化脓性骨髓炎置管持续冲洗引流的疗效观察

Efficacy of pyogenic osteomyelitis continuous irrigation drainage catheter

目的:观察不同置管持续冲洗引流方法用于化脓性骨髓炎的实际疗效。方法:选择76例化脓性骨髓炎患者,随机分为观察组38例,采用负压封闭引流术(VSD)进行治疗,以及对照组38例,采用闭式灌洗引流(CCD)进行治疗,记录两组患者1年复发率及2年复发率并进行比较。结果:观察组1年复发率为2.63%(1/38),对照组为15.79%(6/38),组间差异有统计学意义(P<0.05);观察组2年复发率为21.05%(8/38),对照组为39.47%(15/38),组间差异有统计学意义(P<0.05)。结论:VSD用于化脓性骨髓炎的治疗,较传统CCD方法疗效显著,值得临床推广应用。

Objective：To observe the continuous irrigation and drainage catheter method for the actual efficacy suppurative osteomyelitis. Methods： 76 cases of pyogenic osteomyelitis patients, 38 cases were randomly divided into observation group, the useof vacuum sealing drainage（ VSD ） for treatment, and a control group of 38 patients with closed lavage（ CCD ） for treatment, record two groups of patients 1 year and 2-year recurrence rate and recurrence rate were compared. Results： The 1-year recurrence rate was 2.63%（1/38）, the control group was 15.79%（6/38）, between the two groups was statistically significant （P〈0.05） differences; observation group 2-year recurrence rate was 21.05%（8/38）, the control group was 39.47%（15/38） between the two groups was statistically significant （P〈0.05） differences. Conclusion： VSD for the treatment of osteomyelitis, compared with the traditional method of CCD significant effect, worthy of clinical application.