体外冲击波联合高压氧治疗四肢骨折内固定术后骨不连的临床观察

目的评价体外冲击波(ESW)联合高压氧(HBO)治疗四肢骨折内固定术后骨不连的临床应用价值。方法回顾性分析87例四肢骨折内固定术后骨不连患者(骨折间隙≤10 mm,年龄≤60岁)治疗情况,其中ESW联合HBO治疗组(A组)46例,单纯ESW治疗组(B组)41例,治疗结束后第1、3、6、9、12个月分别摄X线片观察骨折局部情况,对疗效进行统计分析。结果 A组的治愈率明显高于B组,差异具有统计学意义(P0.05)。治疗后3、6个月的随诊结果,A组的有效率高于B组,差异具有统计学意义(P0.05)。结论ESW联合HBO治疗方法操作简单、创伤小,对于较小间隙(10 mm)的骨不连患者效果明显;ESW联合HBO治疗组的治愈率和早期治疗有效率明显优于单纯ESW治疗组,可作为四肢骨折内固定术后骨不连非手术疗法的一种最佳选择。

Clinic observation of extracorpoporeal shock wave combined with hyperbaric oxygen in the treatment in bone ununion after internal fixation of the limbs fracture

Objective To evaluate the clinic application value of extracorporeal shock wave （ESW） com-bined with hyperbaric oxygen （ HBO） in the treatment in bone ununion after internal fixation of limbs fracture .Meth-ods A retrospective analysis was performed of 87 bone ununion patients after internal fixation surgery of limbs frac-ture（gap less than 10 mm,age less than 60 years）.Among them, 46 patients in the trial group（group A） were treated by ESW combined with HBO, 41 patients in the control group（group B） were treated by ESW only.At 1,3,6,9,12 months after the treatment the X-ray film were fallen and local inspection were performed to observe the treatment con -dition.Finally,the curative effect were analyed by statistical software .Results The cure rate of group A was higher than group B,the difference was statistically significant （P〈0.05）,the fellow-up results at 3,6 months showed the ef-fective rate of group A was higher than group B ,the difference was statistically significant （ P〈0.05 ） .Conclusion The ESW combined with HBO has the advantage of easy to operation ,less trauma and it is effective for the bone un-union（gap less than 10 mm） patients.The cure rate and early effective rate of ESW combined with HBO is better than ESW only ,so it is a good choice for bone ununion patients after internal fixation of limbs fracture .