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慢性骨髓炎的临床诊断与治疗
Hits: 1830   Download times: 1295   Received:April 23, 2014    
作者Author单位UnitE-Mail
彭冰 PENG Bing 浙江中医药大学第一临床医学院, 浙江 杭州 310053
浙江省骨伤研究所, 浙江 杭州 310053
Institute of Orthopaedic and Traumatology of Zhejiang, Hangzhou 310053, Zhejiang, China  
宋才渊 SONG Cai-yuan 浙江中医药大学第一临床医学院, 浙江 杭州 310053
浙江省骨伤研究所, 浙江 杭州 310053
Institute of Orthopaedic and Traumatology of Zhejiang, Hangzhou 310053, Zhejiang, China  
金红婷 JIN Hong-ting 浙江中医药大学第一临床医学院, 浙江 杭州 310053
浙江省骨伤研究所, 浙江 杭州 310053
Institute of Orthopaedic and Traumatology of Zhejiang, Hangzhou 310053, Zhejiang, China  
肖鲁伟 XIAO Lu-wei 浙江中医药大学第一临床医学院, 浙江 杭州 310053
浙江省骨伤研究所, 浙江 杭州 310053
Institute of Orthopaedic and Traumatology of Zhejiang, Hangzhou 310053, Zhejiang, China  
童培建 TONG Pei-jian 浙江中医药大学第一临床医学院, 浙江 杭州 310053
浙江省骨伤研究所, 浙江 杭州 310053
Institute of Orthopaedic and Traumatology of Zhejiang, Hangzhou 310053, Zhejiang, China  
期刊信息:《中国骨伤》2015年28卷,第9期,第870-873页
DOI:10.3969/j.issn.1003-0034.2015.09.020
基金项目:国家自然科学基金(编号:81373669);浙江省十二五重大专项(编号:2012C13017-2);浙江省中医药科技项目(编号:2007GA002)
慢性骨髓炎是临床常见的病症之一.近些年来由于糖尿病、外周血管病以及创伤等诱发疾病增多,其患病率也有所上升.随着磁共振成像和CT成像技术的发展,大大提高了慢性骨髓炎临床诊断的准确性和描述感染特征的能力,为临床治疗提供可靠依据.目前对慢性骨髓炎的研究主要集中在影像学应用价值方面和抗生素优化使用途径控制炎症、缺损重建恢复血供等治疗方面.但其抗生素治疗的最佳时间以及运用方案仍不确定,对于清创后植骨的时机以及缺损修复后功能的快速恢复等还需进一步的研究.
[关键词]:骨髓炎  诊断  治疗  综述文献
 
Clinical diagnosis and treatment of chronic osteomyelitis
Abstract:Chronic osteomyelitis is one of the most common disorder in clinic. In recent years due to diabetes, peripheral vascular disease and trauma induced disease increased, the prevalence rate increased. With the development of magnetic resonance imaging and CT imaging technology, it greatly improved the accuracy of clinical diagnosis of chronic osteomyelitis and ability to describe the infection characteristics, and provide a reliable basis for clinical treatment. The current research on chronic osteomyelitis mainly concentrated on the aspects of imaging applications and ways of using antibiotic optimization control inflammation, defect restoration and reconstruction of blood supply and treatment. But the best time to the antibiotic therapy and the use of program is still uncertain, for after debridement, bone grafting time and defect repair function of fast recovery still need further research.
KEYWORDS:Osteomyelitis  Diagnosis  Therapy  Review literature
 
引用本文,请按以下格式著录参考文献:
中文格式:彭冰,宋才渊,金红婷,肖鲁伟,童培建.慢性骨髓炎的临床诊断与治疗[J].中国骨伤,2015,28(9):870~873
英文格式:PENG Bing,SONG Cai-yuan,JIN Hong-ting,XIAO Lu-wei,TONG Pei-jian.Clinical diagnosis and treatment of chronic osteomyelitis[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(9):870~873
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