骨搬移术治疗胫骨骨折术后感染性大段骨缺损的疗效分析(1)
[摘要] 目的 探讨胫骨骨折术后感染性大段骨缺损采取骨搬移术治疗的疗效。 方法 选取于2014年6月～2015年6月期间在我院接受胫骨骨折手术，且术后均存在感染性大段骨缺损的患者58例，根据治疗方法不同分为观察组(采取骨搬移术治疗，n=29)与对照组(采取植骨内固定法治疗，n=29)，观察两组治疗疗效。 结果 观察组优良率显著高于对照组(P<0.05)；同时除手术时间外，观察组并发症发生率、出血量、切口长度、骨折愈合时间、住院时间均显著低于对照组(P<0.05)；观察组术后并发症发生率显著低于对照组(P<0.05)。 结论 胫骨骨折术后感染性大段骨缺损采用骨搬移术治疗，手术创伤小，能加快愈合速度，术后并发症少，疗效显著，具有推广价值。
[关键词] 胫骨骨折；骨搬移术；感染性大段骨缺损；疗效
[中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701(2017)15-0070-03
[Abstract] Objective To evaluate the efficacy of bone grafting in the treatment of infectious large segmental bone defects after tibial fracture surgery. Methods 58 patients who underwent tibial fractures surgery and had infectious large segmental bone defects in our hospital from June 2014 to June 2015 were divided into treatment group(taking bone grafting treatment， n=29) and control group(taking bone grafting treatment， n=29) according to the different treatment methods.And the treatment effects of the two groups were observed. Results The excellent and good rate of the observation group was significantly higher than that of the control group(P<0.05).Meanwhile， the incidence of complications， bleeding volume， incision length， fracture healing time and hospitalization time were significantly lower in the observation group than those in the control group (P<0.05)， except for surgery time.The postoperative complications were significantly lower in the observation group than those in the control group (P<0.05). Conclusions The treatment of infectious large segmental bone defects after tibial fracture surgery with bone grafting， of which the trauma is small，can accelerate the healing rate. And the postoperative complications are few and the curative effect is remarkable.It has the value of promotion.
[Key words] Tibial fractures； Bone grafting； Infectious large segmental bone defects； Efficacy
脛骨骨折在临床较为常见，且其发生率逐渐上升，由于医疗上治疗方法不当、护理失误、病情延误等原因造成骨折术后感染率也逐渐增加，若治疗不及时发展为慢性骨髓炎，则治疗较为棘手，其手术治疗的原则是消除病灶，促进骨愈合。而在清除大块死骨后可形成较大的骨缺损，对骨修复极为不利。临床治疗大段骨缺损有多种方法，包括带血供腓骨移植、异体骨移植、骨搬运和骨延长术等，但疗效各不相同[1]。骨搬移术可一次性防治感染和处理死骨，再使胫骨的截面通过外固定方法逐渐延长愈合，达到治疗的目的，是治疗感染性骨缺损的新型方法。为此，本研究中对2014年6月～2015年6月期间我院接收的58例感染性大段股缺损患者资料进行回顾性分析，探讨胫骨骨折术后感染性大段骨缺损采取骨搬移术治疗的疗效，现报道如下。
1 资料与方法
1.1 一般资料
选取于2014年6月～2015年6月期间在我院接受胫骨骨折手术，且术后均存在感染性大段骨缺损的58例患者，本研究均经医院伦理委员会批准，患者均知情同意。将入选者根据治疗方法不同分为观察组(n=29)与对照组(n=29)。观察组中，男19例，女10例，年龄32～58岁，平均(42.8±5.3)岁，骨缺损(6.5±1.2)cm，病程(13.2±2.8)个月；对照组中，男18例，女11例，年龄30～59岁，平均(42.9±4.5)岁，骨缺损(6.6±1.3)cm，病程(13.3±2.5)个月。两组在年龄、性别等资料上，比较无明显差异性(P>0.05)，具有可比性。, 百拇医药(魏奇峰 马克)
[关键词] 胫骨骨折；骨搬移术；感染性大段骨缺损；疗效
[中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701(2017)15-0070-03
[Abstract] Objective To evaluate the efficacy of bone grafting in the treatment of infectious large segmental bone defects after tibial fracture surgery. Methods 58 patients who underwent tibial fractures surgery and had infectious large segmental bone defects in our hospital from June 2014 to June 2015 were divided into treatment group(taking bone grafting treatment， n=29) and control group(taking bone grafting treatment， n=29) according to the different treatment methods.And the treatment effects of the two groups were observed. Results The excellent and good rate of the observation group was significantly higher than that of the control group(P<0.05).Meanwhile， the incidence of complications， bleeding volume， incision length， fracture healing time and hospitalization time were significantly lower in the observation group than those in the control group (P<0.05)， except for surgery time.The postoperative complications were significantly lower in the observation group than those in the control group (P<0.05). Conclusions The treatment of infectious large segmental bone defects after tibial fracture surgery with bone grafting， of which the trauma is small，can accelerate the healing rate. And the postoperative complications are few and the curative effect is remarkable.It has the value of promotion.
[Key words] Tibial fractures； Bone grafting； Infectious large segmental bone defects； Efficacy
脛骨骨折在临床较为常见，且其发生率逐渐上升，由于医疗上治疗方法不当、护理失误、病情延误等原因造成骨折术后感染率也逐渐增加，若治疗不及时发展为慢性骨髓炎，则治疗较为棘手，其手术治疗的原则是消除病灶，促进骨愈合。而在清除大块死骨后可形成较大的骨缺损，对骨修复极为不利。临床治疗大段骨缺损有多种方法，包括带血供腓骨移植、异体骨移植、骨搬运和骨延长术等，但疗效各不相同[1]。骨搬移术可一次性防治感染和处理死骨，再使胫骨的截面通过外固定方法逐渐延长愈合，达到治疗的目的，是治疗感染性骨缺损的新型方法。为此，本研究中对2014年6月～2015年6月期间我院接收的58例感染性大段股缺损患者资料进行回顾性分析，探讨胫骨骨折术后感染性大段骨缺损采取骨搬移术治疗的疗效，现报道如下。
1 资料与方法
1.1 一般资料
选取于2014年6月～2015年6月期间在我院接受胫骨骨折手术，且术后均存在感染性大段骨缺损的58例患者，本研究均经医院伦理委员会批准，患者均知情同意。将入选者根据治疗方法不同分为观察组(n=29)与对照组(n=29)。观察组中，男19例，女10例，年龄32～58岁，平均(42.8±5.3)岁，骨缺损(6.5±1.2)cm，病程(13.2±2.8)个月；对照组中，男18例，女11例，年龄30～59岁，平均(42.9±4.5)岁，骨缺损(6.6±1.3)cm，病程(13.3±2.5)个月。两组在年龄、性别等资料上，比较无明显差异性(P>0.05)，具有可比性。, 百拇医药(魏奇峰 马克)