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负压治疗技术在急、慢性骨感染中的应用
引用本文:谭延斌,李杭,潘志军,郑强,李建兵,冯钢.负压治疗技术在急、慢性骨感染中的应用[J].中华外科杂志,2008,46(11).
作者姓名:谭延斌  李杭  潘志军  郑强  李建兵  冯钢
作者单位:浙江大学医学院附属第二医院骨科,杭州,310009
摘    要:目的 探讨负压治疗技术在治疗急、慢性骨感染中的价值.方法 采用负压治疗技术.即在一段时间内将伤口置于密闭强力负压状态,治疗急、慢性骨感染患者30例(33个部位),辅助清创手术,应用敏感抗生素,应用植皮、肌皮瓣转移等方法闭合创面.结果 29个部位通过1次负压治疗就可达到创面闭合条件.所有患者均获随访,随访时间6~23个月,平均13.6个月,感染无复发.结论 负压治疗技术能有效控制急、慢性骨感染,缩短治疗时间,在骨感染治疗中有较好的应用前景.

关 键 词:骨疾病  感染性  清创术  负压治疗

Treatment of acute and chronic osteomyelitis with negative pressure wound therapy
TAN Yan-bin,LI Hang,PAN Zhi-jun,ZHENG Qiang,LI Jian-bing,FENG Gang.Treatment of acute and chronic osteomyelitis with negative pressure wound therapy[J].Chinese Journal of Surgery,2008,46(11).
Authors:TAN Yan-bin  LI Hang  PAN Zhi-jun  ZHENG Qiang  LI Jian-bing  FENG Gang
Abstract:Objective To investigate the treatment of acute and chronic osteomyelitis with negative pressure wound therapy.Method Thirty cases of acute and chronic osteomyelitis were treated with negative presage wound therapy,assisted with debridement,autodermoplasty and myo-cutaneous flap surgery.Results No evidence of relapse was found in all cases treated with negative pressure wound thempy.All the patients were followed up,range from 6 to 23 months,the average was 13.6 months.Condusion The negative pressure wound thempy maybe a simple,effective and inexpensive method,and could be one of the favorable therapy in the treatment of acute and chronic osteomyelitis.
Keywords:Bone diseases  infectious  Debridement  Negative pressure wound thempy
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