| 骨密度与骨折合并颅脑损伤患者骨折愈合的评价 |
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| 引用本文： | 符林雄,张寿,陈文远,丁晓莉. 骨密度与骨折合并颅脑损伤患者骨折愈合的评价[J]. 中国组织工程研究与临床康复, 2011, 15(33). DOI: 10.3969/j.issn.1673-8225.2011.33.004 |
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| 作者姓名： | 符林雄 张寿 陈文远 丁晓莉 |
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| 作者单位： | 中南大学湘雅医学院附属海口市人民医院骨科中心,海南省海口市,570208 |
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| 摘 要： | 背景:颅脑损伤患者下肢骨折愈合过程中,骨折周围新生骨形成加速现象在临床上较为常见.这种快速形成的骨痂或异位骨化是否是颅脑损伤合并下肢骨折患者的常见并发症,至今仍有争论.目的:利用骨密度检测来评估创伤性脑损伤对股骨干骨折愈合的影响.方法:纳入创伤性脑损伤合并股骨干骨折患者和单纯股骨干骨折患者各25 例,以切开复位后钢板螺钉内固定.术后第6,12 周行X 射线测量骨痂体积.术后1,3,5 周利用双能X 射线骨密度测定仪测定两组患者骨折区骨密度值.结果与结论:单纯股骨干骨折患者术后第12 周较第6 周骨痂体积明显增加.合并颅脑损伤患者术后第6,12 周骨痂体积均有明显增加,且大于单纯骨折组骨痂体积.在第1,3,5 周时骨折区骨密度值逐渐增大,并且高于同时间点单纯骨折组骨折区骨密度值.说明创伤性脑损伤可增加股骨干骨折愈合时的骨痂体积,提高骨折区骨密度值,缩短骨折愈合时间.
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| 关 键 词： | 骨密度 颅脑损伤 股骨干骨折 骨痂 骨折愈合 |
Evaluation of fracture healing in patients with fracture complicated by traumatic brain injury using bone mineral density tests |
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| Fu Lin-xiong,Zhang Shou,Chen Wen-yuan,Ding Xiao-li. Evaluation of fracture healing in patients with fracture complicated by traumatic brain injury using bone mineral density tests[J]. Journal of Clinical Rehabilitative Tissue Engineering Research, 2011, 15(33). DOI: 10.3969/j.issn.1673-8225.2011.33.004 |
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| Authors: | Fu Lin-xiong Zhang Shou Chen Wen-yuan Ding Xiao-li |
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| Affiliation: | Fu Lin-xiong,Zhang Shou,Chen Wen-yuan,Ding Xiao-li Department of Orthopedic Center,People's Hospital of Haikou,Xiangya Medical College of Central South University,Haikou 570208,Hainan Province,China |
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| Abstract: | BACKGROUND:Many clinical reports have demonstrated that traumatic brain injury can accelerate fracture healing.But this phenomenon has not been assessed by bone mineral density.OBJECTIVE:To evaluate the effects of traumatic brain injury on fracture healing using bone mineral density tests.METHODS:A total of 25 patients with traumatic brain injury complicated by femoral shaft fracture and 25 patients with femoral shaft fracture were included.All patients underwent reduction and received internal fixation usi... |
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