[摘要] 目的 探讨体外冲击波(ESW)对骨折不愈合和延迟愈合的治疗效果,为骨折不愈合和延迟愈合寻找一条新的治疗方法。方法 采用冲击波骨肌系统治疗仪治疗21例骨折不愈合或延迟愈合的患者,以后每1～2个月复查X线片,了解骨痂生长情况综合分析。结果 治疗后随访6～18个月,18例骨痂生长明显,最终骨折愈合,3例至随访结束,无明显骨痂形成。所有治疗患者未出现血管神经损伤的症状及内固定断裂的情况。结论 体外冲击波治疗骨折不愈合和延迟愈合效果显著,微创、安全、经济,可作为首选方法。

    [关键词] 骨折不愈合; 延迟愈合; 冲击波治疗

    [中图分类号] R683.4 [文献标识码] A [文章编号] 1673-9701(2010)13-152-02

    Efficacy Analysis of Extracorporeal Shock Wave Treatment of Nonunion and Delayed Union of Fractures

    HUA Yuankun CHEN Chunran

    The Orthopedics Hospital of Nanyang,Nanyang 473000,China

    [Abstract] ObjectiveAnalysis the treatment effect of nonunion and delayed union of fractures with extracorporeal shock wave,to find a new method for treatment of non-union and delayed union of fractures. MethodsTreatment of 21 cases of nonunion or delayed union of fractures with shock wave therapy of bone muscle system,they were reviewed x-ray films every 1～2 months and comprehensively analized the growth of the callus. ResultsAll of the cases were followed up for 6～18 months,18 cases’callus growed significantly,and ultimately fracture healing,3 cases had no callus growth until the end of following-up. All patients didn’t appear the symptoms of vascular and nerve injury and the situation of fracture fixation. ConclusionThe effect was significant with extracorporeal shock wave treatment of nonunion and delayed union. It can be usde as the preferred method because of minimally invasive,safe and economic. ......