【摘要】 目的:分析合并糖尿病的上颌骨感染性骨坏死的临床特点,以提高诊疗水平。方法:对7例合并糖尿病的上颌骨感染性骨坏死患者采取抗感染、控制血糖、支持治疗、手术治疗等措施,术后通过X线检查、实验室检查,局部表现和功能状况进行评价。结果:7例患者中,6例经过手术切除坏死的上颌骨,临床治愈,获得满意的疗效;1例拒绝手术,自动出院,3周后死亡。结论:合并糖尿病的上颌骨感染性骨坏死应尽早明确诊断,尽快手术切除坏死的上颌骨是阻止病情发展的根本措施。更多还原

【Abstract】 PURPOSE:To analyze the clinical characteristics of infective osteonecrosis of jaws combined with diabetes mellitus and improve the diagnosis and treatment of the disease.METHODS: From July 2000 to June 2007,7 cases were treated with different methods,including antibiotics,control of blood glucose,nutrition support therapy,operation.The results were evaluated based on postoperative X-ray films,laboratory examination,and clinical findings.RESULTS: After resection of the sequestrum,6 cases were clinically cured,and the follow-up demonstrated satisfactory results of this therapy;1 patient discharged without operation died 3 weeks after leaving the hospital.CONCLUSION: Infective osteonecrosis of the jaw combined with diabetes mellitus should be diagnosed early,resection of sequestrum timely is the key to prevent disease progress.更多还原