老年糖尿病患者并发慢性骨髓炎保肢治疗的研究

Study on a new reserve limb treatment method for elderly diabetes patients with chronic osteomyelitis

目的研究老年糖尿病患者并发慢性骨髓炎新的保肢临床疗法。方法采用手术清创、术后放疗,应用抗菌药物和营养支持等新疗法治疗糖尿病并发慢性骨髓炎患者为试验组,共68例;对照组62例采用普通疗法。结果试验组68例患者,其中临床治愈57例,3个月～5年内复发11例,5年治愈率达83.82%;对照组62例,其中临床治愈28例,1个月～5年内复发34例,5年治愈率达45.16%。结论试验组新疗法对老年糖尿病并发慢性骨髓炎患者的保肢治疗是一种有益探索。

OBJECTIVE To study a new reserve limb treatment method for the elderly diabetes patients with chronic osteomyelitis.METHODS The surgical debridement and the postoperative radiotherapy were adopted,the patients with chronic osteomyelitis who received the antibiotics treatment and the nourishment support treatment were selected as the experimental group（n=68）,and the patients who received the common treatment were set as the control group.RESULTS Of 68 cases of patients in the experimental group,57 cases relapsed within 3 months-5 years,with the cure rate reaching to 83.82% in five years.Of 62 cases of patients in the control group,and 34 cases relapsed within 5 months-5 years,with the cure rate reaching to 45.16%.CONCLUSION This new treatment method applied in the experimental group may be beneficial for the exploration of reserve limb treatment of the elderly diabetes patients with chronic osteomyelitis.