作　　者： ;

机构地区： 广州中医药大学第一附属医院

出　　处： 《中国中医骨伤科杂志》 2019年第1期17-21,共5页

摘　　要： 目的:对比采用诱导膜技术(Masquelet技术)与Ilizarov骨搬运技术治疗胫骨创伤性骨髓炎的临床疗效。方法:回顾分析2011年1月至2018年9月本院创伤骨科收治的29名胫骨创伤性骨髓炎患者的临床资料,其中采用Masquelet技术治疗组15例(A组),采用Ilizarov技术治疗组14例(B组)。术后对比两组患者的骨临床愈合时间、愈合率、下肢完全负重时间、并发症的发生率、膝、踝关节功能评分、骨痂评分、术后疼痛视觉模拟评分(VAS)等情况。结果:两组患者的术后膝、踝关节功能评分、骨痂评分以及愈合率差异无统计学意义(P>0.05),而Masquelet技术组在骨临床愈合时间、下肢完全负重时间、并发症的发生率、术后疼痛视觉模拟评分方面,均优于Ilizarov组,差异有统计学意义(均P<0.05)。结论:采用Masquelet技术治疗胫骨创伤性骨髓炎优势明显,可以缩短骨愈合时间,减轻术后疼痛,减少并发症发生率。 Objective:To compare the clinical efficacy of inducing membrane technique(Masquelet technique)and Ilizarov bone transport technique in the treatment of traumatic osteomyelitis of the tibia.Methods:The clinical data of 29 patients with traumatic osteomyelitis admitted to our hospital from January 2011 to September 2018 were retrospectively analyzed.Among them,15 patients were in the treatment group with Masquelet technique(group A,)and 14 patients were in group treated with Ilizarov technique(group B,).The clinical healing time,healing rate,total weight-bearing time of the lower limbs,incidence of complications,knee and ankle function scores,osteophyte scores,and postoperative pain visual analogue scale(VAS)were compared between the two groups.Results There were no significant differences in knee and ankle scores,osteophyte scores,and healing rates between the two groups(P>0.05).The Masquelet technique group was superior to the Ilizarov group in the time of bone healing time,total weight-bearing time of the lower limbs,incidence of complications,and postoperative pain visual analogue scale(VAS)(both P<0.05).Conclusion:The use of Masquelet technology for treating tibiofibular osteomyelitis is obvious effective and advantageable,which can shorten the time of bone healing and reduce postoperative pain and complications.

关 键 词： 诱导膜技术 骨搬运技术 创伤 骨髓炎

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