骨搬运联合膜诱导术治疗胫骨创伤后骨髓炎患者的效果分析  

Effect Analysis of Bone Transport Combined with Membrane Induction in the Treatment of Patients with Tibial Osteomyelitis after Trauma

作　　者：王德磊 WANG Delei(Department of Bone and Traumatology No.3,Pingyin Hospital of Traditional Chinese Medicine,Jinan 250000,China)

机构地区：[1]山东省平阴县中医医院骨伤三科,山东济南250000

出　　处：《中国伤残医学》2024年第24期9-12,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨对胫骨创伤后骨髓炎患者采用骨搬运联合膜诱导术治疗的临床效果。方法:回顾性分析2022年4月—2024年2月平阴县中医医院收治的80例胫骨创伤后骨髓炎患者资料,依据不同的手术方法将其分为对照组和研究组,各40例。对照组采用传统植骨术治疗,研究组采用骨搬运联合膜诱导术治疗。两组术后均观察1个月。对比两组临床疗效、并发症发生情况及时间指标。结果:研究组治疗总有效率为97.50%,高于对照组的80.00%,差异有统计学意义(P<0.05)。研究组并发症发生率为2.50%,低于对照组的20.00%,差异有统计学意义(P<0.05)。研究组总治疗时间、总带架时间及两阶段平均间隔时间均短于对照组,差异均有统计学意义(P<0.05)。结论:临床治疗胫骨创伤后骨髓炎患者时采用骨搬运联合膜诱导术,可提升临床疗效及治疗安全性,缩短治疗相关时间指标。Objective:To investigate the clinical effect of bone transport combined with membrane induction on patients with tibial osteomyelitis after trauma.Methods:The data of 80 patients with post-traumatic tibial osteomyelitis treated in Pingyin County Hospital of Traditional Chinese Medicine from April 2022 to February 2024 were retrospectively analyzed.According to different surgical methods,they were divided into a control group and a study group,with 40 cases each.The control group was treated with traditional bone grafting,and the study group was treated with bone transport combined with membrane induction.Both groups were observed for 1 month after operation.The clinical efficacy,complications and time indexes of the two groups were compared.Results:The total effective rate of the study group was 97.50%,which was higher than 80.00%of the control group,the difference was statistically significant(P<0.05).The complication rate of the study group was 2.50%,which was lower than 20.00%of the control group,and the difference was statistically significant(P<0.05).The total treatment time,total rack time and the average interval between two stages in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:In the clinical treatment of patients with tibial osteomyelitis after trauma,bone transport combined with membrane induction can improve the clinical efficacy and treatment safety,and shorten the treatment time index.

关 键 词：胫骨创伤后骨髓炎 骨搬运 膜诱导术 临床疗效 并发症 

分 类 号：R687.3[医药卫生—骨科学]