中西医结合Ⅰ期植骨外固定器固定治疗感染性骨不愈合  

The Integrated Traditional Chinese and Western Medicine treatment for infected nonunion byⅠstage bone grafting and external fixation

作　　者：唐浩琛[1] 王正红[1] 向明[1] 

机构地区：[1]四川省骨科医院,成都610041

出　　处：《中国中医骨伤科杂志》2012年第12期21-23,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:探讨中西医结合治疗感染性骨不愈合、骨缺损的治疗原则和方法。方法:2007年5月-2010年5月,对37例感染性骨不愈合患者在应用有效抗生素、彻底清除病灶的基础上,依骨缺损的长度Ⅰ期支撑植骨,修复创面后用骨外固定器加压固定。同时根据患者病情辨证口服中药以扶正祛邪,改善机体免疫力。结果:全部病例均于术后5～11个月,平均7.3个月达到骨愈合。感染得到彻底控制,伤口愈合。并保证了肢体长度的均衡。结论:采用上述综合治疗措施,简化和缩短了治疗过程,Ⅰ期植骨避免了为矫正肢体短缩而再行肢体延长术。骨外固定器应用于感染性骨不愈合显示出独特的优越性。Objective： To investigate the principles and methods of the treatment of infected nonunion by integrated traditional and Western medicine. Methods：From May 2007 to October 2009,37 patients with infected nonunion were included in this study. After effective antibiotic administration and complete debridement, the bone was grafted based on the length of the bone defect in first intention. As soon as the wound was healed up, immobilization was done by external fixation device. At the sane time, the patients took orally traditional Chinese medicine to improve immune capability based on Syndrome Differentiation. Results：All the patients had bone union within 5 to 11months （average 7 . 3months）. The infection was completely controlled, the wound went on healing and the length of the limb was maintained： Conclusion： The compound method simplified and shortened the treatment. The bone grafting by the first intention avoided limb shortening. The use of external fixation in infected nonunion showed its distinctive advantages.

关 键 词：感染 骨不愈合 外固定器 植骨 

分 类 号：R681.2[医药卫生—骨科学]