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[化脓性感染中游离骨成形术的理论基础]

[Theoretical grounds for free osteoplasty in suppurative infection].

作者信息

Bellendir E N, Kovalenko D G, Boiarkina S K

出版信息

Vestn Khir Im I I Grek. 1979 Jun;122(6):22-8.

PMID:377768
Abstract

From the materials of extensive experimental studies and clinical observations the theoretical grounds for the free bone plasty under the conditions of purulent infection were devised. The methods of investigation of the microcirculatory vascular bed, luminescent microscopy with a tetracycline mark, photometry, planimetry and other specific tests were applied. Findings obtained in earlier experiments on 2000 animals (rabbits and dogs) and data of supplementary special studies on 185 rabbits were used. It was found, that from the point of view of the condition of the microcirculatory bed and osteogenetic potentiatlities of the mother bone, the free bone plasty is quite grounded theoretically. The authors' theoretical postulates are supported by successful treatment of 47 patients with hematogenic spine osteomyelities, subjected to bone plasty of the defects formed after the removal of purulent inflammatory foci.

摘要

根据广泛的实验研究和临床观察资料,提出了在化脓性感染情况下进行游离骨移植的理论依据。采用了微循环血管床研究方法、四环素标记荧光显微镜检查、光度测量、平面测量及其他特殊检测方法。利用早期在2000只动物(兔子和狗)身上进行实验所获得的结果以及对185只兔子进行补充专项研究的数据。结果发现,从微循环床状况和母体骨的成骨潜力来看,游离骨移植在理论上是有充分依据的。47例血源性脊柱骨髓炎患者在清除化脓性炎症病灶后形成骨缺损并接受了骨移植,治疗成功支持了作者的理论假设。

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