浅析开放性植骨治疗感染性骨缺损的临床效果

Clinical Effect of Open Bone Graft for Treatment of Infected Bone Defects

目的研究分析感染性骨缺损使用开放性植骨治疗的效果。方法选取26例感染性骨缺损患者进行研究分析,为患者提供清创、外固定、骨折部位大量植骨、术后无菌换药等治疗措施,使用抗生素静滴,对患者的临床治疗情况进行研究分析。结果 26例患者术后均获定期随访,随访时间为14～32个月,平均（19.2±2.3）个月。术后移植骨条表面覆盖肉芽组织时间平均（7.5±1.1）周,创面完全闭合时间平均（12.6±2.7）周。全部患者接受植骨后平均愈合时间（8.2±1.3）个月,没有感染和复发病例,患者的骨愈合情况良好。结论开放性植骨治疗对于感染性骨缺损患者具有一次性扩创、固定、植骨等效果,是现在对感染性骨折不愈合疾病进行治疗的最简易有效的方式。

Objective To study the effect of open bone graft for the treatment of infective bone defect. Methods 26 cases of infected bone defects were selected for the study and analysis, to provide patients with debridement, external fixation, a large number of bone graft, postoperative aseptic dressing, and so on, the use of antibiotics, the clinical treatment of patients were analyzed. Results 26 patients were followed up for 14～32 months, with an average of（19.2 ± 2.3） months. The wound healing time was（7.5 ± 1.1） weeks, and the average wound healing time was（12.6 ± 2.7） weeks. The average healing time of all patients was（8.2 ± 1.3） months. No infection or recurrence was found. Conclusion Open bone graft is a simple and effective method for the treatment of infected bone defects. It is a simple and effective way to treat the infected fracture nonunion.