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时间:2020-04-22
《内固定术后骨不连的微创治疗-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、2014年4月第29卷第2期JournalofOccupationalHealtl】and.2014Vol,29。No.2ll9【论著】内固定术后骨不连的微创治疗袁中平,董谢平,付肠,张令东,周立毅[摘要]目的探讨内固定术后骨不连的微创植骨治疗效果。方法2005—09/2012—12江西省人民医院骨二科收治17例内固定术后骨不连病人,使用自制5ITlm窄口微型骨铲、各种金属导管及扩容器、3.1mm口径微型环锯、研磨钵式电动粉粹机,在硬膜外阻滞式臂丛阻滞式局麻加周围神经阻滞麻醉下,作0.5—1cm微切口进行微创植骨手术。结果17例中,9例1月后摄片后出现断端毛玻璃样影像改变,3月后出现骨拆愈合
2、征像,6例在术后6月后摄片出现骨拆愈合征像,1例在术后3月内固定断裂,再次手术治愈,1例经随访1年后仍无愈合征像,作血管蒂骨瓣移植愈合。治愈率88.23%。结论该院自制中空骨铲等器械行微创治疗效果较好,同时无明显不良反应发生。[关键词]内固定术;骨不连;自制中空骨铲;微切口;微创植骨[中图分类号】R683[文献标识码】A[文章编号]1006-172X(2014)02—119—02MinimallyInvasiveTherapyonBoneNonunionAfterInternalFixationOperationYUANGZhong—ping,DONGXie—ping,FUYang,ZHAN
3、GLing—dong,ZHOULi—yiTheSecondDepartmentofOrthopaedics,JiangxiProvincialPeople’SHospital,Nanchang330000,fiangxiProvince,China.Abstract0bjectiveToobservethecurativeeffectofminimallyinvasivebonegraftingtherapyonbonenonunionafterinternalfixationoperation.MethodsDuringSept.,2005,toDec.2012,17patientsaft
4、eroperationofinternalfixationoperationinTheSecondDept.ofOrthopaedics,JiangxiProvincialPeople’SHospitalwererecruited.Thehome—made5mmnarrowbonespade,variouskindsofmetalconduits,3.11ylinmini—typetrepanandpot—likepower—drivengnd—erwereallemployedfortheoperation.Underconditionofepiduralblocktypeofbrachi
5、alplexusblocktypelocalanes一出esiaandcombinedwithperipheralnel~eblockanesthesia.0.5—1cmincisionwasmadeandminimallyinvasivebonegraftingoperationwasconducted.ResultsOfthe17cases,9casesshowedgroundglasschangesatthebrokenendsaf-terX—-raytestafteronemonthandshowedsignsoffracturehealingafterthreemonths;6ca
6、sesshowedsignsoffracturehealingafter6months;onecaseexhibitedfixedfractureinthreemonthsandwasconductedre—operation,whichshowednohealingsignsafteroneyearandwastreatedwithvascularpediclebonegraftandhealedupatlast.Conclu-sionWithhome—madehollowedbonespadeandotherinstrumentsinthishospital,theminimallyin
7、vasiveoperationisofgoodefectandfreeofobviousadversereactions.Keywordsinternalfixationoperation;bonenonunion;home—madehollowbonespade;minimallyinvasivebonegraft骨折延迟愈合及不愈合是骨折的常见并发症,约植骨损伤大,费用高,患者往往难于接受。随着损伤5%一
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