosis is reliably refuted or confirmed. In children older than a year, the first and early method of diagnosis is multispiral computed tomography, the results of which, when the diagnosis is confirmed, surgical treatment is carried out, and with a negative result, the diagnosis is excluded. Multispiral computed tomography using digital densitometry and color mapping techniques allows early detection and determination of the prevalence of inflammatory edema in the bone marrow canal as the earliest sign of the development of acute hematogenous osteomyelitis in the tubular bones.