CAJ | 학술논문

目的探讨酸性水在下肢远端骨髓炎的治疗作用.方法晋城煤业集团总医院骨一科2011年7月至2012年10月对11例胫腓骨远端骨折内固定术后及跟骨骨折内固定术后感染,内固定材料或骨外露,有较多脓性分泌物的病例于病灶清除后先采用酸性水冲洗浸泡治疗,待创面清洁、肉芽组织形成后,二期直接缝合切口或应用皮瓣转移修复创面.结果本组应用酸性水冲洗浸泡切口,同时全身应用敏感抗生素,冲洗浸泡时间为10～25 d,平均19 d,创面经上述方法治疗后分泌物逐渐减少,创面逐渐形成肉芽组织.二期手术修复创面,随访6～18个月,患者骨折断端骨性愈合,骨髓炎均无复发.结论应用酸化水治疗骨髓炎,疗效确切可行,医疗费用低,具有良好的社会效益和经济效益,为治疗四肢远端的慢性骨髓炎提供了一种新的选择.
목적 탐토산성수재하지원단골수염적치료작용.방법 진성매업집단총의원골일과2011년7월지2012년10월대11례경비골원단골절내고정술후급근골골절내고정술후감염,내고정재료혹골외로,유교다농성분비물적병례우병조청제후선채용산성수충세침포치료,대창면청길、육아조직형성후,이기직접봉합절구혹응용피판전이수복창면.결과 본조응용산성수충세침포절구,동시전신응용민감항생소,충세침포시간위10～25 d,평균19 d,창면경상술방법치료후분비물축점감소,창면축점형성육아조직.이기수술수복창면,수방6～18개월,환자골절단단골성유합,골수염균무복발.결론 응용산화수치료골수염,료효학절가행,의료비용저,구유량호적사회효익화경제효익,위치료사지원단적만성골수염제공료일충신적선택.
Objective To evaluate the clinical efficacy of acid water on distal lower extremity chronic osteomyelitis.Methods Between July 2011 and November 2012,11 patients with lots of exudates of chronic osteomyelitis were treated in our hospital.After the focus of infection was debrided completely,they were treated with acid water.As soon as the wound surface was clear and the surface was covered with granulating tissue,the wounds were treaded with secondary directly sutured or closed by skin transplantation.Results The exudates and the area of the wound were both decreased after rinsed and soaked in acid water for 10-25 days,with an average of 19 days.The wound was covered by second suture or flap transplantation.After of followed-up of 6-18 months,all 11 cases of chronic osteomyelitis were healed with no recurrence.Conclusions Application of acid water in treatment of osteomyelitis is effective and feasible,it has low medical cost,with good social and economic benefits,and provides a new option for the treatment of chronic osteomyelitis of the distal limbs.