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chronic osteomyelitis
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  慢性骨髓炎
    Results:Histology proved 2 patients with femur chronic osteomyelitis,1 with benign tumor of the femur,1 with benign tumor of the sacsum,3 with malignant tumor of the ischium,2 with malignant tumor of the femur,2 with malignant tumor of the ilium,1 with malignant tumor of the scapula and 1 with malignant tumor of the lumber vertebra.
    结果: 13 例骨骼病变中股骨慢性骨髓炎2 例, 股骨、骶骨良性肿瘤各1 例, 坐骨恶性肿瘤3 例、股骨、髂骨恶性肿瘤各2 例, 肩胛骨、腰椎恶性肿瘤各1 例。
短句来源
    The results showed that open fractures and chronic osteomyelitis tended to have mixed infection with 42.86 % and 20.78 % of the cases of mixed infection respectively.
    结果表明 ,开放性骨折、慢性骨髓炎易发生混合感染 ,分别占混合感染病例的 42 .86 %和 2 0 .78%。
短句来源
    Results:From the six cases,there were two cases of acute osteomyelitis,chronic osteomyelitis and Brodie's abscess each. CT made a correct diagnosis in 4,misdiagnosis in 1 and was difficult to make a diagnosis in one.
    结果 :6例中急、慢性骨髓炎及骨脓肿各 2例 ,CT诊断正确 4例 ,定性困难1例 ,误诊 1例 ,平片诊断正确 2例。
短句来源
    Results Of the 13 cases,there were 2 cases with acute osteomyelitis,6 cases with chronic osteomyelitis and 5 cases with Birdie's abscess. X-ray made a correct diagnosis in 5 cases,4 cases were misdiagnosed as to maligant bone tumors,and other 4 cases as to benign bone tumos and tumor-like lesions.
    结果13例中,急性骨髓炎2例,慢性骨髓炎6例,骨脓肿5例,术前诊断正确仅5例,4例误诊为恶性骨肿瘤,4例误诊为良性骨肿瘤或肿瘤样病变。
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  chronic osteomyelitis
Positive IgG titers against α-toxin were found in 21 of 27 patients (78%) with endocarditis, 11 of 14 (79%) with complicated septicemia, eight of 20 (40%) with uncomplicated septicemia and in 12 of 22 (54%) with chronic osteomyelitis.
      
Septic arthritis and bursitis (8), acute and chronic osteomyelitis (33) were treated with 3 to 12 g of cefotaxime per day for three to 52 days.
      
Treatment of experimental chronic osteomyelitis due to staphylococcus aureus with teicoplanin
      
Treatment of experimental chronic osteomyelitis due to staphylococcus aureus with LY146032
      
Adjuvant fosfomycin medication in chronic osteomyelitis
      
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Purpose: To discuss the applicable value of three - dimensional reconstruction techniqes in bone and join diseases. Materials and Methods: 39 patients with bone and joind diseases underwent thin slice scan wigh spiral CT. The obtained images were processed through overlapping reconstruction and bone algorithm reconstruction and then three dimensional reconstruction was compared through software functions. By rotating a three - di-mensional image and observing at an adequate angle, the stereofigure of a lesion...

Purpose: To discuss the applicable value of three - dimensional reconstruction techniqes in bone and join diseases. Materials and Methods: 39 patients with bone and joind diseases underwent thin slice scan wigh spiral CT. The obtained images were processed through overlapping reconstruction and bone algorithm reconstruction and then three dimensional reconstruction was compared through software functions. By rotating a three - di-mensional image and observing at an adequate angle, the stereofigure of a lesion and the relations between the lesion and the surrounding structure could be clearly observed. Results: Three - dimensional CT images in 39 cases were analyzed. skull and maxillofacial fracture(20 cases), fracture of thoracic vertebrae (3 cases), fracture of lumbar vertebrae(3 cases), fracture of shoulder joint(1 case), fracture of hip joint(3 cases), chronic osteomyelitis of femur(1 case), tuberculosis of thoracic spine (2 cases), retrograde affection of knee joint(1 case), elbow joint infection (2 cases), congenital deformity of cervical vertebrae and thoracic vertebrae (2 cases), multiple metastatic tumor of ankle joint and foot bones (1 case) were found in all patients. Conclusion: In comparing with an axial and two - dimensional image, the three-dimensional image with spiral CT image , can more direct observe the stereofigure of a lesion. Therefore, if was a supplement of two - dimensional images, especially when injury of skull maxillofacial region, Joint, hand and foot with complicated anatomic structures, spiral CT imaging with 3D reconstructions has an important role in the clinical diagnosis and treatment of these diseases.

