骨搬移技术用于胫骨骨髓炎伴长段骨缺损的临床效果研究  

The Clinical Effect of Bone Transfer Technique in Tibial Osteomyelitis with Long Bone Defect

作　　者：庞俊峰[1] PANG Junfeng(Department of Orthopaedics and Traumatology,First People's Hospital of Nanning,Nanning 530022,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]南宁市第一人民医院创伤骨科,广西南宁530022

出　　处：《系统医学》2024年第19期60-63,共4页Systems Medicine

摘　　要：目的 研讨胫骨骨髓炎伴长段骨缺损患者采用骨搬移技术治疗的效果。方法 回顾性选取2020年6月—2023年6月南宁市第一人民医院收治的80例胫骨骨髓炎伴长段骨缺损患者的临床资料,依据治疗方法不同分为两组,每组40例,对照组采用骨水泥占位+二期植骨治疗,观察组采用骨搬移技术治疗。比较两组愈合优良率、恢复指标、踝关节功能评分、膝关节评分、踝肱指数、经皮氧分压。结果 观察组骨愈合优良率较对照组高,差异有统计学意义(P<0.05);观察组各恢复指标水平均优于对照组,差异有统计学意义(P均<0.05);观察组治疗后踝关节功能评分(96.98±4.32)分、膝关节功能评分(98.68±4.15)分较对照组的(89.45±4.23)分和(88.32±4.02)分高,差异有统计学意义(t=5.569、4.922,P均<0.05)。观察组治疗后的踝肱指数、经皮氧分压均高于对照组,差异有统计学意义(P均<0.05)。结论 胫骨骨髓炎伴长段骨缺损患者采用骨搬移技术治疗效果明显,患者骨折愈合效果明显,缩短其愈合时间,患者的膝关节、踝关节功能均有所提升。Objective To study the effect of bone transfer technique on tibial osteomyelitis with long segmental bone defect.Methods The clinical data of eighty patients with tibial osteomyelitis with long segmental bone defect in the First People's Hospital of Nanning from June 2020 to June 2023 were retrospectively selected,and were divided into two groups with forty cases each according to different treatment methods.The control group was treated with bone ce-ment occupying and secondary bone grafting,and the observation group was treated with bone transfer technology.The healing rate,recovery index,ankle joint function score,knee joint score,ankle brachial index and transcutaneous oxy-gen tension were compared between the two groups.Results The bone excellent rate of healing in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The recovery in-dexes of the observation group were lower than those in the control group,the differences were statistically significant(all P<0.05).The functional scores of ankle joint and knee joint after treatment in the observation group were 96.98±4.32 and 98.68±4.15,higher than 89.45±4.23 and 88.32±4.02 in the control group,the differences were statistically significant(t=5.569,4.922,both P<0.05).Ankle Brachial Index and transcutaneous oxygen tension of observation group were higher than those of control group after treatment,the differences were statistically significant(both P<0.05).Conclusion The treatment of tibial osteomyelitis with long bone defect by bone transfer technique has obvious effect,the healing effect of the fracture is obvious,the healing time is shortened,and the function of the knee joint and ankle joint of the patient is improved.

关 键 词：骨搬移技术 胫骨骨髓炎 长段骨缺损 关节功能 

分 类 号：R4[医药卫生—临床医学]