摘要
目的:探讨老年糖尿病患者伴发颌骨骨髓炎的临床特点及治疗要点。方法:选取2003年8月至2010年8月在我科住院治疗的28例糖尿病伴颌骨骨髓炎老年患者的临床资料进行回顾性分析,归纳总结此类疾病的临床特点及治疗体会。结果:28例患者均行多次菌培养及药敏试验指导抗生素使用,经围手术期监测、调整血糖,行颌骨病灶死骨搔刮术后所有患者未出现严重的全身或局部并发症,均痊愈出院。结论:对于老年糖尿病患者伴发的颌骨骨髓炎,应重视菌培养及药敏实验结果。治疗上控制血糖和控制感染并重,手术及时彻底,不应保守。
Objective： To investigate the clinical characteristics of mandibular osteomyelitis in aged patients with diabetes.Methods： Twenty-eight cases of elderly patients with both mandibular osteomyelitis and diabetes in our department from August 2003 to August 2010 were reviewed and retrospectively analyzed the clinical features of these diseases and treatment experiences.Results： Repeated bacterial culture and sensitivity test were performed in order to guide the use of antibiotic.After perioperative monitoring,adjustment of blood sugar and sequestrum scraping surgery,no serious systemic or local complications was observed.Conclusions： For elderly patients with diabetes associated with osteomyelitis in jaw,bacterial culture and sensitivity test results should be pay attention.Both glycemic control and infection control are equally important.The surgical treatment should not be conservative.
出处
《中华老年口腔医学杂志》
2011年第5期286-289,共4页
Chinese Journal of Geriatric Dentistry
关键词
颌骨骨髓炎
老年人
糖尿病
治疗
aged
Mandibular osteomyelitis
Diabetes
Treatment
