抗生素骨水泥链置入在慢性骨髓炎行病灶清除后的感染控制

目的探讨慢性骨髓炎在采用抗生素骨水泥链进行治疗后的感染控制。方法将我院收治的50例慢性骨髓炎患者随机分为研究组和对照组,病灶清除后,分别给予患者抗生素骨水泥链置入处理和闭合灌洗引流术,观察患者的平均住院时间、平均手术次数以及治愈率。结果研究组21例患者平均住院时间为(65±4.2)d;平均手术次数为(2.3±1.2)次;患者的治愈率为85.7%。对照组29例患者平均住院时间为(103±2.5)d;平均手术次数为(2.8±1.4)次;患者治愈率为55.2%。2组比较差异具有统计学意义(P0.05)。结论抗生素骨水泥链治疗慢性骨髓炎具有良好效果,减少患者的住院时间和手术次数,提高治愈率,病灶清除后的感染控制效果好。

Infection control of chronic osteomyelitis with antibiotic bone cement after debridement

Objective To analyze the infection control of chronic osteomyelitis with antibiotic bone cement. Methods In our hospital, 50 patients were randomly divided into study group and control group,after clearing the focus,patients were given antibiotic bone cement and closed lavage and drainage respectively. The hospitalization time,average number of operation and the cure rate of patients were observed. Results The average hospitalization time of 21 patients in the study group was （ 65 ± 4. 2 ） d;the mean number of operation was （2. 3 ± 1. 2）;the cure rate was 85. 7%. The average duration of hospitalization of 29 patients in control group was （103 ± 2. 5） d;the mean number of operation was （2. 8 ± 1. 4）;the cure rate was 55. 2%. The difference between the 2 groups was statistically significant （P〈0. 05）. Conclusion Antibiotic bone cement has a good therapeutic effect in the treatment of patients with chronic osteomyelitis,which reduces the hospitalization time and the number of operation,improves the cure rate of patients,focal infection after the removal is controlled well.