骨折内固定术后迟发性感染11例治疗体会

The treatment experience of delayed infection in 11 cases of fracture after internal fixation

目的总结骨折内固定术后迟发性感染的治疗经验。方法对11例骨折内固定术后迟发性感染患者行抗感染、内固定拆除及扩创、持续冲洗引流。结果术后随访平均10个月(6～24个月)无1例感染复发,骨折愈合。结论迟发性感染是由初次手术时术中污染引起的低毒性感染,确诊后行病灶清除,内固定取出,应用有效抗生素,可获得满意疗效。

Objective To summarize the experience in the treatment of delayed infection of fracture after internal fixation. Methods 11 cases of delayed infection of fracture after internal fixation, were given intravenous broad spectrum antibiotics administration, local irrigation, internal fixator removal and continuous drainage. Results No recurrence of infection was found in 10 mouths' (6～24 mouths) follow-up. All fractures healed. Conclusions Delayed infection is caused by contamination during primary operation, and it’s low-virulent infection. If diagnosis confirmed, satisfactory outcome can be obtained with focus clearance, internal fixator removal and antibiotics administration.