几种不同方法治疗青海地区下肢慢性骨髓炎的对比分析

发布时间：2018-06-15 15:10

本文选题：慢性骨髓炎 + 病灶清除　；参考：《青海大学》2017年硕士论文

【摘要】：目的:通过回顾性研究对比三种不同方法对青海地区下肢慢性骨髓炎患者的治疗效果,分析下肢慢性骨髓炎的治疗选择及并发症的防治。方法:将青海大学附属医院及外院2008年6月至2015年6月确诊为下肢慢性骨髓炎患者184例按照三种不同治疗方法分为置管对流冲洗组(A组42例),骨水泥抗生素珠链植入组(B组80例)和骨搬移组(C组62例)。对比分析三种不同方法治疗下肢慢性骨髓炎的治愈率(复发率)、术后功能评分、并发症发生率以及疗效评价。结果:三组治疗方法的治愈率(复发率)分别为A组47.6%(52.4%),B组87.5%(12.5%),C组96.8%(3.2%);并发症的发生率A组80.9%,B组51.2%,C组33.9%;术后功能评分A组58分(差),B组72分(良),C组87分(优)。结论:骨搬移组(即C组)方法治疗下肢慢性骨髓炎治愈率高,病灶清除是否彻底是治疗成功的关键。
[Abstract]:Objective: to compare the therapeutic effects of three different methods on patients with chronic osteomyelitis of lower extremity in Qinghai province, and to analyze the choice of treatment and prevention and treatment of complications of chronic osteomyelitis of lower extremity. Methods: from June 2008 to June 2015, 184 patients with chronic osteomyelitis of lower extremity in Qinghai University affiliated Hospital and Foreign Hospital were divided into two groups: group A (n = 42) and group A (n = 42) with bone cement antibiotic beads. Group B (n = 80) and group C (n = 62). The cure rate (recurrence rate, postoperative functional score, complication rate and curative effect evaluation) of three different methods for treating chronic osteomyelitis of lower extremities were analyzed. Results: the cure rate (recurrence rate) of the three treatment methods in group A was 47.6 and that in group B was 52.40.The rate of complications in group A was 87.9 and that in group B was 87.512.5and that in group C was 96.83.20.The incidence of complications in group A was 80.9 and that in group B was 51.2and that in group A was 51.20.After operation, the scores of group A and B were lower than those of group B and B, respectively. Conclusion: the cure rate of lower extremity chronic osteomyelitis is high in group C (group C).
【学位授予单位】：青海大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.3

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