摘要
目的探讨骨搬运与Masquelet诱导膜技术在长骨感染合并大段骨缺损中的治疗效果。方法选取2017年1月至2020年1月河北省张家口市第二医院收治的40例长骨感染合并大段骨缺损患者为研究对象,按随机数字表法将其分为观察组(Masquelet诱导膜技术,20例)与对照组(骨搬运法,20例)。比较两组治疗效果、手术次数、临床愈合时间、下肢完全负重时间、治疗费用及术后的视觉模拟评分法(VAS)评分、Fereadez-Esteve骨痂评分、Iowa评分。记录两组并发症发生情况。结果两组治疗效果比较,差异无统计学意义(P>0.05)。观察组手术次数、治疗费用均低于对照组,临床愈合时间、下肢完全负重时间短于对照组,差异有统计学意义(P<0.05)。观察组术后VAS评分低于对照组,Fereadez-Esteve骨痂评分及Iowa评分中的膝、踝关节评分高于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论Masquelet诱导膜技术可有效加快长骨感染合并大段骨缺损患者的术后恢复。
Objective To investigate the therapeutic effect of bone transport and Masquelet induced membrane technique in the treatment of long bone infection combined with large segmental bone defect.Methods Forty patients with long bone infection combined with large segment bone defect admitted to the Second Hospital of Zhangjiakou,Hebei Province from January 2017 to January 2020 were selected as the research objects,and they were divided into observation group(Masquelet induced membrane technique,20 cases)and control group(bone transport,20 cases)according to random number table method.The therapeutic effect,number of operations,clinical healing time,full weight-bearing time of lower limbs,treatment cost,and postoperative visual analog scale(VAS)score,Fereadez-Esteve calluses score,Iowa score were compared between the two groups.Complications were recorded in the two groups.Results There was no significant difference in treatment effect between the two groups(P>0.05).The number of operations,and treatment cost in the observation group were lower than those in the control group,clinical healing time,full weight-bearing time of lower limbs in the observation were shorter than those in the control group,the differences were statistically significant(P<0.05).The VAS score of the observation group was lower than that of the control group,and the of Fereadez-Esteve calluses score,and knee,ankle joints scores of Iowa score were higher than those of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Masquelet induced membrane technique can effectively accelerate the postoperative recovery of patients with long bone infection combined with large segment bone defect.
作者
周万淼
邓雪云
郭旭
ZHOU Wanmiao;DENG Xueyun;GUO Xu(Department of Orthopedics,the Second Hospital of Zhangjiakou,Hebei Province,Zhangjiakou075000,China)
出处
《中国医药导报》
CAS
2023年第12期107-110,共4页
China Medical Herald
基金
河北省卫生健康委员会医学科学研究计划项目(20200518)
河北省张家口市重点研发计划项目(1921073D)。
关键词
骨搬运
Masquelet诱导膜技术
长骨感染
大段骨缺损
治疗效果
Bone transport
Masquelet induced membrane technique
Long bone infection
Large segmental bone defect
Therapeutic effect
