新型抗菌材料治疗感染性骨缺损的机制与临床应用研究进展

Progress of research on mechanisms and clinical applications of novel antibacterial materials in treating infectious bone defect

  • 摘要: 感染性骨缺损作为骨缺损分类中复杂与难治的类型之一,其特征是感染、炎症和随后的骨组织破坏,常导致患者肢体坏死、功能障碍,甚至截肢等严重后果。既往治疗感染性骨缺损主要方法是通过彻底清创和应用抗菌药物控制感染后进行骨移植,但此方法存在大剂量应用抗菌药物后患者易产生耐药性和身体毒性等缺陷。随着现代医学的发展和生物材料的深入研究,诸多新型抗菌材料逐渐应用于感染性骨缺损的治疗,且显示出令人满意的效果。本文就国内外有关新型抗菌材料在感染性骨缺损治疗中的应用及疗效进行综述,以期为临床治疗这一疾病提供参考。

     

    Abstract: Infectious bone defect, one of the complex and refractory types of bone defects, is characterized by infection, inflammation and subsequent bone tissue destruction. These conditions often lead to severe consequences such as limb necrosis, dysfunction or even amputation. The previous treatment method for infectious bone defect primarily involves thorough debridement and bone grafting after infection control with antibacterial drugs. However, this method carries drawbacks, including the possibility of drug resistance and systemic toxicity due to high-dose use of antimicrobial drugs. With advancements in modern medicine and in-depth research on biomaterials, various novel antibacterial materials have been increasingly applied in the treatment of infectious bone defect, demonstrating promising outcomes. This paper reviews the applications and therapeutic efficacy of novel antibacterial materials in treating infectious bone defect at home and abroad, aiming to provide references for clinical management.

     

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