抗生素局部灌注负压吸引治疗骨髓炎的探讨

Irrigation of antibiotics and suction-drainage for treatment of osteomyelitis

  • 摘要: 清创术后灌注负压吸引为治疗骨髓炎的有效的局部抗生素治疗方法。操作简便;保持了局部抗生素的高浓度,一期缝合切口;引流充分;针对性使用抗生素;毒副作用极小。本组20例患者经彻底清创后辅以灌注负压吸引,平均灌注无数15d,2例感染复发再次清创并给予灌注负压吸引。疗效显著,随访1~10年无再复发,总有效率80%。

     

    Abstract: post-debridement irrigation-suction-drainage is a effective local antibiotic therapy inosteomyelitis. There are the following advanges: it is operated simply; Primary wound closuregives a high concentration of local antibiotics; drainage is complete; antibiotics is used specifical.ly with least toxic side effects.In this group, twenty patients were treated with irrigation suct-ion-drainage after complete debrldement, average irrigation time is 15 days,ofthem two patientswere treated again because of infected recurrence. it has prominent effect, without second recu-rrence for 1 to 10 years of follow-up, the total effective rate is 80%.

     

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