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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
- 高壓氧治療的臨床應用
- 下頷骨放射性骨壞死:病例報告
- 空氣栓塞症
- 高壓氧治療對骨生成增強的作用
- 臨床高壓氧艙的消防系統
- 高壓氧治療與一氧化碳中毒
- 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 | Results of Chronic Osteomyelitis of the Femur Treated with Hyperbaric Oxygen: A Preliminary Report=高壓氧治療股骨慢性復發性骨髓炎的結果:初步報告 |
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作 者 | 陳金恩; 郭繼陽; 傅得虎; 王清貞; | 書刊名 | 長庚醫學 |
卷 期 | 27:2 2004.02[民93.02] |
頁 次 | 頁91-97 |
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; Chronic refractory osteomyelitis; Atmosphere absolute; |
語 文 | 英文(English) |
中文摘要 | 背景:雖然只有少許的研究報告高壓氧治療的有效性,在臺灣已有很多醫院將高壓氧用來治療慢性骨髓炎。在此我們提出以高壓氧治療股骨慢性復發性骨髓炎的臨床結果。 方法:從1999年12月至2002年5月,我們共收集了13例股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。在我們的病例中最常見的致病菌為金黃色葡萄球菌。所有的病例均為Cierny-Mader classification中type III及type IV的骨髓炎。病患在接受高壓氧治療前平均接受4.6次的手術治療。病患除了接受治療前的清創手術及抗生素使用外,均再使用輔助性的高壓氧治療。治療是以2.5絕對大氣壓,每次2小時,每週5天的方式進行。平均高壓氧治療的次數為32.2次,治療結束後病患接受平均22個月的追蹤。 結果:追蹤發現其中12位病患傷口癒合而無感染復發,1位病患骨髓炎感染復發。因此治療成功率達92%。治療中未有任何合併症發生。 結論:對於股骨慢性復發性骨髓炎的治療,如果能夠有適當的外科手術清創及抗生素使用,使用輔助性的高壓氧治療是一種安全又有效的方法。 |
英文摘要 | Background: Although only a few studies have shown the effectiveness, hyperbaric oxygen (HBO) therapy has been used as an adjunct in the management of chronic osteomyelitis in many hospitals in Taiwan. This retrospective study investigated the clinical results of HBO therapy for chronic refractory osteomyelitis of the femur. Methods: From December 1999 through May 2002, 13 patients with chronic refractory osteomyelitis of the femur were treated with adjunctive HBO. The most common infecting microorganism was Staphylococcus aureus. All cases were classified as type III or IV osteomyelitis according to the Cierny-Mader classification. Adequate surgical debridement and parenteral antibiotic treatment were performed. The average number of operations before HBO therapy was 4.6 times. HBO therapy at 2.5 atmospheres absolute for 120 minutes was administered for 5 days per weed in all patients for an average of 50 days. The average number of HBO treatments was 32.2 times. The average follow-up period was 22 months, ranging from 12 to 42 months. Results: Complete eradication of infection with no recurrence of infection was noted in 12 of the 13 patients. One patient failed to respond to the treatment. The success rate of the treatment regimen was 92%. There were no HBO therapy related complications. Conclusion: Hyperbaric oxygen therapy is an effective and safe adjunctive therapy for the management of chronic refractory osteomyelitis of the femur provided that patient had received adequate surgical debridement and appropriate antibiotic treatment. |
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