解放军医学院学报2017，Vol.38Issue(7)：624-627,4.DOI:10.3969/j.issn.2095-5227.2017.07.008
抗生素骨水泥与抗生素持续灌注冲洗治疗骨折术后髓内感染的疗效比较
Clinical effectiveness of vancomycin loaded bone cement versus traditional antibiotics infusion in treatment of intramedullary infection after internal fixation
摘要
Abstract
Objective To compare the clinical effectiveness of vancomycin loaded bone cement versus continuous vancomycin infusion in the treatment of intramedullary infection after internal fixation.Methods A total of 36 patients with intramedullary infection after internal fixation admitted to our hospital from January 2013 to October 2015 were assigned to 2 groups.Group A including 20 patients with 14 males and 6 females at an average age of (40.5 ± 2.0) years was treated by vancomycin loaded bone cement;Group B including 16 patients within 12 males and 4 females at an average age of (38.8 ± 1.2) years was treated by continuous vancomycin irrigation.The clinical cure rate,recurrence rate,infection indexes and pain improvement of the two groups were analyzed and compared.Results All patients were followed up for 8-12 months with an average of 9.4 months.Of them,32 cases were cured,4 cases recurred.All the recurred cases were in group B.The cure rates were 100％ in group A versus 75％ in group B with significant difference (P ＜ 0.05).Time of ESR,CRP,WBC,NUET return to normal level were 3 d,3 d,4 d and 4 d in group A,respectively,and 6 d,7 d,7 d,6 d in group B,respectively,with statistically significant differences between two groups (P ＜ 0.01,respectively).There was no significant difference in VAS score between two groups before operation,and the differences were statistically significant at 24 h,72 h,1 week and 3 weeks after surgery (P ＜ 0.01,respectively).Conclusion Placement of vancomycin loaded bone cement is a feasible and effective treatment for intramedullary infection after internal fixation.关键词
万古霉素骨水泥/骨折/内固定/髓内感染Key words
vancomycin loaded bone cement/fracture/internal fixation/intramedullary infection分类
医药卫生引用本文复制引用
孙国栋,宋恒义,马文书..抗生素骨水泥与抗生素持续灌注冲洗治疗骨折术后髓内感染的疗效比较[J].解放军医学院学报,2017,38(7):624-627,4.基金项目
邢台市科技计划项目(2015ZC042)Surported by Xingtai Science and Technology Program (2015ZC042) （2015ZC042）
