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相關文獻
- Hyperbaric Oxygen Therapy in the Treatment of Chronic Refractory Osteomyelitis: A Preliminary Report
- Results of Chronic Osteomyelitis of the Femur Treated with Hyperbaric Oxygen: A Preliminary Report
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- 下頷骨放射性骨壞死:病例報告
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- 臨床使用﹣﹣大氣壓純氧或高壓氧安全性之組織病理評估
- 治療減壓症之指導方針
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題 名 | Hyperbaric Oxygen Therapy in the Treatment of Chronic Refractory Osteomyelitis: A Preliminary Report=高壓氧治療慢性復發性骨髓炎--初步報告 |
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作 者 | 陳金恩; 史書泰; 傅得虎; 王俊聞; 王清貞; | 書刊名 | 長庚醫學 |
卷 期 | 26:2 2003.02[民92.02] |
頁 次 | 頁114-121 |
分類號 | 416.26 |
關鍵詞 | 高壓氧; 慢性復發性骨髓炎; 絕對大氣壓; Hyperbaric oxygen; HBO; Chronic refractory osteomyelitis; Atmosphere absolute; ATA; |
語 文 | 英文(English) |
中文摘要 | 背景:高壓氧治 性骨髓炎以促進骨折癒合及傷口癒合經由實驗已得到證實,雖然只有少許比較性的研究報告,此種治療對於性發性骨髓是相當吸收人的治療方法。在此我們提出以高壓氧治療慢性復發性骨髓炎的臨床經驗。 方法:從2000年1月至2000年8月,我們共收集了14例脛骨慢性復發性骨髓炎在本院接受高壓氧治療並能夠追蹤檢查的病例。所有的病例均為Cierny-Mader classification中type III及type III及type IV的骨髓炎。病人除了接受清創手及抗生素使用外,均再使用輔助性的高壓氧治療。治療以2.5絕對大氣壓,每次2小時,每週5天的方式進行。治療結束後病人接受15個月的追蹤。 結果:在我們的病例中常最見的致病菌為金廣色葡萄球菌,而原先如為開收性骨折則常見混合菌種感染。病人在接受高壓氧治療前平均接受5.4次的手術治療,有11位病人同時接受軟組織的重建手術。平均高壓氧治療的次數為33.6次,治療中未有任何合併症發生。追蹤發現共有11位病人傷口癒合而無感染復發,成功率到達百分之七十九。 結論:對於慢性復發性骨髓炎的治療,如果能夠有適當的內科和外科處理,使用輔助性的高壓氧治療是一種有效又安全的方法。 |
英文摘要 | Background: Hyperbaric oxygen (HBO) has been proven to enhance bone and soft tissue healing in ischemic tissue in vitro and in vivo studies. Although only a few reports have been proven using controlled studies, this treatment modality remains encouraging for chronic refractory osteomyelitis. In this retrospective study, we reported the clinical results of HBO therapy for chronic refractory osteomyelitis. Methods: From January through August 2000, 14 patients with chronic refractory osteomyelitis of the tibias treated with HBO were available for follow-up examination. According to the Cierny-Mader classification, all patients were classified as type III or IV osteomyelitis. Adequate debridement and parenteral antibiotic treatment in conjunction with HBO therapy at 2.5 atmospheres absolute for 120 minutes, and 5 days per week regimen was used in all patients. The patients were followed-up for an average of 15 months after completion of HBO therapy. Results: The most common infecting microorganism was Staphylococcus aureus. Mixed infections were usually found in patients with open fractures. The average number of operations before HBO therapy was 5.4 including soft tissue reconstruction in 11 patients. The average number of HBO treatments was 33.6 times. There were no HBO related complications. No recurrence of infection was noted in 11 patients, which resulted in a success rate of 79%. Conclusions: Hyperbaric oxygen therapy is effective and safe for chronic refractory osteomyelitis provided that patients had received appropriate medial and surgical management. |
本系統中英文摘要資訊取自各篇刊載內容。