骨髓炎缺损治疗的特殊注意事项（糖尿病、缺血或血运不良床和放疗）。
Special considerations in the management of osteomyelitis defects (diabetes, the ischemic or dysvascular bed, and irradiation).
机构信息
Department of Plastic Surgery, Georgetown University Hospital, Washington, D.C.
出版信息
Semin Plast Surg. 2009 May;23(2):132-40. doi: 10.1055/s-0029-1214165.
Abstract
Although osteomyelitis is a difficult problem, certain conditions make it even more difficult to address. Diabetes, peripheral vascular disease, and radiation are all comorbidities that interfere with wound healing and therefore make the treatment of osteomyelitis challenging. In this article, we discuss these conditions, their pathophysiology, and highlight the special considerations in treating osteomyelitis in patients with these comorbidities.
摘要
虽然骨髓炎是一个难题，但某些情况使其更难以处理。糖尿病、外周血管疾病和辐射都是合并症，它们会干扰伤口愈合，因此使骨髓炎的治疗具有挑战性。在本文中，我们讨论了这些情况及其病理生理学，并强调了治疗这些合并症患者骨髓炎时的特殊注意事项。
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本文引用的文献
1
Recurring and antimicrobial-resistant infections:considering the potential role of biofilms in clinical practice.复发性感染与耐药性感染：探讨生物膜在临床实践中的潜在作用
Ostomy Wound Manage. 2007 Apr;53(4):46-8, 50, 52 passim.
2
Osteomyelitis in the head and neck.头颈部骨髓炎
Acta Otolaryngol. 2007 Feb;127(2):194-205. doi: 10.1080/00016480600818054.
3
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Plast Reconstr Surg. 2006 Jun;117(7 Suppl):212S-238S. doi: 10.1097/01.prs.0000222737.09322.77.
4
Probing the validity of the probe-to-bone test in the diagnosis of osteomyelitis of the foot in diabetes.探究探针至骨试验在糖尿病足骨髓炎诊断中的有效性。
Diabetes Care. 2006 Apr;29(4):945. doi: 10.2337/diacare.29.04.06.dc05-2450.
5
Osteomyelitis in diabetic foot ulcers. Prompt diagnosis can avert amputation.糖尿病足溃疡中的骨髓炎。及时诊断可避免截肢。
Postgrad Med. 2005 Jul;118(1):11-5. doi: 10.3810/pgm.2005.07.1678.
6
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7
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Surg Clin North Am. 2003 Jun;83(3):707-26. doi: 10.1016/S0039-6109(02)00191-3.
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10
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Laryngoscope. 1999 Aug;109(8):1324-7; discussion 1327-8. doi: 10.1097/00005537-199908000-00027.
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