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目的:探讨中西医结合治疗感染性骨不愈合、骨缺损的治疗原则和方法。方法:2007年5月-2010年5月,对37例感染性骨不愈合患者在应用有效抗生素、彻底清除病灶的基础上,依骨缺损的长度Ⅰ期支撑植骨,修复创面后用骨外固定器加压固定。同时根据患者病情辨证口服中药以扶正祛邪,改善机体免疫力。结果:全部病例均于术后5～11个月,平均7.3个月达到骨愈合。感染得到彻底控制,伤口愈合。并保证了肢体长度的均衡。结论:采用上述综合治疗措施,简化和缩短了治疗过程,Ⅰ期植骨避免了为矫正肢体短缩而再行肢体延长术。骨外固定器应用于感染性骨不愈合显示出独特的优越性。
Objective: To explore the treatment of infectious nonunion and bone defect treatment principles and methods with traditional Chinese and western medicine. Methods: From May 2007 to May 2010, 37 patients with infectious nonunion were treated with effective antibiotics to completely remove the lesion. The length of the bone defect was supported by the first stage bone graft. After the wound was repaired, Fixer pressure fixed. At the same time according to the patient’s condition dialectical oral traditional Chinese medicine to correct positive and eliminate evil and improve the body immunity. Results: All cases were in 5 to 11 months after surgery, an average of 7.3 months to achieve bone healing. The infection was completely controlled and the wound healed. And to ensure the balance of limb length. Conclusion: With the above comprehensive treatment measures, the treatment process is simplified and shortened. Stage Ⅰ bone grafting avoids limb extension to correct shortening of limbs. The use of external fixators for infectious nonunion has shown unique advantages.