儿童坐骨病变:6例报告和综述△

Ischial lesions in children:6-case reports and a literature review

摘要:

儿童坐骨病变临床少见，病变类型多样，单纯依靠临床表现和影像学表现诊断较困难，治疗选择缺乏明确指南，其诊断与治疗充满挑战性。本文介绍了 6 例坐骨病变患者，并对既往文献进行回顾与总结，通过结合临床表现、实验室检查、影像学检查及病理学检查明确诊断，共计 29 例患者 14 个病种，以肿瘤、特异性或非特异性感染为主，其中恶性肿瘤较少。明确诊断后最终治疗需根据病变种类及位置选择多样化治疗，其中手术治疗为主流选择，临床医师需制定合理的手术入路，避免医源性损伤。

Abstract:

Ischial lesions in children are rare in clinic, with various types of disorder. It is difficult to diagnose by clinical manifestations and imaging manifestations alone, and the diagnosis and treatment are challenging due to the lack of clear guidelines for treatment selection. In this paper, 6 patients with ischial diseases were reported, and the previous literature was reviewed and summarized. Through the combination of clinical manifestations, laboratory test, imaging examination and pathological findings, a total of 29 patients were diagnosed with 14 kinds of disease, including benign tumors, specific or non-specific infections, whereas malignant tumors were rare. After the definitive diagnosis, the final treatment should be diversified according to the type and location of the lesion, among which surgical treatment is the mainstream choice, and clinicians should formulate a reasonable surgical approach to avoid iatrogenic injury.