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[骨感染]

[Bone infections].

作者信息

Tiemann A H, Braunschweig R, Hofmann G O

机构信息

Abteilung für Septische und Rekonstruktive Chirurgie, Klinik für Unfall -und Wiederherstellungschirurgie, BG-Kliniken Bergmannstrost Halle, Merseburgerstraße 165, 06112, Halle, Deutschland.

出版信息

Unfallchirurg. 2012 Jun;115(6):480-8. doi: 10.1007/s00113-012-2187-y.

Abstract

Even in recent traumatology and orthopedic surgery infectious diseases of the bone (i.e. osteomyelitis) and it's surrounding tissues remain serious complications. The therapy is demanding and oftenly does not lead to a complete restitutio ad integrum. In order to create the optimal treatment one has to have a profound knowledge about the "state of the art" therapy of bone infections and the basic phases: Reassurance of the local infection (bone and surrounding tissues) and reconstruction of the bone and surrounding tissues. The local infection treatment is based on the consequent surgical eradication of infected tissue. In addition (as a supportive therapy) antibiotics have to be applied according to the local and systemic response of the patient to the infection. Also further supportive methods like hyperbaric oxygenation may be taken into consideration. The following paper provides an overview of diagnostic features and the different surgical procedures as well as the current literature in order to reach the above mentioned goals.

摘要

即使在当代创伤学和骨外科领域,骨(即骨髓炎)及其周围组织的感染性疾病仍然是严重的并发症。治疗要求很高,且常常无法实现完全康复。为了制定最佳治疗方案,必须深入了解骨感染的“最新”治疗方法以及基本阶段:消除局部感染(骨和周围组织)和重建骨及周围组织。局部感染的治疗基于对感染组织的彻底手术清除。此外(作为支持性治疗),必须根据患者对感染的局部和全身反应使用抗生素。还可以考虑其他支持性方法,如高压氧疗。以下论文概述了诊断特征、不同的外科手术方法以及当前文献,以实现上述目标。

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