体外冲击波疗法在创伤骨科领域的应用  

Application of extracorporeal shock wave therapy in orthopedic trauma

作　　者：崔海峰[1] 苗旭漫[1] 吴其常[1] 

机构地区：[1]解放军第208医院创伤骨科,长春130062

出　　处：《中国矫形外科杂志》2009年第16期1230-1233,共4页Orthopedic Journal of China

摘　　要：自发现冲击波(ESW)具有促进骨折愈合作用已逾20年,ESW治疗技术得到了长足的发展,无论在适应证的选择还是专用治疗设备研发方面,均取得了明显的进步。本文综述了ESW在创伤骨科领域的研究及应用现状,系统分析并阐明了ESW应用于创伤骨科的治疗机理;结合对治疗创伤后骨不连、人工关节翻修、创伤性股骨头坏死、骨腱结合部的急性损伤等成功案例的描述,分析了其临床应用的有效性;归纳整理了该方法临床应用时的并发症及预防措施;详细描述了现阶段ESW治疗机的工作原理及各项工作参数的选择依据;并提出了ESW技术在骨科领域更为广泛的应用。It has been over two decades from the discovery of extracorporeal shock wave （ESW）. The therapy of ESW has been proved effective in improving fracture healing, and has been developed quickly both in the choice of indications and in the medical equipments research. The status quo of ESW research, application in orthpedic trauma and treatment mechanism are summarized in this paper. Successful cases are reviewd in treating post-traumatic nonunion, renovation of artificial joints, and traumatic osteoneerosis of the femoral head. Common complications and its preventive measures are given. Detailed description of ESW operating principles and selection of working parameters are also described, with the expectation of wider range of clinical applications of ESW.

关 键 词：冲击波 创伤骨科 应用 

分 类 号：R683[医药卫生—骨科学]