高压氧综合治疗对异体髂骨再造跟骨骨愈合的影响  

Effect of hyperbaric oxygen on the healing of homological iliac transplantation

作　　者：黄晨[1] 任旭荣[2] 廖光军[1] 邹本国[1] 

机构地区：[1]烟台市烟台山医院骨肿瘤科,山东省烟台264001 [2]烟台市烟台山医院心内科,山东省烟台264001

出　　处：《中华航海医学与高气压医学杂志》2010年第1期47-49,共3页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

摘　　要：目的研究高压氧治疗对异体髂骨再造跟骨术后愈合的临床价值。方法高压氧组6例跟骨骨肿瘤患者，手术切除跟骨，应用异体髂骨再造跟骨，术后3d行高压氧治疗，1个疗程为10d，1次／d，间歇1周再做下一个疗程，共2个疗程。另选取8例异体髂骨再造跟骨患者，作为对照组，常规治疗，不行HBO治疗。观察软组织肿胀消失时间、骨折线模糊时间、骨折线消失时间。结果高压氧组6例患者软组织肿胀消失时间平均（5．1±1．4）个月，骨折线模糊时间平均（2．9±0．7）个月，骨折线消失时间平均（13．7±2．3）个月，明显低于对照组（P〈0．01），提示高压氧组切口愈合良好，骨折愈合良好。结论高压氧治疗减轻异体髂骨再造跟骨术后组织的炎症反应，促进骨愈合，有着较好的临床价值，是一种简便有效的治疗手段。Objective To investigate effects of hyperbaric oxygen （HBO） on the healing of homological iliac transplantation. Methods Six cases of calcaneal tumor were administered homological calcaneal reconstruction with homological ilium. Patients were treated with HBO 3 days after surgery, once a day and 10 days a session. With an interval of one week, patients were given the next session, with a total of 2 sessions. Observations were made on the time when swelling soft tissue and bone fracture line receded. Results In the 6 cases, average time for the disappearance of soft tissue swelling was 6 months, and average time for the disappearance of bone fracture line was 15 months, with an ideal healing of incision and bone fracture. Conclusions Hyperbaric oxygen therapy could obviously relieve inflammatory response induced by homological calcaneal reconstruction with homological ilium and promote bone healing. HBO therapy seemed to be a simple but effective treatment method, and might be promising in clinical application of homological iliac bone transplantation.

关 键 词：异体骨植骨 高压氧 骨肿瘤 

分 类 号：R686[医药卫生—骨科学]