目的:探讨螺旋CT扫描三维成像技术对骨关节疾病的临床应用价值。材料与方法:对于39例骨关节疾病患者进行螺旋CT薄层扫描,重叠重建及骨算法重建,然后通过软件功能行三维重建。通过旋转三维图像从最佳角度来观察病变的立体形态及其与周围结构的关系。结果:颅骨及颌骨骨折20例,胸椎骨折3例,腰椎骨折3例,肩胛骨骨折1例,髋关节骨折3例;左股骨慢性骨髓炎1例,胸椎结核2例,膝关节退行性变1例,肘关节感染2例,颈椎及胸椎先天畸形2例,踝关节合并足骨多发转移瘤1例。结论:螺旋CT扫描三维重建可作为横轴CT图像和二维图像的重要补充,它可更直观地显示病变的立体形态,尤其在解剖结构复杂的颅底、颌面、脊柱、关节、手和足疾病的诊断和临床治疗中有重要的指导作用。

Objective:To evaluate CDFI guided percutaneous bone biopsy(CDFIGPBB).Methods:Total 13 patients with bone lesion underwent CDFIGPBB for seeking final diagnosis.Results:Histology proved 2 patients with femur chronic osteomyelitis,1 with benign tumor of the femur,1 with benign tumor of the sacsum,3 with malignant tumor of the ischium,2 with malignant tumor of the femur,2 with malignant tumor of the ilium,1 with malignant tumor of the scapula and 1 with malignant tumor of the lumber vertebra.Both the successful...

Objective:To evaluate CDFI guided percutaneous bone biopsy(CDFIGPBB).Methods:Total 13 patients with bone lesion underwent CDFIGPBB for seeking final diagnosis.Results:Histology proved 2 patients with femur chronic osteomyelitis,1 with benign tumor of the femur,1 with benign tumor of the sacsum,3 with malignant tumor of the ischium,2 with malignant tumor of the femur,2 with malignant tumor of the ilium,1 with malignant tumor of the scapula and 1 with malignant tumor of the lumber vertebra.Both the successful biopsy and accurate coincidence diagnosis rates were 12/13 respectively.Conclusion:CDFIGPBB plays an important role in diagnosis of bone lesions.

目的: 探讨超声引导下经皮骨骼病变穿刺活检的可行性。方法: 经X 线或CT、MRI检查有骨骼病变而不能定性的患者, 在B超引导下经皮穿刺活检。结果: 13 例骨骼病变中股骨慢性骨髓炎2 例, 股骨、骶骨良性肿瘤各1 例, 坐骨恶性肿瘤3 例、股骨、髂骨恶性肿瘤各2 例, 肩胛骨、腰椎恶性肿瘤各1 例。活检取材成功率12/13例, 标本大小为15~20m m ×2.5m m , 与手术病理符合率12/13 例。本组无并发症。结论: 彩超引导下多部位骨骼病变穿刺活检是安全、快捷、简便、经济、成功率高, 因而是可行的

In order to instruct the treatment of mixed infection in orthopedics and traumatology, the clinical data and the results of the drug sensitive tests and bacterial type identification of 77 cases with mixed infection were estimated and analysed and also compared with the drug resistance of the homochronous monoinfective strains. The results showed that open fractures and chronic osteomyelitis tended to have mixed infection with 42.86 % and 20.78 % of the cases of mixed infection respectively. It was quite...

In order to instruct the treatment of mixed infection in orthopedics and traumatology, the clinical data and the results of the drug sensitive tests and bacterial type identification of 77 cases with mixed infection were estimated and analysed and also compared with the drug resistance of the homochronous monoinfective strains. The results showed that open fractures and chronic osteomyelitis tended to have mixed infection with 42.86 % and 20.78 % of the cases of mixed infection respectively. It was quite common that the opportunistic pathogens participated in mixed infection. The mixed infections from verdigris pseudomonas, Escherichia coli and other pathogens were 50.64 % and 25.87 %, suggesting that the types of infections were changing. Of the combined strains of mixed infection, 10 strains had more than 50 % of a drug resistance rate to 16 common antibiotics and 12 strains had a drug resisting rate 10 % to 30 % higher than monoinfective strains and severe multiple and asymmetric drug resistances. So the individualization in the drug application is very important. The mixed drug sensitive tests benefit the selection of antibiotics for mixed infection, and effectively avoid or decrease the combined application of antibiotics.

为了指导骨伤科混合感染的治疗 ,统计分析了 77例混合感染患者的临床资料、菌种鉴定和药敏试验结果 ,并与同期单菌种感染菌株的耐药性进行了比较。结果表明 ,开放性骨折、慢性骨髓炎易发生混合感染 ,分别占混合感染病例的 42 .86 %和 2 0 .78%。条件致病菌参与混合感染较为普遍 ,铜绿假单胞菌、大肠埃希氏菌与其他菌种混合感染占 5 0 .6 4%和 2 5 .87% ,说明感染类型正在发生变化。混合感染组合菌株对 16种常用抗生素耐药率超过 5 0 %的达 10种 ,有 12种较同期单菌种感染菌株的耐药率高10~ 30 % ,而且多重耐药和不对称耐药现象较为严重 ,用药个体化非常重要。混合药敏试验 ,有利于混合感染治疗的抗生素选择 ,并可有效地避免或减少抗生素的联合应用

 
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