摘要
目的 观察经皮自体骨髓移植治疗四肢骨折内固定术后延迟愈合的临床效果. 方法 41例四肢骨折内固定术后延迟愈合的患者在知情同意情况下,按数字表法随机分为两组;对照组20例采用传统疗法,观察组21例采用经皮自体骨髓移植治疗.观察两组临床治疗效果和并发症发生情况. 结果 观察组愈合优秀13例（61.9%）、良好7例（33.3%）、失败1例（4.8%）,与对照组的6例（30.0%）、11例（55.0%）、3例（15.0%）相比较,差异有统计学意义（u=4.1934,P＜0.05）.观察组并发症总发生率为9.5%,与对照组并发症总发生率15.0%相比较,差异无统计学意义（χ^2=0.034,P＞0.05）. 结论 经皮自体骨髓移植治疗四肢骨折内固定术后延迟愈合疗效较佳,且并发症较少.
Objective To explore the clinical efficacy of transcutaneous autologous bone marrow transplantation in the treatment of delayed union after internal fixation of limb fracture. Methods 41 patients with delayed union after internal fixation of limb fracture with informed consent in our hospital were divided into two groups by number table,20 patients in control group were treated with conventional therapy,21 patients in observation group were treated with transcutaneous autologous bone marrow transplantation,the effects and the occurrence of complications of two groups were compared and observed. Results In observation group,excellent healing in 13 cases（61.9%）,good in 7 cases（33.3%）,failure in 1 case（4.8%）,and in the control group,6 patients（30.0%）,11 cases（55.0%）,3 cases （15.0%）,the difference between the two groups was statistically significant（u=4.1934,P〈0.05）;the complication rate of the observation group was 9.5%,compared with 15.0% of the control group,there was no significant difference（χ^2=0.034,P〉0.05）. Conclusion Transcutaneous autologous bone marrow transplantation in the treatment of delayed union after internal fixation of limb fracture had better efficacy and less complication.
出处
《中国基层医药》
CAS
2010年第16期2192-2193,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
骨折
内固定器
骨髓移植
Bone fractures
Internal fixators
Bone marrow transplantation
