成人慢性骨髓炎的临床诊断和治疗进展

Advances in clinical diagnosis and treatment of chronic osteomyelitis in adults

目的对成人慢性骨髓炎的临床诊断和治疗进展进行综述。方法广泛查阅近年与成人慢性骨髓炎相关的文献,对其临床诊断和治疗方法进行归纳总结。结果临床特征和实验室检查可协助诊断成人慢性骨髓炎,病原学检查结果是选择抗生素的依据,影像学检查具有特异性。治疗方式包括全身治疗和局部治疗,其中局部治疗是根治的关键。结论成人慢性骨髓炎应早期诊断,根据患者解剖和生理分型制定合适的治疗方案。

Objective To review the progress of clinical diagnosis and treatment of chronic osteomyelitis in adults.Methods The literature related to chronic osteomyelitis in recent years was extensively reviewed,and the clinical diagnosis and treatment methods were summarized.Results Clinical characteristics and laboratory examination can help to diagnose chronic osteomyelitis in adults.Pathogenic identification is the basis for choosing antibiotics.Diagnostic imaging is specific.The treatment includes systemic treatment and local treatment,and the local treatment is the key to radical cure.Conclusion The diagnosis of chronic osteomyelitis in adults should be made as early as possible.According to the anatomical and physiological classification of the patients,the appropriate treatment plan should be made.