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慢性血源性骨髓炎中骨干死骨的形成

Incorporation of diaphyseal sequestra in chronic haematogenous osteomyelitis.

作者信息

Jain A K, Sharma D K, Kumar S, Sethi A, Arora A, Tuli S M

机构信息

University College of Medical Sciences, Shahdara, Delhi, India.

出版信息

Int Orthop. 1995;19(4):238-41. doi: 10.1007/BF00185230.

DOI:10.1007/BF00185230
PMID:8557421
Abstract

Seventeen patients with haematogenous osteomyelitis and long diaphyseal sequestra are reported. Treatment was incision and drainage with antibiotics for at least 6 to 8 weeks, the limb being protected in plaster for a long time. The sequestra became incorporated in every case. Sequestrectomy should only be undertaken when successive radiographs show no reduction in size of the sequestrum and an increase in the amount of the involucrum.

摘要

报告了17例血源性骨髓炎并伴有长骨干骺端死骨的患者。治疗方法为切开引流并使用抗生素至少6至8周,肢体需长时间用石膏固定。所有病例的死骨均已融合。仅当连续的X线片显示死骨大小没有缩小且骨痂量增加时,才应进行死骨切除术。

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Complete incorporation of long diaphyseal sequestrum without surgical intervention in chronic hematogenous osteomyelitis of tibia in an immunocompetent child.免疫功能正常儿童胫骨慢性血源性骨髓炎中,长骨干骺端死骨无需手术干预而完全吸收。
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本文引用的文献

1
Hematogenous osteomyelitis in infants and children in the northwestern region of Namibia. Management and two-year results.纳米比亚西北部婴幼儿血源性骨髓炎。治疗及两年随访结果。
J Bone Joint Surg Am. 1994 Apr;76(4):502-10. doi: 10.2106/00004623-199404000-00004.
2
The periosteum: its function reassessed.
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Resection of the tibial shaft for osteomyelitis in children. A thirty-two-year follow-up study.
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The management of osteomyelitis in East Africa.东非骨髓炎的管理
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Treatment of sequestra, pseudarthroses, and defects in the long bones of children who have chronic hematogenous osteomyelitis.患有慢性血源性骨髓炎的儿童长骨中死骨、假关节及骨缺损的治疗。
J Bone Joint Surg Am. 1989 Dec;71(10):1448-68.
6
Tibial defect due to acute haematogenous osteomyelitis: treatment and results in twenty-one children.急性血源性骨髓炎所致胫骨缺损:21例儿童的治疗及结果
J Bone Joint Surg Br. 1979 Feb;61(1):77-81. doi: 10.1302/0301-620X.61B1.422639.