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体外冲击波在促进骨愈合中的应用
Hits: 1893   Download times: 1250   Received:May 19, 2006    
作者Author单位UnitE-Mail
孔繁荣 KONG Fan-rong 峰峰集团有限公司总医院放射科,河北邯郸056200 Department of Radiology,the General Hospital of Fengfeng Ltd,Handan 056200,Hebei,China qinsg888@sina.com 
李建军 LI Jian-jun 峰峰集团有限公司总医院放射科,河北邯郸056200 Department of Radiology,the General Hospital of Fengfeng Ltd,Handan 056200,Hebei,China  
秦树光 QIN Shu-guang 峰峰集团有限公司总医院放射科,河北邯郸056200 Department of Radiology,the General Hospital of Fengfeng Ltd,Handan 056200,Hebei,China  
孔德明 KONG De-ming 峰峰集团有限公司总医院放射科,河北邯郸056200 Department of Radiology,the General Hospital of Fengfeng Ltd,Handan 056200,Hebei,China  
张玉祥 ZHANG Yu-xiang 峰峰集团有限公司总医院放射科,河北邯郸056200 Department of Radiology,the General Hospital of Fengfeng Ltd,Handan 056200,Hebei,China  
期刊信息:《中国骨伤》2007年20卷,第4期,第262-264页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:观察体外冲击波促进骨折愈合、治疗骨不连的疗效。

方法:选取22例外伤性骨折愈合延迟、骨不连患者进行体外冲击波冲击治疗,治疗后每4~6周进行X线片复查,观察骨折愈合情况。首次冲击波治疗12周后如骨折处无明显骨痂形成,则进行第2次冲击波治疗。冲击波能量为0.4mJ/mm2,每次脉冲总数为1600~2400次。

结果:22例下肢外伤性骨折愈合延迟及骨不连经体外冲击波治疗后,骨性骨痂形成的时间为4~12周,20例有明显骨痂形成,其中17例在治疗后3~6个月内骨折完全愈合。2例胫骨下段骨折冲击波治疗无效。

结论:体外冲击波在治疗骨不连,促进骨折愈合方面效果满意,有广阔的应用前景。
 
Application of extracorporeal shock wave to promote fracture healing
Abstract:

Objective:To observe the effect of extracorporeal shock wave(ESW)for the treatment of bone nonunion and promotion of fracture healing.

Methods:Twenty-two patients with fractures of delayed union and nonunion were treated with ESW.The X-ray of the fracture was taken every 4-6 weeks to observe condition of fracture healing.The second procedure of ESW was delivered to fractures while the X-ray did not show obvious callus formation at 12 weeks after the first treatment.The energy of ESW was 0.4 mJ/mm2 and the total pulse of each time was 1600-2 400 times.

Results:The time of callus formation in the patients was 4-12 weeks after treatment.Twenty cases had obvious callus formation,in which 17 cases achieved fracture healing in 3 to 6 months.Two patients of distal tibial fracture showed no effect after treatment.

Conclusion:ESW has marked effect for treating bone nonunion and promoting fracture healing,which is promising in the future.
KEYWORDS:Extracorporeal shock wave  Bone nonunion  Fractures  Bone healing
 
引用本文,请按以下格式著录参考文献:
中文格式:孔繁荣,李建军,秦树光,孔德明,张玉祥.体外冲击波在促进骨愈合中的应用[J].中国骨伤,2007,20(4):262~264
英文格式:KONG Fan-rong,LI Jian-jun,QIN Shu-guang,KONG De-ming,ZHANG Yu-xiang.Application of extracorporeal shock wave to promote fracture healing[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(4):262~264
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