Gostishchev V K, Vasilkova Z F, Vavilova G S, Kachakhidze M G, Romanchenko I M, Khanin A G
Khirurgiia (Mosk). 1994 Feb(2):41-4.
The article analyses the results of surgical treatment of 227 patients with osteomyelitis of the foot bones. The peculiarities of the course of the disease, determined by the anatomical and functional features and the concomitant pathological conditions, are evaluated. Comparative appraisal of various methods of examination showed the radionuclide method to be most informative. The peculiarities of surgical operations in pyoinflammatory diseases of the foot bones, which are due to the necessary preservation of a segment of the foot for subsequent correction, call for obligatory application of combined necrectomy and a complex of agents with polyfunctional activity in addition to the traditional mechanical methods of treatment of the bone defect. The results of complex treatment were good in 72%, satisfactory in 23%, and poor in 5% of patients.
本文分析了227例足骨骨髓炎患者的手术治疗结果。评估了由解剖和功能特征以及伴随的病理状况所决定的疾病病程特点。对各种检查方法的比较评估表明，放射性核素法信息量最大。足骨脓性炎症性疾病手术操作的特点，因需保留足部的一段以便后续矫正，除了传统的治疗骨缺损的机械方法外，还需要强制应用联合坏死组织切除术和具有多功能活性的药物组合。综合治疗结果在72%的患者中良好，23%的患者中满意，5%的患者中较差。
