彻底清创、肌瓣转移合载万古霉素硫酸钙治疗慢性创伤性骨髓炎疗效观察

摘要

[目的]现察彻底清创、肌瓣转移合载万古霉素硫酸钙治疗慢性创伤性骨髓炎的临床疗效.[方法]采用彻底清创、肌瓣转移结合载万古霉素硫酸钙法治疗11例创伤后慢性骨髓炎患者.[结果]本组一期缝合伤口均获甲类愈合,3例游离植皮覆盖伤口获乙类愈合.术后每月复查X线片,1个月后示硫酸钙人工骨开始吸收.平均随访6个月后骨缺损开始明显骨化,新骨填充.患肢功能恢复良好.随访9个月～4.2年,疼痛缓解,未见骨髓炎复发.[结论]采用清创、肌瓣转移结合载万古霉素硫酸钙治疗慢性创伤性骨髓炎,可以彻底根除病灶并且引导成骨修复骨缺损的作用,是目前比较理想和有效的治疗方法.%[Objective] To observe the clinical cure effect of chronic trauma osteomyelitis treated with thorough debriding, muscle flap transfer with vancomycin calcium sulfate. [Method] The method above treated 11 cases of the said disease. [Result] Stage Ⅰ suture got A cure, 3 cases of dissociated transplanted skin covered wound got B cure; 1m later, calcium sulfate artificial bone be gan to be absorbed; 9m～4.2years later, the pain was relieved, without recurrent osteomyelitis. [Conclusion] The said method can thoroughly focal and induce ossification recovering bone injure, and is the ideal and effective method.