回填重建技术在取自体髂骨植骨术中应用研究.docVIP

回填重建技术在取自体髂骨植骨术中应用研究 　　【摘要】 目的：探讨回填重建技术在自体髂骨植骨术中的应用价值。方法：将112例植骨患者随机分为观察组和对照组，各56例，观察组采用回填重建取髂骨植骨术治疗，对照组常规取髂骨植骨术治疗，比较两组的治疗效果。结果：观察组手术时间为（58.45±9.41）min，长于对照组的（46.82±18.24）min（P0.05）。观察组的伤口愈合时间为（7.78±1.31）d，短于对照组的（10.24±2.63）d（P0.05）。观察组的住院时间为（9.62±2.93）d，短于对照组的（11.86±3.67）d（P0.05）。观察组的并发症发生率为10.71%，低于对照组的26.78%（P0.05）。术后12个月X线片结果显示，两组患者均骨性愈合。结论：回填重建技术取自体髂骨植骨术能减轻患者的术后并发症，促进骨缺损区早期愈合，改善患者生活质量，值得临床进一步推广应用。 　　【关键词】 髂骨； 植骨； 回填重建 　　【Abstract】 Objective：To explore the application value of backfill reconstruction technique in autogenous iliac bone graft.Method：112 cases were randomly divided into observation group and control group，56 cases in each group， the observation group was treated with iliac bone graft，the control group was treated with iliac bone graft，and the treatment effect was compared between the two groups.Result：The operation time of the observation group was （58.45±9.41）min，which longer than （46.82±18.24）min in control group（P0.05）.The wound healing time of the observation group was （7.78±1.31）d，which was shorter than （10.24±2.63）d of the control group（P0.05）.The hospitalization time of the observation group was （9.62±2.93）d，which shorter than （11.86±3.67）d of control group （P0.05）.The observation group complication rate was 10.71%，lower than 26.78% of the control group（P0.05）.12 months after the operation， the X-ray films showed that two groups of patients were healed.Conclusion：Autologous iliac bone graft can reduce the postoperative complications， promote the early healing of bone defect area and improve the quality of life of patients， it is worthy of clinical application. 　　【Key words】 Ilium； Bone graft； Backfill reconstruction 　　First-author’s address：Pingxiang NO.2 People’s Hospital，Pingxiang 337000，China 　　doi：10.3969/j.issn.1674-4985.2016.30.032 　　植骨术作为骨科的常见手术，在创伤、肿瘤切除、骨畸形等治疗上日益获得广泛应用，已治愈骨缺损、骨不连、骨融合等疾病[1-3]。髂骨因位置表浅、取骨方便、骨质量优良，并可提供大量的松质骨和皮质骨，是临床上自体植骨时首选的供骨区域[4]。但术中组织剥离、截骨会导致术后髂骨外形改变，引发供骨区疼痛、麻木、皮下血肿等术后并发症。本研究于2013年6月-2015年6月采用回填重建技术取自体髂骨进行植骨治疗