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作 者:张磊磊[1] 李健[1] 贾惊宇[1] 程细高[1]
出 处:《中国矫形外科杂志》2015年第9期816-819,共4页Orthopedic Journal of China
摘 要:Kummell病(创伤后椎体迟发性骨坏死)是一种发病机制及诊断方法尚不完全明确的少见疾病,其主要特征为轻微外伤导致脊柱疼痛,经过长短不一的无症状期后再次出现相同部位疼痛不适,后逐渐进展为脊柱后凸畸形。因该病报道时X线检查设备尚未应用于临床,无影像学证据,未引起临床医师的重视。从而造成骨科医师对于Kummell病的认识不足,导致了疾病的漏诊或误诊,这也是其低报道率的原因之一。随着影像学技术的发展,近年来对于Kummell病的研究报道日益增多,似乎表明Kummell病并非罕见。为了提高人们对Kummell病的进一步认识,现对Kummell病的相关研究作一综述。Kummell's disease or delayed post- traumatic vertebral osteonecrosis,a pathogenesis and diagnosis of rare diseases is not entirely clear,its main feature is minor trauma resulting in spinal pain,after varying lengths of asymptomatic appear the same again parts of the pain and discomfort,then gradually progress to kyphosis. As the disease had been reported without taking the X- ray inspection equipment for clinical use,the non- radiographic evidence did not cause the attention of clinicians. Orthopedic surgeons for lack of knowledge of Kummell's disease,leading to missed or misdiagnosed disease,may be one reason for the low reporting rate. With the development of imaging techniques,recent studies reporting Kummells disease increasely seems to indicate Kummells disease is not uncommon. In order to raise further awareness of Kummells disease,now Kummells disease related research are reviewed.
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