骨折内固定术后感染的治疗方法与时机的选择评价  

Evaluation of choice of treatment measures and timing for infections after internal fixation for fracture

作　　者：徐建军[1] 张立岩[1] 陈日勇[1] 

机构地区：[1]丽水市人民医院骨科,浙江丽水323000

出　　处：《中华医院感染学杂志》2013年第24期6027-6028,6044,共3页Chinese Journal of Nosocomiology

基　　金：浙江省医药卫生研究基金资助项目(2012KYB251)

摘　　要：目的探讨临床中骨折内固定术后感染的治疗方法和治疗时机，为临床治疗提供参考依据。方法采取回顾性方法对2010年1-12月骨折内固定术后感染时间〉3个月并未改变原来的固定方式的70例患者临床资料进行分析。结果70例患者灌洗治疗过程中无1例发生灌洗管堵塞、管道脱落和无法解除阻塞的相关并发症发生，所有患者均达到一期愈合；1～2年随访观察，无1例患者出现再骨折和感染再复发。结论临床中对于骨折内固定术后感染的患者治疗过程中感染可控制时，保留原来的内固定物，待骨折愈合之后进行控制感染，从而有效的降低相关并发症的发生，并缩短临床治疗时间，提高总体治疗效果。OBJECTIVE To explore the treatment measures and treatment timing for the infections after the internal fixation for fracture so as to guide the clinical treatment. METHODS The clinical data of 70 patients who underwent the internal fixation for fracture from Jan to Dec 2010 and haven been infected for more than three months were retrospectively analyzed. RESULTS Of totally 70 cases of patients undergoing lavage, there were no cases of complications such as the blockage of lavage tube, shedding of unblocking pipe, and blockage unable to unblock~ all the patients achieved the fist stage healing; after a 1-2-year follow：up, the re-fra.cture and the reoccurrence of infections did not occurr in any case. CONCLUSION For the control of infection during the treatment for the frac- ture patients undergoing internal fracture, the internal fixation should be retained to control the infections after the fracture healing so as to effectively reduce the incidence of related complications, shorten the clinical treatment time, and improve the overall therapeutic effect.

关 键 词：骨折 内固定术 术后感染 治疗方法 治疗时机 

分 类 号：R683[医药卫生—骨科学]