[1]唐洪涛,孙瑞波,田涛涛,等.体外冲击波疗法联合自体骨髓血活性浓集物和富血小板血浆局部注射治疗下肢骨折不愈合[J].中医正骨,2024,36(06):61-65,80.
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体外冲击波疗法联合自体骨髓血活性浓集物和富血小板血浆局部注射治疗下肢骨折不愈合()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第36卷
期数:
2024年06期
页码:
61-65,80
栏目:
临床报道
出版日期:
2024-06-20

文章信息/Info

作者:
唐洪涛孙瑞波田涛涛倘艳锋仝昭方陈云杰樊丽霞程真真
河南省洛阳正骨医院/河南省骨科医院,河南 洛阳 471002
关键词:
骨折不愈合 手术后并发症 冲击波 自体骨髓血活性浓集物 富含血小板血浆
摘要:
目的:探讨体外冲击波疗法联合自体骨髓血活性浓聚物和富血小板血浆局部注射治疗下肢骨折不愈合的临床疗效。方法:2019年3月至2023年6月,采用体外冲击波疗法联合自体骨髓血活性浓聚物和富血小板血浆局部注射治疗下肢骨折不愈合患者33例。男24例,女9例。年龄17~62岁,中位数43岁。肥大型骨折不愈合23例,萎缩型骨折不愈合10例。所有患者均接受过内固定术治疗,均为非感染性骨折不愈合,骨折端间隙均小于5 mm,骨折端对位对线均良好,内固定均无明显松动。体外冲击波治疗共4次,每次治疗间隔7 d; 在体外冲击波治疗后第2天,于骨折端注射自体骨髓血活性浓集物和富血小板血浆,连续治疗4次,每次治疗间隔7 d。治疗后随访观察骨折端愈合情况。结果:33例患者均获随访,随访时间3~6个月,中位数4.3个月。23例肥大型骨折不愈合患者经治疗后,骨折端均获骨性愈合; 10例萎缩型骨折不愈合患者经治疗后,6例骨折端获骨性愈合、4例骨折端未愈合。10例患者在治疗结束后3个月骨折端获骨性愈合,19例患者在治疗结束后6个月骨折端获骨性愈合; 4例患者在治疗结束后6个月骨折端未愈合,均为萎缩型骨折不愈合患者,后期行内固定联合植骨术后6个月骨折端获骨性愈合。结论:采用体外冲击波疗法联合自体骨髓血活性浓集物和富血小板血浆局部注射治疗下肢骨折不愈合,能够明显促进骨折愈合。

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备注/Memo

备注/Memo:
基金项目:河南省中医药科学研究专项课题(2019ZY1026)
通讯作者:程真真 E-mail:18920117@qq.com
更新日期/Last Update: 1900-01-01