感染性骨不连诊断的挑战和争议  

Challenges and controversies in the diagnosis of infectious nonunion

作　　者：樊俊俊 袁志 FAN Jun-jun;YUAN Zhi(Department of Orthopaedics,Xijing Hospital,The Air Force Military Medical University,Xi'An,Shannxi,710032,China)

机构地区：[1]空军军医大学第一附属医院骨科,西安710032

出　　处：《中国骨与关节杂志》2022年第4期241-243,共3页Chinese Journal of Bone and Joint

摘　　要：感染性骨不连一直是临床工作中的巨大挑战,对患者自身的经济、生活、心理、身体等都会造成灾难性的影响,是骨科医师最不想面临的骨折并发症之一。感染性骨不连的首要目标就是控制感染,然后进行骨缺损的重建。近年来虽然已有众多的研究工作聚焦感染性骨不连,在临床中也有相对成熟的治疗技术供骨科医师使用,比如目前临床中常用的骨搬运技术、Masquelet技术、骨移植等均取得了良好的治疗效果,但上述骨重建技术治疗的前提是对感染的明确诊断和处理.Infectious nonunion is one of the disastrous complications of bone fracture.Successful bone reconstruction can only be performed on the basis of thorough debridement and infection control,so the diagnosis of infection is crucial.However,there is still a great challenge in the diagnosis of infectious nonunion including the definition of infectious nonunion,diagnosis criteria of infection,and the practical value of common clinical diagnostic techniques such as serum inflammatory factors,imaging techniques,histopathology and microbial culture.This paper summarizes current challenges and controversies in the diagnosis of infectious nonunion to attract high attention of the diagnosis of infectious nonunion and more research on efficient diagnostic technology,and further to avoid the occurrence of misdiagnosis,minimizing the damage of infectious nonunion.

关 键 词：感染 骨不连 诊断 

分 类 号：R681.2[医药卫生—骨科学]