显微外科技术与慢性骨髓炎的一期手术治疗——理念与临床应用  

Microsurgical techniques and one-stage surgical treatment of chronic osteomyelitis--concept and clinical application

作　　者：张春[1] 刘亦杨[1] 郭峭峰[1] 沈立锋 张展[1] 马苟平[1] 黄凯[1] 林炳远[1] ZHANG Chun;LIU Yiyang;GUO Qiaofeng;SHEN Lifeng;ZHANG Zhan;MA Gouping;HUANG Kai;LIN Bingyuan(Department of Orthopaedics,Tongde Hospital of Zhejiang Province,Hangzhou 310012,China;Department of Orthopaedics,Sir Run Run Shaiv Hospital Affiliaied with Zhejiang University School of Medicine,Hangzhou 310005,China)

机构地区：[1]浙江省立同德医院骨科,杭州310012 [2]浙江大学医学院附属邵逸夫医院骨科,杭州310005

出　　处：《中华显微外科杂志》2022年第1期14-20,共7页Chinese Journal of Microsurgery

摘　　要：慢性骨髓炎病程迁延反复,致残率高,严重影响患者身心健康,是目前临床难题.通过在沿用传统疗法过程中的不断学习总结,临床对骨髓炎治疗有了革新性的提高与改变:应用现代骨肿瘤手术的基本原则,对骨髓炎病灶根治性清创;应用显微外科技术进行复合组织瓣转移或移植,为组织缺损的修复及无张力闭合创口提供保障;并结合植骨、局部抗生素应用及骨骼固定技术一期手术完成,使慢性复杂性骨髓炎的治疗效果有了显著提高.Chronic osteomyelitis is a serious clinical problem with repeated courses and high disability rate,which seriously affects the physical and mental health of patients.Through continuous learning and summary in the process of using traditional therapies,the innovative improvements and changes had made in the treatment of osteomyelitis:Radical debridement of lesions was performed by applying the basic principles of modem bone tumor surgery.The application of microsurgical technique to transfer composite tissue flap can provide guarantee for tissue defect repair and wound closure without tension.Combined with bone grafting,local antibiotics and bone fixation,an one-stage operation has significantly improve the therapeutic effect of chronic complex osteomyelitis.

关 键 词：慢性骨髓炎 一期治疗 显微外科技术 

分 类 号：R687.3[医药卫生—骨科学] R616.2[医药卫生—外科学]