带血管蒂腓骨移植(位)结合中药治疗胫骨骨缺损

目的:探讨带血管蒂腓骨移植(位)结合中药治疗胫骨骨缺损的临床效果。方法:2004~2007年对16例胫骨骨缺损患者分别采用带蒂腓骨移植(西医组)和带蒂腓骨移植结合中药(中西医结合组)治疗,术后随访5~36个月,对两组病例进行数据统计,对比分析。结果:所有患者均无明显排斥反应,无供区肢体功能障碍。16例供受区创口均I期愈合,监测皮岛成活并与周围组织正常愈合,X线片示移植骨与胫骨骨性愈合。西医组8例:其中一例于术后d 2出现血管危象,经及时手术探查清除血栓而转愈,手术修复次数>1者为1例,占12.5%,该组平均骨愈合时间为17周,平均住院时间为68 d,平均住院费用为3.4万元,平均病程为91 d。中西医结合组8例无血管危象发生,手术修复次数>1者为0,平均骨愈合时间为14周,平均住院时间为52 d,平均住院费用为2.8万元,平均病程为73 d。结论:带血管蒂腓骨移植(位)结合中药治疗胫骨骨缺损能更有效地防止血管危象、皮瓣坏死等手术并发症,缩短疗程,提高疗效,是治疗胫骨骨缺损的较好方法。

Treatmente of Bone Defect in Shinbone with Vascularized Fibula Transfer and Chinese Medicine

Objective: The discussion belt blood vessel pedunclefibula transplant(position) unifies the Chinese medicine treatment shinbone bone damage the clinical effect.Methods: From 2004 to 2007 separately uses the belt peduncle fibula transplant to 16 examples shinbones bone damage patient(doctor practicing westernmedicine group) and the belt peduncle fibula transplant union Chinesenative medicine(cooperation of Chinese and Western medicine group)treats,after the technique makes a follow-up visit for 5~36 months,carries on the data statistics to two groups of case of illness,thecontrast analysis.Results: All patients not obvious repel response,not supplies the area body function barrier.16 examples for arewounded the area the I issue to heal,monitor the skin island tosurvive and normally heal with the periphery organization,X pieceshows transplants the bone and the shinbone heals.Doctorpracticing western medicine group 8 examples: 1 Example 2nddays appears the blood vessel crisis,investigate the eliminationthrombus after the prompt surgery to transfer recover.The surgery repairs number of times > 1 is 1 examples,accounts for 12.5%,this group of averagebones heal the time are 17 weeks,equally is hospitalized the time is 68 days,equally is hospitalized the expense is 34,000 Yuan,theaverage course of an illness is 91 days.The cooperation of Chinese and Western medicine group 8 examples non-blood vessels crisisoccurrence,the surgery repairs number of times > 1 accounts for 0,the average bone heals the time is 14weeks,equally is hospitalized the time is 52 days,equally ishospitalized the expense is 28,000 Yuan,the average course of anillness is 73 days.Conclusions: The belt blood vessel peduncle fibulatransplant(position) unifies the Chinese native medicine treatmentshinbone bone damage to be able effectively to prevent the bloodvessel crisis,surgery illness complication and so on skin petalnecrosis,reduces the treatment course,enhances the curative effect,is treats the shinbone bone damage a better method.