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[特殊检查方法及其在骨盆骨髓炎患者手术干预范围和类型选择中的作用]

[Special methods of examination and their role in the selection of the extent and type of surgical intervention in patients with pelvic osteomyelitis].

作者信息

Gostishchev V K, Karmazanovskiĭ G G, Shalykova L P, Vasil'kova Z F, Vavilova G S

出版信息

Khirurgiia (Mosk). 1992 Jul-Aug(7-8):17-21.

PMID:1469863
Abstract

The article analyses the results of radiological and computer methods of examination applied in 117 patients with chronic osteomyelitis of the pelvis to determine the site and activity of the process and choose the most rational surgical approach. The localization of the process is determined by radiography, fistulography (if a fistula exists), scanning of the skeleton, and computer tomography. Scanning of the skeleton makes it possible to determine the activity of the process. The optimal operative approach and volume of operation are chosen by comparing the radiological findings (radio- and fistulography) and the results of computer tomography. The success of surgical treatment of patients with chronic osteomyelitis of the pelvis is determined to a great measure by the informativeness of the results of preoperative examination of the patient. With this in view, the most optimal combinations of the range of modern diagnostic measures should be used more widely.

摘要

本文分析了117例骨盆慢性骨髓炎患者应用放射学和计算机检查方法的结果,以确定病变部位和活动情况,并选择最合理的手术方法。通过X线摄影、瘘管造影(如有瘘管)、骨骼扫描和计算机断层扫描来确定病变的定位。骨骼扫描可以确定病变的活动情况。通过比较放射学检查结果(X线和瘘管造影)和计算机断层扫描结果来选择最佳的手术方法和手术范围。骨盆慢性骨髓炎患者手术治疗的成功在很大程度上取决于患者术前检查结果的信息量。鉴于此,应更广泛地使用现代诊断措施的最佳组合。

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