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題名 | Chronic Refractory Tibia Osteomyelitis Treated with Adjuvent Hyperbaric Oxygen: A Preliminary Report=高壓氧治療頑固型慢性骨髓炎:初步報告 |
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作 者 | 陳昭宇; 李炫昇; 詹益聖; 顏政佑; 趙恩塏; 翁文能; | 書刊名 | 長庚醫學 |
卷期 | 21:2 1998.06[民87.06] |
頁次 | 頁165-171 |
分類號 | 416.61 |
關鍵詞 | 高壓氧; 頑固型骨髓炎; Hyperbaric oxygen; HBO; Refractory osteomyelitis; |
語文 | 英文(English) |
中文摘要 | 背景:由於傳統的內外科療法對頑固型慢性骨髓炎難以奏效,許多新的治療方式 乃因應而生。經由實驗證明高壓氧能促進骨骼及軟組織的癒合。本篇文章旨在報導輔助性高 壓氧療法使用於頑固型骨髓炎的臨床結果。 方法:總計有15名頑固型骨髓炎的病患接受本計畫的治療方式;包括輔助性高壓氧治 療、積極的手術清創及抗生素注射。療效的評估及追蹤平均長達1年半。 結果:高壓氧成功地治癒了13位病患,平均治療天數為45天。平均每人接受了26次 的高壓氧療程。初步的結果令人滿意,與其他的文獻報告相當。 結論:高壓氧對於頑固型骨髓炎是為有效的輔助性療性。嚴謹的病患篩選及計劃整合是治療 成功的重要因素。 |
英文摘要 | Background: Refractory osteomyelitis is a serious disease that fails to respond to aggressive medical and surgical treatment. A plethora of alternative therapies have evolved. Hyperbric oxygen has been proven to enhance bone and soft tissue healing in many in vitro and in vivo studies. This article presents the preliminary results of adjunctive hyperbaric oxygen therapy in patients with refractory osteomyelitis. Materials and Methods: Fifteen patients who were diagnosed with refractory tibia osteomyelitis were treated prospectively with adjunctive hyperbaric oxygen therapy, aggressive surgical debridement, and parenteral antibiotic treatment. The effectiveness was evaluated with an average follow-up of 17.2 months. Results: The hyperbaric oxygen therapy averaged 26 daily seesions. Successful treatment was achieved in 13 patients (86%). The mean length of treatment was 45 days. The preliminary results are comparable with other series. Conclusion: Hyperbaric oxygen is effective as an adjunct to aggressive medical and surgical management in refractory osteomyelitis. A precise clinical staging system for patient selection and treatment organization is imperative to successful outcome. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。