Bullitt E, Lehman R A
Surg Neurol. 1979 Mar;11(3):163-6.
This retrospective study includes 18 patients who underwent 28 admissions for treatment of osteomyelitis of the skull. Each admission was reviewed separately. Systemic symptoms were rare and signalled the presence of an associated collection of pus. Films of the skull, polytomography and bone scans were all useful in establishing the diagnosis, whereas white blood cell count, erythrocyte sedimentation rate and brain scans were of little value. Complete surgical debridement was found to be of significantly greater value than limited surgical debridement. The surgical results appeared to be improved when surgery was followed by long courses of antibiotics. Each patient who received complete surgical debridement followed by at least six weeks of antibiotic therapy was cured.
这项回顾性研究纳入了18例因颅骨骨髓炎接受28次住院治疗的患者。每次住院均单独进行评估。全身症状罕见，提示存在相关的脓肿。颅骨X线片、断层摄影术和骨扫描对确诊均有帮助，而白细胞计数、红细胞沉降率和脑部扫描价值不大。发现彻底的手术清创比有限的手术清创价值显著更高。术后进行长期抗生素治疗时，手术效果似乎有所改善。每例接受彻底手术清创并至少接受六周抗生素治疗的患者均治愈。
