早期体外冲击波疗法干预骨折延迟愈合不愈合临床疗效分析.docVIP

早期体外冲击波疗法干预骨折延迟愈合不愈合临床疗效分析 　　【摘要】 目的：探讨早期体外冲击波疗法干预骨折延迟愈合不愈合的临床疗效。方法：回顾性分析本院2010年6月-2013年12月收治的57例骨折延迟愈合不愈合患者的临床资料，所有患者均为稳定型骨折延迟愈合不愈合。按照术后时间分组，术后3～9个月共28例作为A组，术后9个月以上共29例作为B组。ESWT后每3个月复查X片，观察比较两组患者的骨痂生长情况。结果：治疗前以及第3疗程结束后，两组骨痂评分比较差异均无统计学意义（P0.05）；而第1、2疗程结束后，两组骨痂评分比较差异均有统计学意义（P0.05）。因此，A组在第1、2疗程结束后骨痂生长速度均明显快于B组（P0.05）。两组有效率在3个疗程间比较差异均无统计学意义（P1=0.670；P2=1.000；P3=1.000）；两组第1、2疗程结束后的治愈率的比较差异均有统计学意义（P1=0.044；P2=0.047），而第3疗程比较差异无统计学意义（P3=0.190）。结论：早期行体外冲击波疗法干预可降低骨折延迟愈合或不愈合的发生率，值得临床推广。 　　【关键词】 体外冲击波疗法； 骨折延迟愈合不愈合； 血肿 　　【Abstract】 Objective：To investigate the clinical efficacy of early extracorporeal shock wave therapy in the treatment of delayed union and nonunion of fractures.Method：The clinical data of 57 patients with fracture delayed union or nonunion in our hospital from June 2010 to December 2013 were analyzed retrospectively，all patients were stable delayed union and nonunion of fractures.According to the time after the operation，28 patients for 3-9 months after the operation were selected as the group A，a total of 29 patients for more than 9 months after operation were selected as the group B.X-ray follow-ups were performed at every 3 months intervals，and the callus growth between the two groups were observed and compared.Result：Before the treatment and after the three courses of treatment，the callus score between the two groups had no statistical significance（P0.05）.At the end of the first and second treatment，there were statistically significant differences in callus score between the two groups（P0.05）.Therefore，the callus growth rate of the group A were significantly faster than the group B at the end of the first and second period of the treatment（P0.05）.There was no significant difference in the efficiency between two groups in three periods of treatment（P1=0.670；P2=1.000；P3=1.000）.The differences were statistically significant in the cure rate between the two groups at the end of the first and second period of the treatment（P1=0.044；P2=0.047），but there was n