摘要
目的对骨外固定术治疗创伤后胫骨骨干出现骨髓炎及骨缺损进行临床疗效的研究和探讨,为临床选择适宜治疗方法提供依据。方法对本院2008年6月～2010年4月收治的36例创伤后胫骨干骨髓炎骨缺损患者的临床资料进行回顾性分析,其中进行骨外固定术治疗的20例患者随机分为治疗组,而进行传统的带血管蒂的同侧腓骨移植术治疗的16例患者则为对照组,术后对两组患者进行2年随访,并将获得数据进行统计学对比分析。结果治疗组20例患者中有19例取得了较好的治疗效果,患者延长骨平均愈合时间为11个月,平均骨延长长度为11.8cm;而对照组中14例治疗效果较好,平均愈合时间为10个月,延长长度平均为10.4cm。结论骨外固定术操作简便、安全且术后并发症少,对创伤后胫骨骨干骨髓炎及骨缺损治疗有较好的效果,是比较理想的治疗方式。
Objective To discuss and study the clinical practice of external skeletal fixation for treatment of osteomyelitis and bone defect of tibial diaphysis,to choose the appropriate treatment provides a basis.Methods The clinical data of thrity-six cases with posttraumatic osteomyelitis by backbone bone defect admitted to our hospital from June 2008 to April 2010 were retrospectively analyzed,including bone on external fixation combined treatment of 20 cases of patients were randomly divided into the treatment group,and the traditional belt of vascular pedicle ipsilateral fibula transplantation treatment of the 16 cases as control group,the two groups of patients with 2 years of followed-up,and would received data for statistics contrast analyzed.Results 19 cases achieved good treatment effect in the treatment group of 20 cases,patients extend bones average healing time for 11 months,the average bone extended length was 11.8 cm;And in the control group,14 cases of treatment effect was good,average healing time for 10 months,prolong the average length of 10.4 cm.Conclusion External skeletal fixation is an ideal treatment with simple and safe operation skills,less postoperative complications and good effect on the treatment of post-traumatic tibial diaphyseal osteomyelitis and bone defect.
出处
《中国当代医药》
2012年第35期51-52,共2页
China Modern Medicine
关键词
骨外固定术
骨髓炎
骨缺损
治疗
胫骨
External skeletal fixation
Osteomyelitis
Bone defect
Treatment
Tibial
