手术治疗HIV患者合并骨科疾病的临床研究

J4 ›› 2016, Vol. 1 ›› Issue (8): 51-55.

手术治疗HIV患者合并骨科疾病的临床研究

（1.云南省第一人医院，昆明650032；2.大理大学第六附属医院，昆明650041）

收稿日期:2015-05-26 出版日期:2016-08-15 发布日期:2016-08-15
作者简介:张超，主治医师，主要从事骨与关节创伤及感染性疾病研究.

Clinical Study of Surgical Treatment of HIV Patients Complicated with Orthopedic Diseases

（1. The First People's Hospital of Yunnan Province，Kunming 650032, China; 2. The Sixth Affiliated Hospital of Dali University，
Kunming 650041, China）

Received:2015-05-26 Online:2016-08-15 Published:2016-08-15

摘要/Abstract

摘要：

目的：研究了解对于有手术指征的骨科病人合并HIV感染时手术治疗是否安全。方法：回顾分析了2006年5月至2014
年4月中治疗的26位HIV携带者骨科病人的临床资料。结果：一共收治了26位HIV携带需要接受骨科手术患者。有21例男
性，5位女性。其中21例患者共有26处四肢骨折，1例腰椎爆裂骨折，1例良性骨肿瘤，1例恶性肿瘤骨转移，1例手外伤，1例下
肢感染性坏疽行大腿截肢术。没有患者发生切口感染。全部骨折愈合良好，没有发生内植物周围感染。结论：对于携带HIV
的骨科患者，合理的围手术处理，不会增加切口感染的风险，一样可以取得良好的手术疗效。

关键词: 手术治疗, HIV感染, 骨科疾病, 临床研究

Abstract:

Objective: To investigate the safety of performing orthopedic operation in HIV carrier. Methods: Reviewed and analyzed
the clinical data of 26 orthopedic patients with HIV infection from May 2006 to April 2014. Results: There were 26 HIV carriers who
received orthopedic operations. There were 21 men and 5 women. 21 patients suffered 26 limb fractures, one lumbar burst fractures,
one benign bone tumor, one malignant tumor bone metastasis, one hand injury, and one low limb infectious gangrene needing
amputation. There was no patient with incision infection, and all fractures healed well without peri-implant infection. Conclusion: For
HIV carriers needing orthopedic operations, good peri- operation treatment would not increase incision infection risk and good
operation effect can be expected.

Key words: surgical treatment, HIV patients, orthopedic diseases, clinical study

中图分类号:

R512.91：R683

张超，郑刚，饶涛，窦吉辰，刘伟，寸新华. 手术治疗HIV患者合并骨科疾病的临床研究[J]. J4, 2016, 1(8): 51-55.

Zhang Chao, Zheng Gang, Rao Tao, Dou Jichen, Liu Wei, Cun Xinhua. Clinical Study of Surgical Treatment of HIV Patients Complicated with Orthopedic Diseases[J]. J4, 2016, 1(8): 51-55.

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