手术刮除联合真空封闭引流治疗巨大痛风石并骨破坏软组织坏死16例
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摘要
目的探讨手术刮除联合真空封闭引流(VSD)负压吸引治疗足部巨大痛风石合并骨破坏、软组织坏死的疗效。方法对16例足部巨大痛风石合并骨破坏、软组织坏死的患者采取手术刮除痛风石、彻底清除坏死组织后采用VSD对创面进行负压吸引,对该治疗方式进行疗效评定。按不同的治疗效果对疗效分为优、良和差3级。结果采用该治疗方式治疗的16例患者疗效优良者15例,占治疗百分比93.8%;疗效差者1例,最终选择截趾处理。结论手术刮除联合VSD负压吸引术是治疗足部巨大痛风石并骨破坏、软组织坏死的一种有效方式。
【Objective】To explore the efficacy of surgical curettage combined with vacuum sealing drainage(VSD) on foot huge tophi with bone destruction and soft tissue necrosis.【Methods】Sixteen patients diagnosed with foot huge tophi with bone destruction and soft tissue necrosis underwent surgical curettage of tophi followed by utilization of VSD. The results were evaluated and ranked as excellent, good and poor.【Results】Fifteen of sixteen patients fall into grade of excellent and good, and one of sixteen was poor followed by cutting toe.【Conclusion】It is an effective treatment of surgical curettage combined with VSD on foot huge tophi with bone destruction and soft tissue necrosis.
【Objective】To explore the efficacy of surgical curettage combined with vacuum sealing drainage(VSD) on foot huge tophi with bone destruction and soft tissue necrosis.【Methods】Sixteen patients diagnosed with foot huge tophi with bone destruction and soft tissue necrosis underwent surgical curettage of tophi followed by utilization of VSD. The results were evaluated and ranked as excellent, good and poor.【Results】Fifteen of sixteen patients fall into grade of excellent and good, and one of sixteen was poor followed by cutting toe.【Conclusion】It is an effective treatment of surgical curettage combined with VSD on foot huge tophi with bone destruction and soft tissue necrosis.
引文
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[2]陆裕朴,胥少丁,葛宝丰.实用骨科学[M].北京:人民军医出版社,2012:1666-1667.
[3]Roddy E,Choi HK.Epidemiology of gout[J].Rheum Dis Clin North Am,2014,40(2):155-175.
[4]王礼灿,温成平,谢南军.痛风石的诊疗与研究进展[J].现代中西医结合杂志,2012,21(13):1468-1469.
[5]翁蔚宗,姚磊,曹烈虎,等.微型锁定钢板关节融合术治疗足部痛风石性关节炎疗效分析[J].中国矫形外科杂志,2014,22(23):2128-2132.
[6]Raymond KW,David SZ.Flexor tendon rupture caused by gout[J].Hand Surg,2002,27(4):591-594.
[7]严耀明.骨关节痛风结石的手术治疗[J].临床骨科杂志,2011,14(4):426-427.
[8]谭延斌,李抗.负压治疗技术在急慢性骨感染中的应用[J].中华外科杂志,2008,6(11):1.
[9]卢廷胜,尹海磊,马金聚,等.程序冲洗负压封闭引流治疗痛风感染合并窦道形成[J].中国伤残医学,2012,20(11):125-127.
[10]黄骏,杨永平,宋小强,等.手术治疗四肢多发性巨大痛风石临床分析[J].吉林医学,2010,31(33):6048-6049.