应用酸性水治疗下肢远端骨髓炎的临床疗效  

Clinical efficacy of acid water on distal lower extremity osteomyelitis

作　　者：刘智深[1] 牛纪娥[1] 牛志勇[1] 杜张荣[1] 

机构地区：[1]山西省晋城煤业集团总医院骨一科,048006

出　　处：《中国实用医刊》2013年第19期23-24,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨酸性水在下肢远端骨髓炎的治疗作用。方法晋城煤业集团总医院骨一科2011年7月至2012年10月对11例胫腓骨远端骨折内回定术后及跟骨骨折内固定术后感染，内回定材料或骨外露，有较多脓性分泌物的病例于病灶清除后先采用酸性水冲洗浸泡治疗，待创面清洁、肉芽组织形成后，二期直接缝合切口或应用皮瓣转移修复创面。结果本组应用酸性水冲洗浸泡切口，同时全身应用敏感抗生素，冲洗浸泡时间为10．25d，平均19d，创面经上述方法治疗后分泌物逐渐减少，创面逐渐形成肉芽组织。二期手术修复创面，随访6-18个月，患者骨折断端骨性愈合，骨髓炎均无复发。结论应用酸化水治疗骨髓炎，疗效确切可行，医疗费用低，具有良好的社会效益和经济效益，为治疗四肢远端的慢性骨髓炎提供了一种新的选择。Objective To evaluate the clinical efficacy of acid water on distal lower extremity chronic osteomyelitis. Methods Between July 2011 and November 2012, 11 patients with lots of exu-dates of chronic osteomyelitis were treated in our hospital. After the focus of infection was debrided com-pletely, they were treated with acid water. As soon as the wound surface was clear and the surface was covered with granulating tissue, the wounds were treaded with secondary directly sutured or closed by skin transplantation. Results The exudates and the area of the wound were both decreased after rinsed and soaked in acid water for 10 - 25 days, with an average of 19 days. The wound was covered by second suture or flap transplantation. After of followed-up of 6 - 18 months, all 11 cases of chronic osteomyelitis were healed with no recurrence. Conclusions Application of acid water in treatment of osteomyelitis is effective and feasible, it has low medical cost, with good social and economic benefits, and provides a new option for the treatment of chronic osteomyelitis of the distal limbs.

关 键 词：慢性骨髓炎 酸性水 治疗 

分 类 号：R681.2[医药卫生—骨科学]