手术治疗HIV患者合并骨科疾病的临床研究

Clinical Study of Surgical Treatment of HIV Patients Complicated with Orthopedic Diseases

目的:研究了解对于有手术指征的骨科病人合并HIV感染时手术治疗是否安全。方法:回顾分析了2006年5月至2014年4月中治疗的26位HIV携带者骨科病人的临床资料。结果:一共收治了26位HIV携带需要接受骨科手术患者。有21例男性,5位女性。其中21例患者共有26处四肢骨折,1例腰椎爆裂骨折,1例良性骨肿瘤,1例恶性肿瘤骨转移,1例手外伤,1例下肢感染性坏疽行大腿截肢术。没有患者发生切口感染。全部骨折愈合良好,没有发生内植物周围感染。结论:对于携带HIV的骨科患者,合理的围手术处理,不会增加切口感染的风险,一样可以取得良好的手术疗效。

Objective To investigate the safety of performing orthopedic operation in HIV carrier. Methods： Reviewed and analyzedthe clinical data of 26 orthopedic patients with HIV infection from May 2006 to April 2014. Results： There were 26 HIV carriers whoreceived orthopedic operations. There were 21 men and 5 women. 21 patients suffered 26 limb fractures, one lumbar burst fractures,one benign bone tumor, one malignant tumor bone metastasis, one hand injury, and one low limb infectious gangrene needingamputation. There was no patient with incision infection, and all fractures healed well without peri-implant infection. Conclusion： ForHIV carriers needing orthopedic operations, good peri- operation treatment would not increase incision infection risk and goodoperation effect can be expected.