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一期植骨外固定治疗医源性骨感染

Hits: 1742 Download times: 1253 Received:April 21, 2000 Revised:June 30, 2000

作者	Author	单位	Unit	E-Mail
张会增	ZHANG Hui zeng	邢台矿业集团总医院,河北邢台054000	General Hospital of Xingtai Coal Mineral Group Hebei Xingtai,054000
张同润	ZHANG Tong run	邢台矿业集团总医院,河北邢台054000	General Hospital of Xingtai Coal Mineral Group Hebei Xingtai,054000
冯贵敏	FENG Gui min	邢台矿业集团总医院,河北邢台054000	General Hospital of Xingtai Coal Mineral Group Hebei Xingtai,054000

期刊信息：《中国骨伤》2001年14卷，第6期，第330-331页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的：探讨闭合骨折内固定术后骨感染的治疗原则和方法。

方法：对25例闭合性骨折术后骨感染的病例,在彻底清除病灶,摘除死骨的基础上,一期植骨,依软组织缺损情况行肌瓣或肌皮瓣闭合创面。外固定器加压固定,持续冲洗-负压引流。

结果：全部病例伤口一期愈合。术后3～6个月,平均45个月达到骨性愈合,无一例感染复发。

结论：采用一期植骨的综合治疗措施,简化和缩短了治疗过程,改变了分期治疗骨髓炎的传统观念,一期植骨外固定治疗医源性感染不但可行而且有效。

[关键词]:骨折闭合性感染骨折固定术

Treatment of iatrogenic osseous infection using bone grfting and external fixation at the same setting

Abstract:

Objective:To investigate the principles and methods of the treatment of close fractures complicated with infection after internal fixation.

Methods:25 patients of close fractures with bone infection after internal fixation operation were reviewed.After complete debridement and sequestrectomy,bone gfafting was done at th esame setting.According to condition of soft tissue defects,muscular or musclo cutaneous flaps were used to close the wound.Then immobilization was done with external fixators apparatus followed by contious irrigation under negative pressure.

Results:All the cases had primary healing of the wound and bone union within 3 to 6 months (mean 4.5 months).There was no relapsed.

Conclusion:The combined methods of debridement and bone grafting at the same setting simplified and shortened the course of treatment of iatrogenic bone infection.

KEYWORDS:Fractures closed Infection Fracture fixation

引用本文，请按以下格式著录参考文献：

中文格式:	张会增,张同润,冯贵敏.一期植骨外固定治疗医源性骨感染[J].中国骨伤,2001,14(6):330~331
英文格式:	ZHANG Hui zeng,ZHANG Tong run,FENG Gui min.Treatment of iatrogenic osseous infection using bone grfting and external fixation at the same setting[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(6):330~331

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