32例急慢性骨髓炎临床观察  

32 Cases of Clinical Observation of Acute and Chronic Osteomyelitis

作　　者：尹怡辉 

机构地区：[1]长沙市按摩骨科医院骨外科,长沙410001

出　　处：《中外医疗》2011年第13期71-72,共2页China & Foreign Medical Treatment

摘　　要：目的观察并总结急慢性骨髓炎的临床治疗。方法我院2007年10月至2010年12月共收治32例急慢性骨髓炎患者,所有患者均采用持续抗生素液灌注引流治疗,对其临床治疗资料进行回顾性分析和总结。结果 32例患者术后灌注液变为清洗透明平均时间为(15.6±2.1)d;体温恢复恢复至正常时间为(16.9±1.8)d;引流管拔除平均时间为(20.1±1.5)d。所有患者病变局部红肿热痛消失、窦道愈合,手术切口也均为一期愈合。冲洗过程中未见发生不良反应,患者肝肾功、心电图等未见异常。随访8个月～3年,患者病变局部未再发生红肿热痛和窦道形成,复查X片未见复发。结论持续抗生素液灌注引流治疗急慢性骨髓炎,近期术后疗效及远期随访疗效均较好,不良反应少,是一种有效治疗方法。Objective To observe and summarize the clinical treatment of acute and chronic osteomyelitis.Methods From October 2007 to December 2010 32 patients were treated in patients with acute and chronic osteomyelitis,all patients were treated with continuous antibiotics,drainage of fluid infusion therapy,their clinical data were retrospectively analyzed and summarized.Results 32 patients were perfusion fluid into a clean and transparent average time（15.6±2.1）days;body temperature returned to normal recovery time（16.9±1.8）days;average time of drainage tube removal（20.1±1.5） days.All patients had local swelling lesion pain disappeared,sinus healing,surgical incision also are a healing.Washing process no adverse reactions,liver and kidney function,and electrocardiogram were normal.Followed up from 8 months to 3 years,no local recurrence of disease in patients with painful swelling and sinus formation,review the X-chip no recurrence.Conclusion Continuous antibiotic perfusion drainage in the treatment of acute and chronic osteomyelitis,efficacy and long-term follow-up after the recent effects are better,less adverse reactions,is an effective treatment.

关 键 词：急慢性骨髓炎 病灶清除术 植骨术 外固定 

分 类 号：R551.3[医药卫生—血液循环系统疾病]