摘要
目的比较骨搬运技术与骨诱导膜技术对感染性骨不连患者骨折愈合及并发症的影响。方法选取2015年7月~2019年1月我院收治的感染性骨不连患者172例,采用随机数字表法分为对照组和观察组,每组86例。对照组采用骨诱导膜技术治疗,观察组采用骨搬运技术治疗,比较两组围术期指标、骨折愈合情况、并发症总发生率。结果观察组术中出血量低于对照组[(579.90±122.48)ml vs(665.78±124.09)ml],手术时间及住院时间短于对照组[(92.89±11.06)min vs(104.55±10.31)min]、[(14.30±6.21)d vs(17.84±6.56)d],差异有统计学意义(P<0.05)。观察组骨折愈合总有效率为96.51%,高于对照组的87.21%,差异有统计学意义(P<0.05)。观察组并发症发生率为6.98%,低于对照组的23.26%,差异有统计学意义(P<0.05)。结论骨搬运技术治疗感染性骨不连效果确切,可提高骨折愈合度,有效降低并发症发生率,改善患者预后,优于骨诱导膜技术。
Objective To compare the effects of bone transport technique and osteoinductive membrane technique on fracture healing and complications in patients with infectious nonunion.Methods A total of 172 patients with infectious nonunion who were admitted to our hospital from July 2015 to January 2019 were enrolled.The patients were divided into the control group and the observation group by random number table,with 86 cases in each group.The control group was treated with osteoinductive membrane technique,and the observation group was treated with bone transport technique.The perioperative index,fracture healing and total incidence of complications were compared between the two groups.Results The intraoperative blood loss was lower in the observation group than in the control group[(579.90±122.48)ml vs(665.78±124.09)ml].The operation time and total hospital stay were shorter than the control group[(92.89±11.06)min vs(104.55±10.31)min],[(14.30±6.21)d vs(17.84±6.56)d],the difference was statistically significant(P<0.05).The total effective rate of fracture healing in the observation group was 96.51%,which was higher than 87.21%in the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 6.98%,which was lower than 23.26%in the control group,the difference was statistically significant(P<0.05).Conclusion The bone transport technique is effective in the treatment of infectious nonunion,which can improve the degree of fracture healing,effectively reduce the incidence of complications,and promising the prognosis.It is superior to osteoinductive membrane technique.
作者
张言旭
ZHANG Yan-xu(Department of Orthopaedics,Jiamusi Orthopedic Hospital,Jiamusi 154002,Heilongjiang,China)
出处
《医学信息》
2019年第21期103-105,共3页
Journal of Medical Information
关键词
感染性骨不连
骨搬运技术
骨诱导膜技术
骨折愈合
Infective nonunion
Bone handling technology
Osteoinductive membrane technique
Fracture healing
