Gostishchev V K, Shalchkova L P
Khirurgiia (Mosk). 2000(8):38-41.
The results of treatment in 177 patients with chronic osteomyelitis of the pelvis are reported. The diagnosis was clarified and the patients' general status was assessed by comprehensive examination (roentgenography, tomography, fistulography, scintigraphy, bacteriological, immunological, and laboratory studies). A procedure of complex preoperative preparation, rational detoxication and immunocorrection, intraoperative blood loss replenishment (autohemotransfusion) and volemic disturbances correction was developed. This permits expansion of indications for surgery, whose basis is bone resection. Taking into account the localization of a pathologic process, the authors consider bone resection within the normal tissue limits to be a main component of surgical treatment of chronic pelvic osteomyelitis.
报告了177例骨盆慢性骨髓炎患者的治疗结果。通过综合检查（X线摄影、体层摄影、瘘管造影、闪烁扫描、细菌学、免疫学和实验室研究）明确诊断并评估患者的一般状况。制定了复杂的术前准备程序、合理的解毒和免疫纠正、术中失血补充（自体输血）以及血容量紊乱纠正措施。这使得以骨切除为基础的手术适应证得以扩大。考虑到病理过程的定位，作者认为在正常组织范围内进行骨切除是慢性骨盆骨髓炎手术治疗的主要组成部分。
