慢性骨髓炎的综合治疗

Treatment of chronic osteomyelitis by a multi-disciplinary approach

目的:研究针对慢性骨髓炎的治疗方法.方法:从1997年5月至2004年8月,我们采用手术、放疗、抗生素抑制等综合治疗方法治疗慢性骨髓炎46例,其中男性31例,女性15例,年龄17～68岁,平均36岁.结果:平均随访51个月,最长8年.无复发40例,3个月～5年内复发6例,5年无复发率达86.96%.结论:采用综合治疗方法可明显提高慢性骨髓炎的疗效.

Objective ：To evaluate a treatment approach for chronic osteomyelitis. Methods：From May 1997 to August 2004,46 patients with chronic osteomyelitis were involved, 31 males and 15 females, aging from 17 to 68 years old, with an average of 36 years old. We took a multi-disciplinary approach, including operative treatment, radiotherapy and antibiotic therapy.Result： The longest follow-up was 8 years, with a mean follow-up of 51 months. Among these patients, no evidence of relapse was noted in 46 patients, 6 patients relapsed 3 months -5 years after treatment. The 5-year survival without relapse is 86.96%.Conclusion ：Our multi-disciplinary approach can improve the clinical outcome of chronic osteomyelitis.