| 椎间盘镜技术同种异体骨移植治疗骨不连及骨缺损的临床研究 |
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Received:June 20, 2002
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| 作者 | Author | 单位 | Unit | E-Mail |
| 李华贵 |
LI Huagui |
寿光市人民医院骨科,山东寿光262700 |
Department of Orthopaedics,Shouguang People's Hospital Shandong Shouguang 262700 |
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| 张献忠 |
ZHANG Xianzhong |
寿光市人民医院骨科,山东寿光262700 |
Department of Orthopaedics,Shouguang People's Hospital Shandong Shouguang 262700 |
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| 韩金国 |
HAN Jinguo |
寿光市中医院 |
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| 庞德仁 |
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寿光市人民医院骨科,山东寿光262700 |
Department of Orthopaedics,Shouguang People's Hospital Shandong Shouguang 262700 |
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| 王其周 |
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寿光市人民医院骨科,山东寿光262700 |
Department of Orthopaedics,Shouguang People's Hospital Shandong Shouguang 262700 |
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| 孙西虎 |
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寿光市人民医院骨科,山东寿光262700 |
Department of Orthopaedics,Shouguang People's Hospital Shandong Shouguang 262700 |
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| 杨子来 |
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寿光市人民医院骨科,山东寿光262700 |
Department of Orthopaedics,Shouguang People's Hospital Shandong Shouguang 262700 |
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| 王洪光 |
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寿光市人民医院骨科,山东寿光262700 |
Department of Orthopaedics,Shouguang People's Hospital Shandong Shouguang 262700 |
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| 期刊信息：《中国骨伤》2003年16卷，第3期，第134-136页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨椎间盘镜技术同种异体骨移植治疗骨不连及骨缺损的可行性。
方法:硬膜外或局部麻醉,先用C型臂X线机定位,用椎间盘镜的导针经皮穿刺到骨不连间隙内,然后行20cm的小切口,并用套筒逐步扩大,置入椎间盘镜,在电视监控下剥离周围骨膜,清除骨不连间隙内纤维组织,打通两端髓腔,植入成品同种异体冻干骨小块,取出间盘镜、缝合小切口、弹力绷带加压包扎。
结果:13例病人手术后5、6、8、12个月临床愈合,平均愈合时间75个月,骨愈合率100%。
结论:椎间盘镜技术应用到四肢骨折及骨不连的植骨扩大了椎间盘镜的用途,该方法最突出的优点是创伤小,方法简便易行,随着部分器械的进一步改进,椎间盘镜下同种异体骨移植治疗骨不连必将取得肯定疗效。 |
| [关键词]:骨折 椎间盘镜 骨移植 |
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| Clinical study of bone nonunion or defect treated with intervertebral disc scope and homologous bone transplantation |
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Abstract:
Objective:To investigate the feasibility for intervertebral disc scope and homologous bone transplantation to treat nonunion of fractures
Methods:Intervertebral disc scope was inserted into the space of nonunion under fluoroscopic guidance.The periostem and soft tissue around the nonunion were stripped.Fibrous tissue within the nonunion was removed and the medullar cavity at the both ends was got through.Small pieces of freeze dried homologous bone were implanted.
Results:The nonunion in 13 patients were cured after 5,6,8,12 months.The average healing time was 7 5 months.The healing rate was 100%.
Conclusion:The technique of intervertebral disc scope to treat the nonunion of defect of the extremity bone enlarges the application of the intervertebral disc scope and offers a new method to treat the nonunion or defect of the extremity bone.The advantages of the technique are as follows:minor surgical trauma,operation with the limit of the local skin scar,the reliable result of bone transplantation.So it is worthy of application and popularization. |
| KEYWORDS:Fractures Intervertebral disc scope Bone transplantation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李华贵,张献忠,韩金国,庞德仁,王其周,孙西虎,杨子来,王洪光.椎间盘镜技术同种异体骨移植治疗骨不连及骨缺损的临床研究[J].中国骨伤,2003,16(3):134~136 |
| 英文格式: | LI Huagui,ZHANG Xianzhong,HAN Jinguo.Clinical study of bone nonunion or defect treated with intervertebral disc scope and homologous bone transplantation[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(3):134~136 |
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