Bartkowski S B, Zapala J, Heczko P, Szuta M
Department of Maxillofacial Surgery, Medical Faculty of the Jagiellonian University in Cracow, Poland.
J Craniomaxillofac Surg. 1998 Feb;26(1):63-7. doi: 10.1016/s1010-5182(98)80037-1.
The authors have analysed 15 cases of actinomycotic osteomyelitis of the mandible. Primary actinomycotic inflammation of the mandible was diagnosed in nine patients, secondary in six patients (following fracture or resection of the mandible). The diagnosis was established on the basis of the clinical examination confirmed by bacteriological and/or histopathological tests. The basic method of treatment was antibiotic therapy of long duration. Surgical treatment was performed in all patients. Twelve of fifteen patients who had received the therapy and proved asymptomatic for 1 year to 23 years were recognized to be cured of the disease. In three patients, a single recurrence of the disease was observed after 1.5-2 months.
作者分析了15例下颌骨放线菌性骨髓炎病例。9例患者诊断为原发性下颌骨放线菌炎症，6例为继发性（下颌骨骨折或切除术后）。诊断依据临床检查，并经细菌学和/或组织病理学检查证实。基本治疗方法是长期抗生素治疗。所有患者均接受了手术治疗。15例接受治疗且1年至23年无症状的患者中有12例被认为已治愈。3例患者在1.5 - 2个月后出现疾病复发。
