Kutin A A, Amelin V M, Braverman I B, Kutin M A, Mosienko N I
Khirurgiia (Mosk). 1998(8):17-9.
The experience in treatment of 40 patients with osteomyelitis and chondritis of the bones of thoracic wall is presented. 39 patients (of 40) underwent surgery with due regard to an adequate extent of resection within so-called borders of intact tissues. Critical analysis of literature and authors' own experience made it possible to establish strict borders of resection of damaged bones in this disease of thoracic wall frame and to obtain good results of combined treatment in patients over 50 years. Complete removal of chondral tissues and resection of bones within the area of probably normal anatomic formation of the bone, irrespective of the origin of osteomyelitis and chondritis (hematogenous, exogenous), have promoted recovery of the patients. There were no relapses during 1-7 year period.
本文介绍了40例胸壁骨骨髓炎和软骨炎患者的治疗经验。40例患者中有39例接受了手术,手术时充分考虑了在所谓的完整组织边界内进行足够范围的切除。对文献的批判性分析和作者自身的经验使得能够确定胸壁框架这种疾病中受损骨骼切除的严格边界,并在50岁以上的患者中获得联合治疗的良好效果。无论骨髓炎和软骨炎的起源(血源性、外源性)如何,彻底清除软骨组织并在可能正常的骨解剖结构区域内切除骨骼,促进了患者的康复。在1至7年期间没有复发。