自体植骨联合单边外固定架骨搬移治疗下肢创伤性慢性骨髓炎效果分析  

Analysis of the Effect of Autogenous Bone Graft Combined with Unilateral External Fixation for the Treatment of Traumatic Chronic Osteomyelitis of Lower Limbs

作　　者：宋红良 刘新苗 SONG Hong-liang;LIU Xin-miao(Department of Orthopaedics, Feicheng Hospital of Traditional Chinese Medicine, Feicheng,Shandong Province, 271600 China;Department of Nursing, Shandong Feicheng People's Hospital, Feicheng, Shandong Province, 271600 China)

机构地区：[1]山东省肥城市中医医院骨二科,山东肥城271600 [2]山东省肥城市人民医院护理部,山东肥城27160

出　　处：《中外医疗》2019年第24期41-43,共3页China & Foreign Medical Treatment

摘　　要：目的探讨自体植骨联合单边外固定架骨搬移治疗下肢创伤性慢性骨髓炎的临床效果。方法方便选取该院2014年1月—2018年1月收治的100例下肢创伤性慢性骨髓炎患者随机分为两组,对照组(n=50)给予单边外固定架骨搬移技术治疗,观察组(n=50)在对照组基础上给予自体植骨治疗,对比两组患者临床疗效和治疗前后生活质量。结果两组患者临床疗效92.00%vs70.00%,对比差异有统计学意义(χ^2=15.7245,P<0.05)。治疗后观察组患者物质生活状态、心理功能、社会功能、躯体功能评分分别为(92.78±1.37)分、(93.33±3.18)分、(91.55±3.43)分、(88.41±3.56)分,对照组分别为(84.62±1.83)分、(86.26±1.75)分、(84.87±1.95)分、(83.81±2.17)分,观察组患者明显高于对照组,差异有统计学意义(t=25.2405、13.7731、11.9716、7.7508,P<0.05)。两组患者不良反应发生率6.00%vs4.00%,对比差异无统计学意义(χ^2=0.4211,P>0.05)。结论在单边外固定架骨搬移治疗下肢创伤性慢性骨髓炎的基础上联合自体植骨,可有效促进治疗效果,缩短骨折愈合时间,促进患者生活质量提高,且安全性高,值得临床推广。Objective To investigate the clinical effect of autogenous bone graft combined with unilateral external fixation for the treatment of traumatic chronic osteomyelitis of lower extremities. Methods One hundred patients with traumatic chronic osteomyelitis of lower extremity admitted to our hospital (January 2014 to January 2018) were convenient selected and randomly divided into two groups. The control group (n=50) was treated with unilateral external fixation bone transfer technique. The observation group (n=50) was given autologous bone grafting on the basis of the control group, and the clinical efficacy and quality of life before and after treatment were compared between the two groups. Results The clinical efficacy of the two groups was 92.00% vs 70.00%, which was statistically significant(χ^2=15.724 5, P<0.05). After treatment, the material living state, psychological function, social function and physical function score of the observation group were (92.78±1.37)points,(93.33±3.18)points,(91.55±3.43)points,(88.41±3.56)points, respectively, and the control group were (84.62±1.83)points,(86.26±1.75)points,(84.87±1.95)points,(83.81±2.17)points, the observation group was significantly higher than the control group, the difference was statistically significant(t=25.240 5, 13.773 1,11.971 6, 7.750 8, P<0.05). The incidence of adverse reactions in the two groups was 6.00% vs 4.40%, and the difference was not statistically significant(χ^2=0.421 1, P>0.05). Conclusion On the basis of unilateral external fixation bone treatment for the treatment of traumatic chronic osteomyelitis of the lower extremities combined with autologous bone grafting, it can effectively promote the treatment effect, shorten the fracture healing time, promote the improvement of patients' quality of life, and has high safety,which is worthy of clinical promotion.

关 键 词：自体植骨 单边外固定架骨搬移 下肢 创伤性 慢性骨髓炎 

分 类 号：R68[医药卫生—骨科学]