Swiontkowski M F, Hagan K, Shack R B
Department of Orthopaedics and Rehabilitation, Vanderbilt University, Nashville, Tennessee.
J Orthop Trauma. 1989;3(1):1-5. doi: 10.1097/00005131-198903010-00001.
Laser Doppler flowmetry was used intraoperatively to differentiate viable from nonviable bone during the debridement of 12 cases of chronic osteomyelitis and three cases of acute bone infection following trauma. Six weeks of i.v. antibiotic therapy were directed against two cases of gram-positive and 13 cases of gram-negative bone infection. In cases of chronic infection, free muscle flaps were added for soft tissue coverage in five cases and rotational muscle flaps in four cases. At follow-up observation, of 1 to 3 years, no recurrences were seen. Laser Doppler flowmetry is an easy-to-use adjunct to the surgical debridement of bone infection.
在对12例慢性骨髓炎和3例创伤后急性骨感染进行清创时，术中使用激光多普勒血流仪来区分存活骨与非存活骨。针对2例革兰氏阳性菌和13例革兰氏阴性菌引起的骨感染，进行了六周的静脉抗生素治疗。对于慢性感染病例，5例采用游离肌皮瓣进行软组织覆盖，4例采用旋转肌皮瓣。在1至3年的随访观察中，未见复发。激光多普勒血流仪是骨感染手术清创中一种易于使用的辅助手段。
