| 中药泡洗持续冲洗和病灶清除治疗合并大面积皮肤缺损的足部失神经性骨髓炎 |
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Received:May 23, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 王兴国 |
WANG Xing-guo |
北京骨髓炎医院,北京 102206 |
Beijing Osteomyelitis Hospital,Beijing 102206,China |
wangxingguo666@sohu.com |
| 王伟 |
WANG Wei |
北京骨髓炎医院,北京 102206 |
Beijing Osteomyelitis Hospital,Beijing 102206,China |
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| 王军 |
WANG Jun |
北京骨髓炎医院,北京 102206 |
Beijing Osteomyelitis Hospital,Beijing 102206,China |
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| 葛建忠 |
GE Jian-zhong |
北京骨髓炎医院,北京 102206 |
Beijing Osteomyelitis Hospital,Beijing 102206,China |
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| 期刊信息：《中国骨伤》2009年22卷，第1期，第35-36页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：评价应用中药泡洗、持续冲洗和病灶清除对治疗大面积皮肤缺损的足部失神经性骨髓炎治疗疗效。
方法：足部失神经性骨髓炎合并大面积皮肤缺损的患者53例，其中男25例，女28例；左侧42例，右侧11例。合并皮肤缺损并窦道形成的51例，仅皮肤缺损的2例。脊柱裂致神经功能障碍48例，其他方面引起的神经功能障碍5例。所有病例经过术前中药创面浸泡，创面周围皮肤按摩松解，病灶清除，持续冲洗及必要的Ⅱ期的缩创缝合。
结果：随访时间平均为5年(1～12年),骨髓炎复发3例，又在原部位出现皮肤缺损9例。
结论：应用中药泡洗、持续冲洗和病灶清除对治疗大面积皮肤缺损的足部失神经性骨髓炎有较好的疗效，可一定程度避免皮瓣移植、植骨及截肢的发生，值得进一步研究和推广。 |
| [关键词]:骨髓炎 足 中药疗法 外治法 清创术 |
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| Application of traditional Chinese drug soaking, continual irrigation and focus elimination for the treatment of foot osteomyelitis complicated with massive skin defect and denervation |
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Abstract:
Objective: To evaluate therapeutic effects of traditional Chinese drug soaking,continual irrigation and focus elimination for foot osteomyelitis complicated with massive skin defect and denervation.
Methods: There were 25 males and 28 females in the study. All the patients suffering from foot osteomyelitis complicated with massive skin defect and denervation were treated with comprehensive therapy including preoperative traditional Chinese drug soaking,skin release,focus elimination,continual irrigation,and two-stage suture if necessary. Among the patients,there were 42 cases of left foot and 11 cases of right one. Fifty-one patients complicated with skin defect and sinus tract,only 2 patients complicated with skin defect. There were 48 patients with denervation caused by spina bifida,5 patients by other causes.
Results: The follow-up duration was from 1 to 12 years,the mean time was about 5 years. Osteomyelitis recurred in 3 cases and skin defect reoccurred in original position in 9 cases.
Conclusion: The methods of traditional Chinese drug soaking,continual irrigation and elimination of focus have good effects for foot osteomyelitis complicated with massive skin defect and denervation. To some degree,this therapy may avoid skin flap transplantation,bone graft and amputation. It deserves further studies and promotion. |
| KEYWORDS:Osteomyelitis Foot Treatment with Chinese herbs External therapies Debridement |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王兴国,王伟,王军,葛建忠.中药泡洗持续冲洗和病灶清除治疗合并大面积皮肤缺损的足部失神经性骨髓炎[J].中国骨伤,2009,22(1):35~36 |
| 英文格式: | WANG Xing-guo,WANG Wei,WANG Jun,GE Jian-zhong.Application of traditional Chinese drug soaking, continual irrigation and focus elimination for the treatment of foot osteomyelitis complicated with massive skin defect and denervation[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(1):35~36 |
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